Volume 4, Issue 5, Pages e223-e230 (May 2017)

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HIV System Assessment with Longitudinal Treatment Cascade in KwaZulu-Natal, South Africa Noah Haber,1 Frank Tanser,2 Kevindra Naidu,2 Tinofa Mutevedzi,2.
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Volume 4, Issue 5, Pages e223-e230 (May 2017) From HIV infection to therapeutic response: a population-based longitudinal HIV cascade-of-care study in KwaZulu-Natal, South Africa  Dr Noah Haber, MSc, Frank Tanser, PhD, Jacob Bor, ScD, Kevindra Naidu, MSc, Tinofa Mutevedzi, MSc, Kobus Herbst, MSc, Kholoud Porter, PhD, Deenan Pillay, PhD, Till Bärnighausen, MD  The Lancet HIV  Volume 4, Issue 5, Pages e223-e230 (May 2017) DOI: 10.1016/S2352-3018(16)30224-7 Copyright © 2017 Elsevier Ltd Terms and Conditions

Figure 1 Kaplan-Meier graphs of longitudinal cascade vs annual cross-sectional cascades Bars represent cross-sectional cascades generated on the basis of the last known stage of cascade progression on Dec 31 of each year. The red lines show the percentage of individuals reaching each stage up to 8 years after first testing positive for HIV. 95% CIs from of the Kaplan-Meier estimates are shown as brackets on the red lines. ART=antiretroviral therapy. The Lancet HIV 2017 4, e223-e230DOI: (10.1016/S2352-3018(16)30224-7) Copyright © 2017 Elsevier Ltd Terms and Conditions

Figure 2 Transition to each stage by year—single state transitions n=5205. Columns from left to right represent cascade stage transitions; rows from top to bottom show the years in which the entry transition event occurred. For example, the chart in the fourth column, second row, is the transition from “eligible for ART” to “initiated ART” for patients who became eligible for ART between 2008 and 2009 among those who had not yet initiated ART, for up to 4 years after reaching eligibility for ART. ART=antiretroviral therapy. The Lancet HIV 2017 4, e223-e230DOI: (10.1016/S2352-3018(16)30224-7) Copyright © 2017 Elsevier Ltd Terms and Conditions

Figure 3 Transition to each stage by year, including entrance and exit stages, retention, and mortality n=5205. The intercept in this figure shows the percentage of people who have already transitioned across subsequent cascade stages the first time they are detected in the denominator of a particular cascade stage. These intercepts thus represent the percentages of people who skip cascade stages or simultaneously transition across several stages. Each blue-shaded striation represents the cumulative incidence of reaching a cascade stage subsequent to the one that is represented by thick black lines in each panel of this figure. The percentage of people who have had a given number of additional clinic visits before transitioning is shown in green—the darker the shade of green, the more clinic visits. The cumulative incidence of death before the next transition is shown in pink, and the white area represents the proportion of people at each timepoint who are alive, have not made any additional clinic visits, and have not transitioned to a subsequent cascade stage. ART=antiretroviral therapy. The Lancet HIV 2017 4, e223-e230DOI: (10.1016/S2352-3018(16)30224-7) Copyright © 2017 Elsevier Ltd Terms and Conditions