TITLE:
HIV Epidemiology, Diagnosis, Treatment and Prevention in Chad: A Systematic Review
AUTHORS:
Hassan Mahamat Ali, Kabore Boukare, Seid Idriss Ahmat, Tapsoba François, Oumaima M. Djarma, Mahamt Koulbou Abdoulaye, Asbagui Fayçala Oscar, Adawaye Chatté, Savadogo Aly
KEYWORDS:
HIV, Epidemiology, Diagnosis, Treatment, Prevention, Chad, Review
JOURNAL NAME:
Open Journal of Epidemiology,
Vol.15 No.2,
March
7,
2025
ABSTRACT: Infection with the Human Immunodeficiency Virus (HIV) remains a major public health burden, with around 40 million people expected to be HIV-positive in 2023. This review provides an overview of the problem of HIV infection in Chad in recent years. The aim of this study is to provide information on the challenges of diagnosing, treating and preventing HIV infection in Chad. This was a systematic review taking into account all available publications on the issue of HIV in Chad. Of the 48 articles retrieved, 37 were selected (37/48, i.e. 77%) and full texts were obtained. Six (06) articles retrieved (6/48, i.e. 12.5%) were found cited in the bibliographic references of the articles, but the full texts were not found in the search engines. Fife (05) articles exclued (5/48, i.e. 10.5%). In terms of classification of articles by theme, 7 articles dealt with the subject of prevention, awareness and communication, 6 articles addressed the topic of comprehensive care, 6 articles examined HIV co-infection with other diseases. Seven (07) articles addressed virological and therapeutic failure and resistance to ARVs, 6 articles were on the theme of prevention and 2 articles dealt with the theme of prevention of mother-to-child transmission. One (01) article was opportunists diseases examined and one (01) article was impact of covid in the fight against HIV evaluated. One (01) article evaluated the toxicity of ARVs and no article was found on the availability of ARVs and related causes with ARV stock-outs. In Chad, the fight against HIV infection remains a major challenge and a health problem because of the difficulties involved in diagnosing and treating PLHIV, despite the efforts made by the government and its financial partners. It is important that lines of research based on the issues addressed can be developed in order to devise control strategies that reflect the reality of the country.