Factors Associated with Successful Treatment among People Living with HIV: A Study in Cotonou Health Center 1 (Benin), 2018

The aim of the study was to identify factors associated with successful HIV treatment amongst cases seeking care and treatment in Cotonou Health Center 1. This was a crossectional study design in which 297 people living with HIV (PLWH) enrolled for care and treatment at the Cotonou Health Center, were followed over a period of 13 months from November 2017 to December 2018. Cotonou 1 Health Center, is a reference center for the treatment and care of the people living with HIV and key populations in Benin. The objective was to identify the factors associated with the therapeutic success at the Cotonou 1 Health Center. The average age of the respondents was 42.60 ± 10.69 years with extremes ranging from 19 to 78 years; the average weight was 61.13 ± 13.50 kg with extremes ranging from 37 to 115 kg. Successful HIV treatment has been defined by a VL<1000 copies/ml. The main factors associated with successful HIV treatment were geographical accessibility, age, gender, socio-economic level, whether or not traditional medicine is used, adherence to treatment, the value of CD4 to initiation of ARV treatment and reception. Four potential predictors have been identified by the logistic regression model: economic level (p <5%); compliance (p <10%); age (p <5%) and sex (p <5%). To conclude our study, we can say that the UNAIDS 90-90-90 targets will be achieved by 2020 in Cotonou I Health center. However, this center needs to improve on crucials factors identified during our study such as economic level, compliance of patients and sensitization of young people (15-24 years) and male to reach this goal.