Interesting research from the Centre for Infectious Disease Research in Zambia reveals important insights into why some people living with HIV decline immediate (same-day) treatment. Among 1,278 newly diagnosed people, nearly 10% declined same-day linkage to treatment, citing various barriers to immediate initiation.

The study identified crowded clinics as the most common structural barrier, while social concerns about condemnation from friends and family followed closely. Notably, older individuals (50+) and individuals testing in rural facilities were most likely to report multiple barriers to immediate initiation.

These findings suggest the need for tailored counseling approaches based on demographics and testing location to improve treatment uptake and help meet UNAIDS 95-95-95 targets. As HIV programmes evolve toward “test and treat” models, understanding and addressing these specific barriers becomes crucial for effective care delivery. Read More: https://doi.org/10.1002/jia2.25560