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eSwatini

Data Provenance

  • HIV Prevalence Data
    • DHS
    • PHIA
    • SHIMS
  • Demographics Data
    • UN WPP, extracted by DTC in 2023
    • UN WPP 2019 estimates 1,148,000 total population
    • Meanwhile, national census of SWZ estimates 1,093,238 in 2017, while UN WPP estimates 1,125,000 in that same year.
  • ART Prevalence Data
    • Note that we are not calibrating to ART prevalence. Rather, ART is distributed through a reference tracker called "UTT scale-up ART"
    • ART is distributed in a piecewise fashion, using SHIMS (2011, 2016, 2021) data to inform ART coverage by age and sex
    • ART Availability
  • Circumcision distribution

Major Updates

2025-07-15

  • Now working on simulating how countries should plan for disruptions to their HIV services.
  • Is it more important to invest in preventative care or ART maintenance, given limited resources?

Proposed changes

  • Add variable rates of EffectiveART vs. NonSuppressiveART, to match how viral load suppression rate outcomes grow with time, in order to bring down incidence among men in more recent years

2024-08-30

Problem:

  • Incidence is too high among men post 2016
  • Leads to excess younger people (under age of 30) with HIV, age distribution peaks too low currently

Solution:

  • Dial down HIGH risk population post-2010
  • Dial up ART distribution among young people

2024-07-07

Updated ART coverage distribution to match SHIMS data.

2024-01-19

Completed test3_swz2024 - these results were presented at eSwatini meetings in January 2024.

Notes from Clark, c. 2023-09-26

This project directory starts from a random simulation in this COMPS experiment: 1cf76785-fd30-ec11-9ecd-9440c9bee941

random simulation is: e0754e1f-fe30-ec11-9ecd-9440c9bee941

This starting point uses a more recent EMOD binary than a prior attempt, which means the configs MAY be more easily updatable to a current malaria-ongoing EMOD binary.

Starting EMOD version, as reported from COMPS: Intellectual Ventures(R)/EMOD Disease Transmission Kernel 2.18.4476.0 Built on Jun 8 2021 17:23:43 by SYSTEM from HIV-Ongoing (9567070) checked in on 2021-06-08 15:24:57 -0700

The current post processor is needed to prevent miscounting due to the current inclusion of IP_Key:Risk and IP_Key:ARTstate in ReportHIVByAgeAndGender.csv .

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EMOD-HIV model for eSwatini

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