Table 1
UNAIDS 95‑95‑95 cascade (standard définitions), Sierra Leone, 2023.
| INDICATOR | NUMERATOR | DENOMINATOR | % (95% CI) |
|---|---|---|---|
| Estimated PLHIV | 82,000 | — | — |
| Diagnosed (First 95) | 65,600 | 82,000 | 80% |
| On ART (Second 95) | 57,072 | 65,600 | 87% |
| Virally suppressed (Third 95) | 25,112 | 57,072 | 44% |
| VL coverage (≥1 VL test) | 38,812 | 57,072 | 68% |
| Conditional suppression (among VL‑tested) | 34,154 | 38,812 | 88% |
[i] Notes: Standard UNAIDS definitions applied; Suppression threshold <1000 copies/mL; Conditional suppression may overestimate overall suppression if untested patients are more likely to be unsuppressed. Data sources: UNAIDS 2023; PEPFAR COP 2023. Data derivation: UNAIDS 2023 and PEPFAR COP 2023 figures are based on NAS/MoHS programme data and Spectrum estimates, reflecting national surveillance and facility‑level reporting. Interpretation caveat: Improving VL coverage may initially reduce the apparent third 95 as previously untested unsuppressed patients are captured; policymakers should anticipate this artefact.
Figure 1
Sierra Leone HIV prevalence by districts (Source: DHS 2019).
Table 2
Distribution of viral load testing capacity across districts in Sierra Leone by diagnostic platform.
| NO. | HOSPITAL | GeneXpert PLATFORM | C5800 PLATFORM |
|---|---|---|---|
| 1 | Makeni Government Hospital | x | X |
| 2 | Princess Christian Maternity Hospital/Ola During Children’s Hospital | x | X |
| 3 | Bo Government Hospital | x | |
| 4 | Kenema Government Hospital | x | |
| 5 | Connaught Hospital | x | |
| 6 | Koidu Government Hospital | x | |
| 7 | Portloko Government Hospital | x | |
| 8 | 34 Military Hospital | x | |
| 9 | Kabala Government Hospital | x | |
| 10 | Moyamba Government Hospital | x | |
| 11 | Kabala Government Hospital | x | |
| 12 | Pujehun Government Hospital | x | |
| 13 | Kambia Government Hospital | x | |
| 14 | Kailahun Government Hospital | x | |
| 15 | Magburaka Government Hospital | x | |
| 16 | Kamakwie Wesleyan Hospital | x |