{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T06:28:46Z","timestamp":1786343326248,"version":"build-2736575974"},"reference-count":11,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Achieving and sustaining viral suppression among people living with HIV remains central to global HIV control efforts. Despite global 95\u201395\u201395 targets and the scale\u2010up of differentiated service delivery (DSD) models, many programmes continue to face structural and system\u2010level barriers to sustained treatment outcomes. Evidence on longitudinal HIV treatment outcomes using routinely collected programme data remains limited in Caribbean settings. This study aimed to describe longitudinal trends in HIV treatment outcomes at the Medical Research Foundation (MRF), a large HIV treatment site in Trinidad and Tobago.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective descriptive analysis was conducted using de\u2010identified electronic medical record (EMR) data for all clients receiving antiretroviral therapy (ART) at MRF. Data were analysed across seven fiscal quarters (FY2024 Q2\u2013FY2025 Q4). The programme delivers differentiated, patient\u2010centred HIV care supported by routine EMR monitoring and quarterly programme performance reviews. Key indicators included ART coverage, viral load (VL) testing coverage, viral suppression (VL &lt;1000 copies\/mL) and treatment interruptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The ART cohort ranged from 4913 to 5202 clients over the study period. VL testing coverage remained consistently high, ranging from 95% to 98% per quarter. Viral suppression was sustained at 94%\u201395%, reaching 95% in three quarters (FY2024 Q3, FY2025 Q3 and FY2025 Q4). Treatment interruptions declined by approximately 50% over time, while the number of clients active on ART remained stable with a gradual increase in later quarters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates sustained high viral suppression and VL testing coverage within a large HIV treatment programme delivering DSD in Trinidad and Tobago. The reduction in treatment interruptions alongside stable high viral suppression highlights the value of routine programme data for monitoring HIV service delivery in real\u2010world settings. These findings provide implementation\u2010relevant insights for strengthening differentiated HIV care models and contribute to the limited evidence base on longitudinal treatment outcomes in Caribbean programme settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.70166","type":"journal-article","created":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T06:37:42Z","timestamp":1785047862000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Data\u2010Driven, Patient\u2010Centred HIV Care Supports Sustained Viral Suppression: A Retrospective Programme Analysis From the Medical Research Foundation of Trinidad and Tobago"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6689-7995","authenticated-orcid":false,"given":"Nyla P.","family":"Lyons","sequence":"first","affiliation":[{"name":"The Medical Research Foundation of Trinidad and Tobago  Port of Spain Trinidad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory G.","family":"Boyce","sequence":"additional","affiliation":[{"name":"The Medical Research Foundation of Trinidad and Tobago  Port of Spain Trinidad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. M.","family":"Harvey","sequence":"additional","affiliation":[{"name":"The AIDS Healthcare Foundation  Jamaica West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Samaroo\u2010Francis","sequence":"additional","affiliation":[{"name":"The Medical Research Foundation of Trinidad and Tobago  Port of Spain Trinidad"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendon M.","family":"Bhagwandeen","sequence":"additional","affiliation":[{"name":"University of the West Indies  St Augustine West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Edwards","sequence":"additional","affiliation":[{"name":"The Medical Research Foundation of Trinidad and Tobago  Port of Spain Trinidad"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijregi.2025.100744"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaae073"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.19.1.21484"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.20.5.21648"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12460"},{"key":"e_1_2_10_7_1","unstructured":"Pan American Health Organization HIV Epidemic and Response in Latin America and the Caribbean(2023) https:\/\/www.paho.org\/en\/documents\/hiv\u2010epidemic\u2010and\u2010response\u2010latin\u2010america\u2010and\u2010caribbean\u2010october\u20102023."},{"key":"e_1_2_10_8_1","unstructured":"Medical Research Foundation Annual Report [Internal Report](Medical Research Foundation 2023)."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2019.1633379"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000553"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.17.1.19032"},{"key":"e_1_2_10_12_1","volume-title":"Achieving and Sustaining Viral Suppression Among People Living With HIV in Trinidad & Tobago","year":"2026"}],"container-title":["Journal of the International AIDS Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jia2.70166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jia2.70166","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jia2.70166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T05:44:05Z","timestamp":1786340645000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jia2.70166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":11,"journal-issue":{"issue":"S3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/jia2.70166"],"URL":"https:\/\/doi.org\/10.1002\/jia2.70166","archive":["Portico"],"relation":{},"ISSN":["1758-2652","1758-2652"],"issn-type":[{"value":"1758-2652","type":"print"},{"value":"1758-2652","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-01-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70166"}}