Research Article | | Peer-Reviewed

Mathematical Analysis of an HIV/AIDS Epidemic Model with Defaulter Tracing Dynamics

Received: 22 May 2025     Accepted: 13 June 2025     Published: 30 June 2025
Views:       Downloads:
Abstract

The persistence of the HIV/AIDS epidemic is significantly challenged by difficulties in maintaining long-term adherence to antiretroviral therapy (ART), leading to treatment defaults hence hindering disease control. Defaulter tracing is a crucial intervention aimed at returning patients back to care. This paper develops and analyzes a deterministic mathematical model for HIV/AIDS transmission dynamics, explicitly incorporating defaulter tracing. The model utilizes a system of ordinary differential equations to describe the transitions between susceptible (Sp), infected (IT), infected on ART (IARV), infected not on ART (INARV), and individuals under defaulter tracing (DTR) compartments. Mathematical analysis includes establishing the positivity and boundedness of solutions, determination of the Disease-Free Equilibrium (DFE) and the existence of an Endemic Equilibrium (EE). The basic reproduction number (R0) is also derived using the next-generation matrix method. Local stability analysis of the DFE shows it is asymptotically stable if R0 < 1 and unstable otherwise. Sensitivity analysis identified parameters related to transmission (λ, c, π) as having a positive impact on R0, while parameters associated with treatment, defaulter tracing, and mortality were found to negatively influence the R0. This study shows that improving treatment uptake and retention to care, through defaulter tracing efforts, can contribute to reduction of R0 and in turn controll the epidemic.

Published in American Journal of Mathematical and Computer Modelling (Volume 10, Issue 2)
DOI 10.11648/j.ajmcm.20251002.14
Page(s) 74-83
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

HIV/AIDS, Mathematical Model, Defaulter Tracing, Basic Reproduction Number, Stability Analysis

References
[1] Abiodun, O. E., Adebimpe, O., Ndako, J. A., Oludoun, O., Aladeitan, B. and Adeniyi, M., “Mathematical modeling of HIV-HCV co-infection model: Impact of parameters on reproduction number,” F1000Research, vol. 11, p. 1153, 2022.
[2] Thomson, K. A., Cheti, E. O. and Reid, T., “Implementation and outcomes of an active defaulter tracing system for HIV, prevention of mother to child transmission of HIV (PMTCT), and TB patients in Kibera, Nairobi, Kenya,” Transactions of the Royal Society of Tropical Medicine and Hygiene, vol. 105, no. 6, pp. 320–326, 2011.
[3] Estill, J., Tweya, H., Egger, M., Wandeler, G., Feldacker, C., Johnson, L. F., Blaser, N., Vizcaya, L. S., Phiri, S. and Keiser, O., “Tracing of patients lost to follow-up and HIV transmission: mathematical modeling study based on 2 large ART programs in Malawi,” JAIDS Journal of Acquired Immune Deficiency Syndromes, vol. 65, no. 5, pp. e179–e186, 2014.
[4] Omondi, E. O., Mbogo, R. W. and Luboobi, L. S., “A mathematical model of HIV transmission between commercial sex workers and injection drug users,” Research in Mathematics, vol. 9, no. 1, p. 2082044, 2022.
[5] Xue, L., Sun, Y., Ren, X. and Sun, W., “Modelling the transmission dynamics and optimal control strategies for HIV infection in China,” Journal of Biological Dynamics, vol. 17, no. 1, p. 2174275, 2023.
[6] Omondi, E. O., Mbogo, R. W. and Luboobi, L. S., “Mathematical modelling of the impact of testing, treatment and control of HIV transmission in Kenya,” Cogent Mathematics & Statistics, vol. 5, no. 1, p. 1475590, 2018.
[7] Raza, A., Ahmadian, A., Rafiq, M., Salahshour, S., Naveed, M., Ferrara, M. and Soori, A. H., “Modeling the effect of delay strategy on transmission dynamics of HIV/AIDS disease,” Advances in Difference Equations, vol. 2020, pp. 1–13, 2020.
[8] Levy, B., Correia, H. E., Chirove, F., Ronoh, M., Abebe, A., Kgosimore, M., Chimbola, O., Machingauta, M. H., Lenhart, S. and White, K. A. J., “Modeling the effect of HIV/AIDS stigma on HIV infection dynamics in Kenya,” Bulletin of Mathematical Biology, vol. 83, pp. 1–25, 2021.
[9] Etoori, D., Wringe, A., Renju, J., Kabudula, C. W., Gomez-Olive, F. X. and Reniers, G., “Challenges with tracing patients on antiretroviral therapy who are late for clinic appointments in rural South Africa and recommendations for future practice,” Global Health Action, vol. 13, no. 1, p. 1755115, 2020.
[10] Chazuka, Z., Madubueze, C. E. and Mathebula, D., “Modelling and analysis of an HIV model with control strategies and cost-effectiveness,” Results in Control and Optimization, vol. 14, p. 100355, 2024.
[11] De Angeles, K., “PMTCT care engagement as a social practice and system: insights from an mHealth intervention and routine tracing in western Kenya,” PhD thesis, Karolinska Institutet, 2024.
[12] Dharmaratne, S., Sudaraka, S., Abeyagunawardena, I., Manchanayake, K., Kothalawala, M. and Gunathunga, W., “Estimation of the basic reproduction number (R0) for the novel coronavirus disease in Sri Lanka,” Virology Journal, vol. 17, pp. 1–7, 2020.
[13] Ahmetolan, S., Bilge, A. H., Demirci, A. and Dobie, A. P., “A Susceptible–Infectious (SI) model with two infective stages and an endemic equilibrium,” Mathematics and Computers in Simulation, vol. 194, pp. 19–35, 2022.
[14] Young, P. W., Musingila, P., Kingwara, L., Voetsch, A. C., Zielinski-Gutierrez, E., Bulterys, M., Kim, A. A., Bronson, M. A., Parekh, B. S., Dobbs, T., et al., “HIV incidence, recent HIV infection, and associated factors, Kenya, 2007–2018,” AIDS Research and Human Retroviruses, vol. 39, no. 2, pp. 57–67, 2023.
[15] Kemnic, T. R. and Gulick, P. G., “HIV Antiretroviral Therapy,” StatPearls [Internet], 2024.
[16] Endebu, T., Taye, G. and Deressa, W., “Rate and predictors of loss to follow-up in HIV care in a low-resource setting: analyzing critical risk periods,” BMC Infectious Diseases, vol. 24, no. 1, pp. 1–10, 2024.
[17] NSDCC, “KMoT Report - November 2024,” National Sustainable Development Coordination Committee (NSDCC), 2024. [Online]. Available:
Cite This Article
  • APA Style

    Maingi, S., Kikwai, B., Kimathi, M. (2025). Mathematical Analysis of an HIV/AIDS Epidemic Model with Defaulter Tracing Dynamics. American Journal of Mathematical and Computer Modelling, 10(2), 74-83. https://doi.org/10.11648/j.ajmcm.20251002.14

    Copy | Download

    ACS Style

    Maingi, S.; Kikwai, B.; Kimathi, M. Mathematical Analysis of an HIV/AIDS Epidemic Model with Defaulter Tracing Dynamics. Am. J. Math. Comput. Model. 2025, 10(2), 74-83. doi: 10.11648/j.ajmcm.20251002.14

    Copy | Download

    AMA Style

    Maingi S, Kikwai B, Kimathi M. Mathematical Analysis of an HIV/AIDS Epidemic Model with Defaulter Tracing Dynamics. Am J Math Comput Model. 2025;10(2):74-83. doi: 10.11648/j.ajmcm.20251002.14

    Copy | Download

  • @article{10.11648/j.ajmcm.20251002.14,
      author = {Sammy Maingi and Benjamin Kikwai and Mark Kimathi},
      title = {Mathematical Analysis of an HIV/AIDS Epidemic Model with Defaulter Tracing Dynamics
    },
      journal = {American Journal of Mathematical and Computer Modelling},
      volume = {10},
      number = {2},
      pages = {74-83},
      doi = {10.11648/j.ajmcm.20251002.14},
      url = {https://doi.org/10.11648/j.ajmcm.20251002.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajmcm.20251002.14},
      abstract = {The persistence of the HIV/AIDS epidemic is significantly challenged by difficulties in maintaining long-term adherence to antiretroviral therapy (ART), leading to treatment defaults hence hindering disease control. Defaulter tracing is a crucial intervention aimed at returning patients back to care. This paper develops and analyzes a deterministic mathematical model for HIV/AIDS transmission dynamics, explicitly incorporating defaulter tracing. The model utilizes a system of ordinary differential equations to describe the transitions between susceptible (Sp), infected (IT), infected on ART (IARV), infected not on ART (INARV), and individuals under defaulter tracing (DTR) compartments. Mathematical analysis includes establishing the positivity and boundedness of solutions, determination of the Disease-Free Equilibrium (DFE) and the existence of an Endemic Equilibrium (EE). The basic reproduction number (R0) is also derived using the next-generation matrix method. Local stability analysis of the DFE shows it is asymptotically stable if R0 λ, c, π) as having a positive impact on R0, while parameters associated with treatment, defaulter tracing, and mortality were found to negatively influence the R0. This study shows that improving treatment uptake and retention to care, through defaulter tracing efforts, can contribute to reduction of R0 and in turn controll the epidemic.
    },
     year = {2025}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Mathematical Analysis of an HIV/AIDS Epidemic Model with Defaulter Tracing Dynamics
    
    AU  - Sammy Maingi
    AU  - Benjamin Kikwai
    AU  - Mark Kimathi
    Y1  - 2025/06/30
    PY  - 2025
    N1  - https://doi.org/10.11648/j.ajmcm.20251002.14
    DO  - 10.11648/j.ajmcm.20251002.14
    T2  - American Journal of Mathematical and Computer Modelling
    JF  - American Journal of Mathematical and Computer Modelling
    JO  - American Journal of Mathematical and Computer Modelling
    SP  - 74
    EP  - 83
    PB  - Science Publishing Group
    SN  - 2578-8280
    UR  - https://doi.org/10.11648/j.ajmcm.20251002.14
    AB  - The persistence of the HIV/AIDS epidemic is significantly challenged by difficulties in maintaining long-term adherence to antiretroviral therapy (ART), leading to treatment defaults hence hindering disease control. Defaulter tracing is a crucial intervention aimed at returning patients back to care. This paper develops and analyzes a deterministic mathematical model for HIV/AIDS transmission dynamics, explicitly incorporating defaulter tracing. The model utilizes a system of ordinary differential equations to describe the transitions between susceptible (Sp), infected (IT), infected on ART (IARV), infected not on ART (INARV), and individuals under defaulter tracing (DTR) compartments. Mathematical analysis includes establishing the positivity and boundedness of solutions, determination of the Disease-Free Equilibrium (DFE) and the existence of an Endemic Equilibrium (EE). The basic reproduction number (R0) is also derived using the next-generation matrix method. Local stability analysis of the DFE shows it is asymptotically stable if R0 λ, c, π) as having a positive impact on R0, while parameters associated with treatment, defaulter tracing, and mortality were found to negatively influence the R0. This study shows that improving treatment uptake and retention to care, through defaulter tracing efforts, can contribute to reduction of R0 and in turn controll the epidemic.
    
    VL  - 10
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Sections