Research Article
Bifurcation and Stabillity Analysis of HIV Transmission
Model with Optimal Control
KumamaRegassaCheneke ,KoyaPurnachandraRao ,andGeremewKenassaEdessa
Department of Mathematics, Wollega University, Nekemte, Ethiopia
Correspondence should be addressed to Kumama Regassa Cheneke; kumamaregassa@gmail.com
Received 30 June 2021; Revised 4 August 2021; Accepted 26 November 2021; Published 20 December 2021
Academic Editor: Kenan Yildirim
Copyright © 2021 Kumama Regassa Cheneke et al. is is an open access article distributed under the Creative Commons
AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis
properly cited.
AmathematicalmodelofHIVtransmissionisbuiltandstudiedinthispaper.esystem’sequilibriumiscalculated.Anext-
generationmatrixisusedtocalculatethereproductionnumber.enovelmethodisusedtoexaminethedevelopedmodel’s
bifurcation and equilibrium stability. e stability analysis result shows that the disease-free equilibrium is locally as-
ymptotically stable if 0 < R
0
< 1 but unstable if R
0
> 1. However, the endemic equilibrium is locally and globally asymp-
totically stable if R
0
> 1 and unstable otherwise. e sensitivity analysis shows that the most sensitive parameter that
contributes to increasing of the reproduction number is the transmission rate (β
2
) of HIV transmission from HIV in-
dividuals to susceptible individuals and the parameter that contributes to the decreasing of the reproduction number is
identified as progression rate (η) of HIV-infected individuals to AIDS individuals. Furthermore, it is observed that as we
change η from0.1to1,thereproductionnumbervaluedecreasesfrom1.205to1.189,wheretheconstantvalueof β
2
� 0.1.
Ontheotherhand,aswechangethevalueof β
2
from0.1to1,thevalueofthereproductionnumberincreasesfrom0.205to
1.347,wheretheconstantvalueof η � 0.1.Further,thedevelopedmodelisextendedtotheoptimalcontrolmodelofHIV/
AIDStransmission,andthecost-effectivenessofthecontrolstrategyisanalyzed.Pontraygin’sMaximumPrinciple(PMP)is
applied in the construction of the Hamiltonian function. Moreover, the optimal system is solved using forward and
backward Runge–Kutta fourth-order methods. e numerical simulation depicts the number of newly infected HIV in-
dividuals and the number of individuals at the AIDS stage reduced as a result of taking control measures. e cost-ef-
fectivenessstudydemonstratesthatwhencombinedandused,thepreventativeandtreatmentcontrolmeasuresareeffective.
MATLAB is used to run numerical simulations.
1. Introduction
Human immunodeficiency virus (HIV) is a retrovirus that
attacks the human immune system and causes a highly
killing disease called acquired immunodeficiency syndrome
(AIDS) [1–6]. HIV was discovered in the early 1980, and it
hasbeenpersistinginthepopulation[2].HIVistransmitted
through unsafe sex, blood transfusion, breast feeding, ma-
terials exposed to the virus, and mother to child during
pregnancy [3]. Currently, there is no curing treatment for
HIV-infectedindividuals[4].In2018,thenumberofhuman
individuals living with HIV is estimated to be 37.9 million
and the number of dead individuals with AIDS-related
disease is 1.2 million. Among HIV-infected individuals,
about62%aretestedandtakingantiretrotherapy(ART)[4].
e data indicate that Africa is the continent that is highly
exposedtothehumanimmunodeficiencyvirusintheworld.
Particularly in 2018, Ethiopia has about 690,000 peoples
living with HIV, 23,000 new people are infected with HIV,
and 11,000 individuals dead with AIDS-related disease [5].
To control the transmission of the human immunodefi-
ciencyvirus,differentprotectiveandtreatmentstrategiesare
used [6]. Some of the strategies used in controlling the
transmission and progression of HIV are using condom, be
faithful, abstaining, and ART [7]. Even though, different
control strategies are used to eradicate and combat the
Hindawi
Journal of Mathematics
Volume 2021, Article ID 7471290, 14 pages
https://doi.org/10.1155/2021/7471290