HIV counseling and testing (HCT)

Cost-per-diagnosis as a metric for monitoring cost-effectiveness of HIV testing programmes in low-income settings in southern Africa: Health economic and modelling analysis

As prevalence of undiagnosed HIV declines, it is unclear whether testing programmes will be cost-effective. To guide their HIV testing programmes, countries require appropriate metrics that can be measured. The cost-per-diagnosis is potentially a useful metric.
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MSF School Health Program Implementation Toolkit

As South Africa seeks to implement national policies on school-based health education and services it is important that the evidence and experiences of existing school health programs be accessible to service providers and role-players. It is for this reason that Médecins Sans Frontières/Doctors Without Borders (MSF) has developed this School Health Program “toolkit”, detailing the approach followed in partnership with the KwaZulu-Natal Department of Health in developing the MSF School Health Program in King Cetshwayo District in KwaZulu-Natal Province.
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Repeat HIV testing practices in the era of HIV self-testing among adults in KwaZulu-Natal, South Africa

Repeat HIV testing is important in high HIV burden communities to enable sustainability of prevention initiatives; however, an understanding of repeat testing practices is limited. Additional HIV testing approaches may be required to increase testing. HIV self-testing is an additional testing approach, but knowledge on its potential for repeat testing is limited. This study explored repeat HIV testing practices and uptake of HIV self-testing among repeat testers, following exposure to HIV self-testing.
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World AIDS Day 2018

Venue
Global

Live life positively – know your HIV status

As we commemorate the 30th World AIDS Day, UNAIDS is making a global call for increased access to HIV testing and increased uptake of HIV testing. This is to ensure that the 9.4 million people around the world who are unaware of their HIV-positive status can access treatment and that people who are HIV-negative can continue to protect themselves against the virus.

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Differentiated service delivery for key populations

“We FSW [female sex workers], we do not have time, we work at night and sleep during the day. If you find us at the community, we will accept the test – we only go to the clinic when we test HIV positive. Many FSW will never accept to go the clinic. If we can get ARVs in the community that would be great.” – Amon, FSW, Abidjan, Cote d’Ivoire

Providing HIV services in a way that reflects the preferences of various groups of people with similar needs puts clients at the center, uses health system resources more efficiently and dramatically improves outcomes.

Author
Hally Mahler (Project Director) and Chris Akolo (Deputy Director for Technical Services), LINKAGES
Source
LINKAGES

High risk exposure to HIV among sexually active individuals who tested negative on rapid HIV Tests in the Tshwane District of South Africa—The importance of behavioural prevention measures

Is the resource available on the Internet?
Yes
Author
Simnikiwe H. Mayaphi, Desmond J. Martin, Steve A. S. Olorunju, Brian G. Williams, Thomas C. Quinn, Anton C. Stoltz

This study sought to assess the prevalence of HIV risk behaviour among sexually active HIV sero-negative individuals in the Tshwane district of South Africa. The study found that a large segment of sexually active people in the Tshwane district of SA have high risk exposure to HIV. The detection of newly diagnosed HIV infections in all study clinics reflects a wide distribution of individuals who are capable of sustaining HIV transmission in the setting where HIV risk behaviour is highly prevalent.

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Economic incentives for HIV testing by adolescents in Zimbabwe: a randomised controlled trial

Is the resource available on the Internet?
Yes
Author
Katharina Kranzer, Victoria Simms, Tsitsi Bandason, Ethel Dauya, Grace McHugh, Shungu Munyati, Prosper Chonzi, Suba Dakshina, Hilda Mujuru, Helen A Weiss, Rashida A Ferrand

HIV testing is the important entry point for HIV care and prevention service, but uptake of HIV testing and thus coverage of antiretroviral therapy are much lower in older children and adolescents than in adults. We investigated the effect of economic incentives provided to caregivers of children aged 8–17 years on uptake of HIV testing and counselling in Harare, Zimbabwe.

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Supplement: Adolescents, young people, and the 90-90-90 goals: a call to improve HIV testing and linkage to treatment

Is the resource available on the Internet?
Yes
Author
Wong, Vincent J; Murray, Kate R; Phelps, B. Ryan; Vermund, Sten H; McCarraher, Donna R. (eds)

The current low rates of HIV diagnosis and treatment initiation among adolescents and young people ages 15-24 continues to present a significant challenge to the epidemic control of HIV. With a ‘business as usual’ approach to HIV testing and linkage to treatment, new infections among adolescents and youth will likely increase, with the burden compounded by the increasing number of youth in Africa, expected to reach 293 million by 2025.

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Expanding HIV testing and linkage to care in southwestern Uganda with community health extension workers

Is the resource available on the Internet?
Yes
Author
Stephen Asiimwe, Jennifer M. Ross, Anthony Arinaitwe, Obed Tumusiime, Bosco Turyamureeba, D. Allen Roberts, Gabrielle O'Malley, Ruanne V. Barnabas

Achieving the UNAIDS goals of 90–90-90 will require more than doubling the number of people accessing HIV care in Uganda. Community-based programmes for entry into HIV care are effective strategies to expand access to HIV care, but few programmes have been evaluated with a particular focus on scale-up.

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