Significant resources have created strong ‘test and treat’ programs globally. What about those who test HIV negative? How can we strengthen linkage of HIV-negative individuals to prevention programs in ways that work for them? In our recently completed Test-And-Prevent Analysis, the OPTIONS Consortium identifies practices for linking individuals from HIV testing to HIV prevention. This work aims to identify interventions that are effective, the enabling conditions that support linkage, and remaining questions.
Integrating hypertension screening at the time of voluntary HIV testing among adults in South Africa
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.
HIV testing is free in Malawi, but users may still incur costs that can deter or delay them accessing these services. We sought to identify and quantify these costs among HIV testing service clients in Malawi. We asked residents of communities participating in a cluster randomised trial investigating the impact of HIV self-testing about their past HIV testing experiences and the direct non-medical and indirect costs incurred to access HIV testing. We recruited 749 participants whose most recent HIV test was within the past 12 months.
Over the last three decades, a range of biomedical and behavioral approaches have dramatically reduced HIV incidence throughout the world and improved the quality and availability of life-saving treatment for those living with HIV. Yet HIV remains a major public health issue and the leading cause of adult death in sub-Saharan Africa.
Differentiated service delivery (DSD) has increasingly become the norm for HIV service providers and their clients; and not a moment too soon. In southern Africa, we are all too familiar with the one-size-fits-all approach to service delivery and the resulting challenges of overburdened facilities, long queues, exhausted healthcare workers, and poor client adherence.
This Framework is a practical tool to guide HIV programme managers on how to consider HIV testing and linkage services differently. The structured approach to performing the situation analysis and building HIV testing service delivery models is aimed at helping countries reach the first 90.
Perceived HIV-related stigma among university students in South Africa: implications for HIV testing
HIV-related stigma, and particularly perceived stigma, has a negative impact across the HIV care continuum. This study adds to our understanding of stigma by assessing how perceived stigma varies from one context to another and how such differences are associated with the location where individuals would prefer an HIV test. We used self-administered questionnaire data (n = 378) obtained from a convenience sample of students (18 years and older) attending a tertiary education institution in Durban, South Africa.