Download - HIV self-testing in Uganda
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HIV self-testing in Uganda
Dr. Christina W. Mwangi*MB.ChB. Mmed.
HIV self-testing side meeting18 July 2015
*The findings and conclusions are those of the author and do not necessarily represent the official position of the Centers for Disease Control and Prevention
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What is the potential for HIVST
• Uganda (UNAIDS 2014) - lack of knowledge of HIV status limits people getting into prevention and care programs
• To date - (HTS) is still in hands of health care providers in the clinic, home-based testing and mobile HTS outreaches.
• But ? effectiveness – no privacy, stigma, disclosure issues, poor male involvement,
• Asiimwe (2013) - Conclude that unsupervised HIVST is feasible in rural Africa and may be non-inferior to provider- supervised HIVST.
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Getting to the first 90 Gap between PLHIV and HIV Prevalence
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Considerations of the legal and policy environments
• Oral Fluid based RDTs have to go through a process for utilization in the country – phase 2 and 3 evaluations.
• Policy review to incorporate self testing and counselling by means other than face to face.
• Feasibility of the Human resources needed for support - e / telephone counselling, walk ins
• Referral – re testing, care , treatment• Affordability – supply chain management• Quality assurance• Children?
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HST Leadership• MoH/ACP led
• HCT National Coordinator• HTS National committee (CT
17)-5 committees1. Policy, Research and
Planning 2. HTS QA, M&E subcommittee3. Capacity Building
subcommittee4. Lab and logistics
subcommittee5. Social mobilization
subcommittee
• Relevant technical persons from MoH, DPs, IPs , CSOs, research and training institutions are represented on the committees