the hiv testing crisis: 34 million with hiv, only 14 million know it
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The HIV Testing Crisis: 34 Million with HIV, only 14 Million know it. Terri Ford. Testing Model. AHF Global Rapid Testing. AHF Global Rapid Testing. Rapid Testing Program Countries. India Nepal Cambodia Uganda Kenya Ethiopia South Africa Swaziland. Zambia Nigeria Sierra Leone - PowerPoint PPT PresentationTRANSCRIPT
The HIV Testing Crisis: 34 Million with HIV, only 14 Million know it
Terri Ford
Testing Model
Outreach/Marketing
Free & Convenien
t
Group Pretest
Rapid/Results
Condoms providedLink to care
AHF Global Rapid Testing
AHF Global Rapid Testing
• India
• Nepal
• Cambodia
• Uganda
• Kenya
• Ethiopia
• South Africa
• Swaziland
• Zambia
• Nigeria
• Sierra Leone
• Mexico
• Ukraine
• Russia
• Estonia
• Lithuania
• United States
Rapid Testing Program Countries
AHF Global Rapid Testing
• In 2011, AHF tested 699,512 people in 17 countries using the streamlined rapid testing model
• 33,859 HIV positive clients were identified and linked into care
• 4.84% program-wide sero- positivity
• 36% more clients tested in 2011, than in 2010
AHF Global Rapid Testing
AHF Global Rapid Testing
AHF RTP 2010 country-level sero-positivity rates closely reflect WHO estimates.
Global testing
Testing America 2009
3 Weeks
13 States
Testing America 2010
32 Weeks
48 States
5,255 Tested
27 Positive
23 Linked to care
Condom Nation 2012
Changing Testing Policy
• The Testing Report Card - We conducted a pilot, qualitative review of national HIV testing policy documents in 15 countries
• The policy documents were compared to AHF’s streamlined model
• Limitations: Testing policy provisions vary greatly from country to country, some provisions conflict with each other or are outdated, making a direct one-to-one comparison challenging
Changing the Testing Policy
• Critical areas examined:
- availability and accessibility of rapid testing
- client consent requirements
- pre-test counseling standards
- test result notification procedures
- post-test counseling requirements
- referral to care and linkage protocols
Testing Report cards – Zambia
Example 1
Testing Report cards – Uganda
Testing Report cards – Ethiopia
Testing Report cards – Viet Nam
Testing Report cards – India
Testing Report cards – Russia