The HIV Testing Crisis: 34 Million with HIV, only 14 Million know it

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Testing policy provisions vary greatly from country to country, some provisions conflict with each other or are outdated, making a direct one-to-one comparison challenging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