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Publication Years
880
3171
427
16
Category
1890
350
222
138
107
92
52
1
1
Toolboxes
961
526
229
126
121
93
73
64
61
60
58
55
54
32
25
25
25
18
17
14
11
4
2
Despite progress in improving antiretroviral therapy (ART) for people with HIV in Malawi, the burden of HIV infections and HIV treatment outcomes a
...
mong key populations is suboptimal. Client-centered differentiated service delivery approaches may facilitate addressing HIV prevention and treatment needs of key populations in Malawi.
Methods
De-identified program data routinely collected as part of the LINKAGES project–Malawi were assembled from October 2017 to September 2019. HIV case finding was compared across different testing modalities for each population. Poisson regression was used to estimate the association between testing modalities and ART initiation.
Results
Of the 18 397 people included in analyses, 10 627 (58%) were female sex workers (FSWs), 2219 (12%) were men who have sex with men (MSM), and 4970 (27%) were clients of FSWs. HIV case finding varied by modality and population, with index testing and enhanced peer outreach demonstrating high yield despite reaching relatively few individuals. FSWs who tested positive through risk network referral testing were more likely to initiate ART within 30 days compared with those who tested positive through clinic-based testing (adjusted risk ratio [aRR], 1.50; 95% CI, 1.23–1.82). For MSM, index testing (aRR, 1.45; 95% CI, 1.06–2.00) and testing through a drop-in center (aRR, 1.82; 95% CI, 1.19–2.78) were associated with 30-day ART initiation.
Conclusions
These data suggest that differentiated HIV testing and outreach approaches tailored to the needs of different key populations may facilitate improved ART initiation in Malawi. Achieving 0 new infections by 2030 suggests the need to adapt treatment strategies given individual and structural barriers to treatment for key populations with HIV in high-prevalence settings.
more
Policy brief.
HIV self-testing (HIVST) is a convenient and confidential option for HIV testing
...
. In 2016 WHO recommended HIVST as a safe, accurate and effective way to reach people who may not test otherwise, including people from key populations, men and young people. Lay users can perform HIVST reliably and accurately and achieve performance comparable to that of trained health-care workers.
Globally, many countries have developed HIVST policies, and implementation is growing rapidly. This policy brief highlights new guidance to optimize HIVST implementation, including effective service delivery models, linkage to care and support tools.
more
HIV testing
Policy Brief
July 2015
Family-based index case testing to identify children with HIV
S. Essajee, N. Putta; S. Brusamento; et al.
Unicef; World Health Organization; Pata Pata Pata; et al.
(2019)
C_WHO
Child Survival Working Group
Accessed: 26.10.2019
HIV testing
Policy Brief
July 2015
Viral Load Scale-up and Decentralized Testing Experience in Botswana.
This AIDS 2016 presentation highlights how Botswana’s decentralized testing model provides an example of how “taking the s
...
ervices closer to the people, rather than people coming to the services” can increase access, when supported by strong partnerships.
more
Market and technology landscape x HIV rapid diagnostic tests for self-testing - 4th edition (Supplement)
Unitaid (Innovation in Global Health), World Health Organization (WHO)
Unitaid (Innovation in Global Health), World Health Organization (WHO)
(2018)
C2
July 2018
These guidelines outline a public health approach to strengthening and expanding HIV testing services (HTS). They present and discuss key updates to WHO guidelines on HTS, with a focus on new eviden
...
ce, new recommendations, good practices and operational considerations that respond to the changing needs of national programmes.
more
