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This framework is intended to be a brief guide for countries and implementers that are planning, starting or scaling up HIVST implementation. It provides key considerations for: 1) preparing for HIVST; 2) implementing HIVST; 3) monitoring and optimizing HIVST implementation.
When planning and implementing in the real world, many of the steps detailed in this framework may occur concurrently or in a different order. Therefore, it is recommended that this framework be used flexibly and adapted according to specific contexts and epidemics.
Self-testing enables people to test themselves for HIV conveniently and in private. This new testing option may encourage more people to test themselves who previously held back from visiting a testing facility.
Community- and faith-based organizations engaged in HIV prevention and care are learning about HIV self-testing in order to decide how best to use this approach within their work. This brief answers some frequently asked questions.
Workers in certain industries may face particularly high risk of HIV, especially when they remain away from home and/or partners for long periods. Such industries include the military, mining, construction, security, petroleum, agriculture, fishing, long-distance driving and many others. The workers in such industries may not have easy access to HIV testing services, and the workplace may be the best place to reach them.
HIV self-testing (HIVST) is a testing option recommended by WHO that can be used to reach as-yet undiagnosed populations. This policy brief outlines key planning and implementation considerations for managers and implementers introducing HIVST at workplaces
This third edition of the Unitaid/WHO market and technology landscape: HIV rapid diagnostic tests for self-testing report summarizes the current HIV testing gap; the challenges facing efforts to scale up; and the potential role HIV self-testing (HIVST) could play to achieve the United Nation’s 90-90-90 targets. In particular, the report synthesises the existing and emerging market demand and supply of kits.
The information in this report is intended for manufacturers, donors, national programmes, researchers and other global health stakeholders who are exploring the potential role of HIVST.
Cambodia had one of the fastest growing HIV epidemics in Asia and the Pacific region in the mid-1990s and became one of the few countries to have HIV trend reversed within five years. The HIV estimations and projections conducted in 2016 indicated that the HIV prevalence among general adult populations fell from an estimated peak of 1.7% in 1998 to 0.6% in 2016 and will continue to reach 0.5% by 2020. The number of HIV newly infected yearly is around 700 cases from 2016 to 2020. The decline trend reflects a ten folds reduction in annual new infections in the last twenty years. It is also estimated that approximately 15,000 people living with HIV who do not know their status.
According to the findings from this review, KPs value and recognise PrEP as additional protection against HIV infection (part of combination prevention programme). However, the perceived benefits and concerns around PrEP were motivated by the specific needs and experiences of the different KP groups. A few cross-cutting issues emerged, highlighting areas which need to be addressed for easier PrEP uptake. Among the key issues raised were concerns around safety and potential side effects, effectiveness, cost, potential adherence challenges, and the need to address all forms of stigma, discrimination and criminalisation which act as barriers to HIV services.
APCOM’s new report “PrEParing Asia: A Year After” outlines the activities that have been ongoing within these eight countries, while also documenting the progressive steps taken in several additional countries within the region. Malaysia, Hong Kong SAR, Indonesia, Myanmar and Laos have conducted a country consultation or a smaller technical group discussion. Vietnam and the Philippines will soon launch the dissemination pilot project.
Keywords: HIV, PrEP, MSM, prevention, awareness, key populations
Following the WHO recommendation in September 2015 that “oral pre-exposure prophylaxis (PrEP) should be offered as an additional prevention choice for people at substantial risk of HIV infection as part of combination HIV prevention approaches”, partners in countries expressed the need for practical advice on how to consider the introduction of PrEP and start implementation.
In response, WHO has developed this series of modules to support the implementation of PrEP among a range of populations in different settings.
Keywords: HIV, PrEP, planning, prevention, testing
- Module 7: Regulatory Officials
PrEP could complement established HIV prevention strategies for pregnant and breastfeeding women as part of a comprehensive package to reduce HIV infections among women and transmission from mothers to infants in settings with high HIV incidence.
Keywords: HIV, PMTCT, prevention, pregnant and breastfeeding women
HIV testing services are an essential gateway to HIV prevention, treatment, care and support services. The World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS (UNAIDS) endorse and encourage universal access to knowledge of HIV status. Increased access to and uptake of HIV testing is central to achieving the 90–90–90 targets endorsed in the 2016 United Nations Political Declaration on Ending AIDS. However, at the end of 2016, approximately 30% of people living with HIV were still unaware of their HIV status.