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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. 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

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

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  1. The HIV Testing Crisis: 34 Million with HIV, only 14 Million know it Terri Ford

  2. Testing Model

  3. AHF Global Rapid Testing

  4. AHF Global Rapid Testing Rapid Testing Program Countries • India • Nepal • Cambodia • Uganda • Kenya • Ethiopia • South Africa • Swaziland • Zambia • Nigeria • Sierra Leone • Mexico • Ukraine • Russia • Estonia • Lithuania • United States

  5. 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

  6. AHF Global Rapid Testing

  7. AHF Global Rapid Testing AHF RTP 2010 country-level sero-positivity rates closely reflect WHO estimates.

  8. Global testing

  9. Testing America 2009

  10. Testing America 2010

  11. Condom Nation 2012

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Testing policy provisions vary greatly from country to country, some provisions conflict with each other or are outdated, making a direct one-to-one comparison challenging

  13. 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

  14. Testing Report cards – Zambia Example 1

  15. Testing Report cards – Uganda

  16. Testing Report cards – Ethiopia

  17. Testing Report cards – Viet Nam

  18. Testing Report cards – India

  19. Testing Report cards – Russia

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