HIV self-testing in Uganda
Dr. Christina W. Mwangi*
MB.ChB. Mmed.
HIV self-testing side meeting
18 July 2015
*The findings and conclusions are those of the author and do not necessarily represent the official position of the Centers for Disease Control and Prevention
What is the potential for HIVST
• Uganda (UNAIDS 2014) - lack of knowledge of HIV status
limits people getting into prevention and care programs
• To date - (HTS) is still in hands of health care providers in the
clinic, home-based testing and mobile HTS outreaches.
• But ? effectiveness – no privacy, stigma, disclosure issues,
poor male involvement,
• Asiimwe (2013) - Conclude that unsupervised HIVST is
feasible in rural Africa and may be non-inferior to provider-
supervised HIVST.
Getting to the first 90
Gap
between
PLHIV and
HIV
Prevalenc
e
Considerations of the legal and policy
environments
• Oral Fluid based RDTs have to go through a process for utilization in the
country – phase 2 and 3 evaluations.
• Policy review to incorporate self testing and counselling by means other
than face to face.
• Feasibility of the Human resources needed for support - e / telephone
counselling, walk ins
• Referral – re testing, care , treatment
• Affordability – supply chain management
• Quality assurance
• Children?
HST Leadership
• MoH/ACP led
• HCT National Coordinator
• HTS National committee (CT 17)-
5 committees
1. Policy, Research and
Planning
2. HTS QA, M&E subcommittee
3. Capacity Building
subcommittee
4. Lab and logistics
subcommittee
5. Social mobilization
• Relevant technical
persons from MoH,
DPs, IPs , CSOs,
research and training
institutions are
represented on the
committees

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HIV self-testing in Uganda

  • 1. HIV self-testing in Uganda Dr. Christina W. Mwangi* MB.ChB. Mmed. HIV self-testing side meeting 18 July 2015 *The findings and conclusions are those of the author and do not necessarily represent the official position of the Centers for Disease Control and Prevention
  • 2. What is the potential for HIVST • Uganda (UNAIDS 2014) - lack of knowledge of HIV status limits people getting into prevention and care programs • To date - (HTS) is still in hands of health care providers in the clinic, home-based testing and mobile HTS outreaches. • But ? effectiveness – no privacy, stigma, disclosure issues, poor male involvement, • Asiimwe (2013) - Conclude that unsupervised HIVST is feasible in rural Africa and may be non-inferior to provider- supervised HIVST.
  • 3. Getting to the first 90 Gap between PLHIV and HIV Prevalenc e
  • 4. Considerations of the legal and policy environments • Oral Fluid based RDTs have to go through a process for utilization in the country – phase 2 and 3 evaluations. • Policy review to incorporate self testing and counselling by means other than face to face. • Feasibility of the Human resources needed for support - e / telephone counselling, walk ins • Referral – re testing, care , treatment • Affordability – supply chain management • Quality assurance • Children?
  • 5. HST Leadership • MoH/ACP led • HCT National Coordinator • HTS National committee (CT 17)- 5 committees 1. Policy, Research and Planning 2. HTS QA, M&E subcommittee 3. Capacity Building subcommittee 4. Lab and logistics subcommittee 5. Social mobilization • Relevant technical persons from MoH, DPs, IPs , CSOs, research and training institutions are represented on the committees

Editor's Notes

  • #3: HTS: HIV testing services