A Systematic Review of HIV Testing Implementation Strategies in Sub-Saharan African Countries

Autor: Ivy Mannoh, Stefan Baral, Carrie Lyons, Sofia Ryan, Danielle B. Amundsen, Elizabeth Hahn, Bhakti Hansoti, Nikita Viswasam, Gnilane Turpin
Rok vydání: 2021
Předmět:
Zdroj: AIDS Behav
ISSN: 1573-3254
Popis: HIV/AIDS remains a looming presence in public health across the world, particularly in Sub-Saharan Africa. The HIV Care Cascade hinges on testing and knowledge of HIV status. Though significant advances have been made in diagnosing people living with HIV (PLHIV), limitations in understanding which strategies are best suited to certain regions or populations have contributed to the uneven distribution in the success of various HIV testing strategies. Here, we present a conceptual framework that outlines effective HIV testing strategies for four target groups. This framework is based on a systematic literature review of articles published from January 1(st), 2008, to December 31(st), 2019. The effectiveness of HIV testing strategies depends on various factors including the setting, type of test and service providers. Multiple strategies are needed to reach the UNAIDS target of 95% of individuals knowing their HIV status. Expansion of community-based approaches, self-testing and HIV testing services in antenatal care will further improve the state of HIV testing in Sub-Saharan Africa.
Databáze: OpenAIRE