Assessing the implementation of facility-based HIV testing policies in Malawi, South Africa and Tanzania from 2013–2018: Findings from SHAPE-UTT study
| Autor: | Rujeko Samanthia Chimukuche, Seema Vyas, Estelle McLean, John Songo, Alison Wringe, Erik Schouten, Jenny Renju, Lameck B. Luwanda, Jim Todd, Eveline Geubbels, Farida Hassan |
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| Rok vydání: | 2020 |
| Předmět: |
Malawi
Human immunodeficiency virus (HIV) HIV Infections Hiv testing medicine.disease_cause Tanzania HIV Testing South Africa 03 medical and health sciences 0302 clinical medicine Political science Environmental health parasitic diseases Policy implementation medicine Humans 030212 general & internal medicine 030505 public health biology Public Health Environmental and Occupational Health virus diseases biology.organism_classification Policy 0305 other medical science Healthcare system |
| Zdroj: | Global Public Health. 16:241-255 |
| ISSN: | 1744-1706 1744-1692 |
| DOI: | 10.1080/17441692.2020.1763420 |
| Popis: | National HIV testing policies aim to increase the proportion of people living with HIV who know their status. National HIV testing policies were reviewed for each country from 2013 to 2018, and compared with WHO guidance. Three rounds of health facility surveys were conducted to assess facility level policy implementation in Karonga (Malawi), uMkhanyakude (South Africa), and Ifakara (Tanzania). A policy 'implementation' score was developed and applied to each facility by site for each round. Most HIV testing policies were explicit and aligned with WHO recommendations. Policies about service coverage, access, and quality of care were implemented in >80% of facilities per site and per round. However, linkage to care and the provision of outreach HIV testing for key populations were poorly implemented. The proportion of facilities reporting HIV test kit stock-outs in the past year reduced over the study period in all sites, but still occurred in ≥17% of facilities per site by 2017. The implementation score improved over time in Karonga and Ifakara and declined slightly in uMkhanyakude. Efforts are needed to address HIV test kit stock-outs and to improve linkage to care among people testing positive in order to reach the 90-90-90 targets. |
| Databáze: | OpenAIRE |
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