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

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2021 Nov 19

PMID 34797449

Citations 7

Authors

Ivy Mannoh

Danielle Amundsen

Gnilane Turpin

Carrie E Lyons

Nikita Viswasam

Elizabeth Hahn

Sofia Ryan

Stefan Baral

Bhakti Hansoti

Affiliations

Soon will be listed here.

Abstract

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 1st, 2008, to December 31st, 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.

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