WHO encourages countries to adapt HIV testing strategies in response to changing epidemic
27 November 2019
| Policy brief

Overview
HIV testing services (HTS) and anti-retroviral therapy (ART) have been scaled up substantially. It is estimated that, globally, nearly 80% of people with HIV now know their status. With the offer of immediate ART initiation and improved treatment options, access to and uptake of treatment have increased, too. Now, most people with HIV who know their status are obtaining treatment and care.
In response to these changes in the global HIV epidemic, WHO is encouraging countries to use three consecutive reactive tests for an HIV-positive diagnosis as their treatment-adjusted prevalence and national HTS positivity fall below 5% .
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Web annexes
- Annex A - GRADE Table: Which demand creation approaches are effective for increasing uptake of HIV testing and onward linkage to prevention, treatment and care? (PDF, 654 KB)
- Annex B - GRADE Table: Should HIV self-testing be offered as an additional HIV testing approach? (PDF, 619 KB)
- Annex C - GRADE Table: Should social network-based approaches be offered as an additional HIV testing approach for key populations and their contacts? (PDF, 437 KB)
- Annex D - GRADE Table: Should western blotting and line immunoassays be used in national testing strategies and algorithms? (PDF, 665 KB)
- Annex E - Abstract: Performance of HIV testing strategies: considerations for global guideline development (PDF, 299 KB)
- Annex F - Abstract: Modelling the cost-effectiveness of maternal HIV retesting in high- and low-HIV burden settings (PDF, 388 KB)
- Annex G - Abstract: Modelling the cost-effectiveness of using HIV/syphilis dual tests in antenatal care in high and low HIV burden settings (PDF, 240 KB)
- Annex H - Considerations for monitoring HIV testing services programmes (PDF, 253 KB)
- Annex I - In vitro diagnostics for HIV diagnosis (PDF, 313 KB)
- Annex J- Ensuring the quality of HIV testing services (PDF, 276 KB)
- Annex K - Global examples of HIV testing services (PDF, 1.7 MB)
- Annex L - Symptom and risk-based screening to optimize HIV testing services: a scoping review (PDF, 727 KB)
Editors
WHO
Number of pages
4
Reference numbers
WHO Reference Number: WHO/CDS/HIV/19.34