Can trained lay providers perform HIV testing services A review of national HIV testing policiesReport as inadecuate

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BMC Research Notes

, 10:20

Health services research


BackgroundOnly an estimated 54% of people living with HIV are aware of their status. Despite progress scaling up HIV testing services HTS, a testing gap remains. Delivery of HTS by lay providers may help close this testing gap, while also increasing uptake and acceptability of HIV testing among key populations and other priority groups.

Methods50 National HIV testing policies were collated from WHO country intelligence databases, contacts and testing program websites. Data regarding lay provider use for HTS was extracted and collated. Our search had no geographical or language restrictions. This data was then compared with reported data from the Global AIDS Response Progress Reporting GARPR from July 2015.

ResultsForty-two percent of countries permit lay providers to perform HIV testing and 56% permit lay providers to administer pre-and post-test counseling. Comparative analysis with GARPR found that less than half 46% of reported data from countries were consistent with their corresponding national HIV testing policy.

ConclusionsGiven the low uptake of lay provider use globally and their proven use in increasing HIV testing, countries should consider revising policies to support lay provider testing using rapid diagnostic tests.

KeywordsHIV testing Lay providers Community health workers HIV policy AbbreviationsHTSHIV testing services

GARPRglobal AIDS response progress reporting

WHOWorld Health Organisation

UNAIDSThe Joint United Nations Programme on HIV and AIDS

UNICEFThe United Nations Children’s Fund

RDTrapid diagnostic test

Electronic supplementary materialThe online version of this article doi:10.1186-s13104-016-2339-1 contains supplementary material, which is available to authorized users.

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Author: David E. Flynn - Cheryl Johnson - Anita Sands - Vincent Wong - Carmen Figueroa - Rachel Baggaley


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