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Uptake of Home-Based Voluntary HIV Testing in Sub-Saharan Africa

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The document is a practical handbook developed by the World Health Organization for planning, implementing, and monitoring home-based HIV testing and counselling (HBHTC) in Sub-Saharan Africa. It outlines the purpose, delivery models, coordination strategies, personnel requirements, program planning, community engagement, and data collection methods necessary for effective HBHTC services. The handbook emphasizes the importance of informed consent, confidentiality, and linkage to care while addressing specific populations such as families, couples, and key populations at higher risk of HIV exposure. It serves as a comprehensive guide to improve access to HIV testing and counselling in resource-poor settings.

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What is the uptake of HIV testing?

Most studies described an opt-in approach (87 estimates), followed by opt-out (76) and risk-based (19). Opt-out testing was associated with 64.3% test uptake (I2 = 99.9%), opt-in testing with 59.8% (I2 = 99.9%) and risk-based testing with 54.4% (I2 = 99.9%).

What is the HIV rate in sub-Saharan Africa?

Overview World regionAdult HIV prevalence (ages 1549)New HIV infections, annual Worldwide 0.8% 2,500,000 Sub-Saharan Africa 4.9% 1,800,000 South and Southeast Asia 0.3% 280,000 Eastern Europe and Central Asia 1.0% 140,0007 more rows

What are the laws around confidentiality regarding HIV results?

If a patient with a serious communicable disease refuses to consent to disclosure, a doctor must respect their wishes, unless failure to disclose will put others at risk of infection. Although such situations are likely to be very rare because of the use of standard infection control precautions.

Are HIV test results kept confidential?

HIV tests may be anonymous or confidential. Anonymous testing means only you will know the HIV test result. When you take an anonymous HIV test, you get a unique identifier that allows you to get your test results. You can also buy an HIV self-test if you want to test anonymously.

What are the barriers to HIV testing in Africa?

Although ART is widely available and accessible in South Africa, several barriers exist to deter men from accessing these services, including dominant masculine norms, the design of health services, stigma associated with HIV, concerns about confidentiality, long waiting times, inconvenient clinic operating hours, and

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Do positive HIV results need to be reported?

HIV Infection Reporting -- United States. All 50 states and the District of Columbia require health-care providers to report new cases of acquired immunodeficiency syndrome (AIDS) to their state health departments.

Does HIV status have to be reported?

Most states in the US have laws requiring people living with HIV who know their HIV status to disclose before exposing someone else to HIV what counts as exposure varies and may not account for current scientific evidence. Penalties vary from state to state.

Will HIV positive test results be reported to local or state health departments even if the test was completed confidentially?

HIV Disclosure Policies and Procedures If your HIV test is positive, the clinic or other testing site will report the results to your state health department. They do this so that public health officials can monitor whats happening with the HIV epidemic in your city and state.

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What is the uptake of HIV testing?

What is the HIV rate in sub-Saharan Africa?

What are the laws around confidentiality regarding HIV results?

Are HIV test results kept confidential?

What are the barriers to HIV testing in Africa?

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Do positive HIV results need to be reported?

Does HIV status have to be reported?

Will HIV positive test results be reported to local or state health departments even if the test was completed confidentially?

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