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HIV testing programmes need to ensure that all clients who test for HIV are provided with correct diagnoses. The accuracy of HIV testing is critical to prevent misdiagnosis, as the consequences of giving an incorrect test result can be serious for clients, HIV testing services, HIV programmes and pu...blic health.
With the evolution of global HIV epidemiology, HIV testing approaches must also evolve to maintain accuracy and efficiency in population-level diagnosis. Reports suggest that misdiagnosis of HIV status may occur when suboptimal testing algorithms and out-of-date testing strategies are used. As a result of changing epidemiology and declining HIV positivity in testing, WHO recommends all countries use a standard three-test strategy to ensure a PPV of at least 99%, minimizing false-positive misdiagnosis. The WHO-recommended HIV testing strategy, along with quality assurance measures such as retesting to verify a positive diagnosis prior to initiation of HIV treatment, is cost-effective as it prevents misdiagnosis and unnecessary initiation of costly lifelong treatment.
This implementation guide provides practical advice on switching to a three-test strategy and instituting other measures that can help national HIV programmes deliver high-quality, accurate HIV testing services and ensure that misdiagnosis is minimized.
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Technical Report
This country snapshot provides an overview of national data relating to sexual and reproductive health and rights (SRHR) throughout the life course. Realization of SRHR requires provision of comprehensive, people-centred services, that address the different elements of SRHR, and which are supported ...by an enabling environment, quality health systems, and meaningful community engagement. Multiple, synergistic cross-linkages exist within and between the different SRHR elements, leading to sequential outcome benefits throughout the life course.
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Assessment of the Implementation of the Regional Health Sector Strategy on HIV
World Health Organization (Regional Office for South-East-Asia)
World Health Organization (Regional Office for South-East-Asia)
(2016)
C_WHO
2011-2015
Accessed online August 2018
HIV prevention in the Spotlight
M. Alonso González; J. Hourcade Bellocq; M. B. Mello; et al.
Pan American Health Organization; World Health Organization (Americas); UNAIDS
(2017)
C_WHO
An analysis from the perspective of the health sector in Latin America and the Caribbean
Washington, D.C., 2017
HIV prevention among adolescent girls and young women
UNAIDS (Joint United Nations Programme on HIVAIDS); Unicef; World Health Organization (WHO); et al.
UNAIDS (Joint United Nations Programme on HIVAIDS; )Unicef; World Health Organization (WHO); et al.
(2016)
C2
Guidance
Half of all women with HIV are diagnosed late in Europe
World Health Organization (Europe); European Centre for Disease Prevention and Control (ECDC)
World Health Organization (Europe); European Centre for Disease Prevention and Control (ECDC)
(2019)
C_WHO
Meeting of national HIV programme managers of Eastern European, Central Asian and non-EU/EEA countries
World Health Organization (Europe)
(2018)
C_WHO
Meeting report, 25-26 September 2017 Copenhagen, Denmark
ECDC MISSION REPORT 19–21 September 2016 ; 14–15 November 2016
Implementing Comprehensive HIV/STI Programmes with Sex Workers - Practical approaches from collaborative interventions
World Health Organization; UNFPA; UNAIDS; etc al.
(2013)
C_WHO
World AIDS Day 2019
Guidelines
Key Populations
Regional action plan 2019-2023
HIV drug resistance , Users Manual
December 2017
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