背景:估计只有54%的艾滋病毒感染者知道自己的状况。尽管在扩大艾滋病毒检测服务(HTS)方面取得了进展,测试差距仍然存在。非专业提供商交付HTS可能有助于缩小这一测试差距,同时也增加了重点人群和其他优先群体对艾滋病毒检测的接受程度和可接受性。
方法:从世卫组织国家情报数据库中整理了50项国家艾滋病毒检测政策,联系人和测试程序网站。提取并整理了有关HTS的非专业提供者使用的数据。我们的搜索没有地理或语言限制。然后将该数据与2015年7月全球艾滋病应对进展报告(GARPR)的报告数据进行比较。
结果:42%的国家允许非专业提供者进行艾滋病毒检测,56%的国家允许非专业提供者进行检测前和检测后咨询。与GARPR的比较分析发现,不到一半(46%)的国家报告数据与其相应的国家艾滋病毒检测政策一致。
结论:鉴于全球范围内非专业提供者的使用率较低,并且已证明其在增加HIV检测中的用途,各国应考虑修订政策,以支持使用快速诊断测试的非专业提供商测试。
BACKGROUND: Only 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.
METHODS: 50 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.
RESULTS: Forty-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.
CONCLUSIONS: Given 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.