Abstract #222 - E-Posters English
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Session: 50.76: E-Posters English (Poster) on Sunday in Chaired by
Authors: Presenting Author: Prof Irena Klavs - National Institute of Public Health, Slovenia
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Additional Authors:
Dr. Jordi Casabona,
Sra Cristina Sanclemente,
Dra. Anna Esteve,
Dra. Victoria Gonzalez,
Grupo HIVITS TS,
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Aim: Community based voluntary counselling and testing (CBVCT) services improve access to HIV diagnosis for key population and should ensure adherence to high quality standards. Our objective was to develop a core list of indicators to monitor and evaluate (M&E) the performance of CBVCT services within the project ?HIV community-based testing practices in Europe? (HIV-COBATEST) with co-funding from the Executive Agency for Health and Consumers (EAHC) under the EU Public Health Programme (Grant Agreement N° 2009 12 11).
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Method / Issue: HIV testing related indicators suggested for national HIV response M&E and reporting to UNAIDS, WHO and ECDC, were reviewed. Irena Klavs in collaboration with co-authors developed a proposal which was discussed at the Workshop on the Core Group of Indicators to Monitor HIV Diagnosis in CBVCT Services in Barcelona with all HIV-COBATEST partners and a representative from UNAIDS. Consensus was reached.
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Results / Comments: 11 core and 5 optional CBVCT indicators suggested are:
1. Number of clients tested for HIV with a screening test
2. Proportion of clients who reported to have been previously tested for HIV
3. Proportion of clients who reported to have been tested for HIV during preceding 12 months
4. Proportion of clients who reported to have been tested for HIV at the same CBVCT facility during preceding 12 months
5. Proportion of clients with reactive screening HIV test result
6. Proportion of clients tested for HIV with a screening test who received the results
7. Proportion of clients with reactive screening HIV test result who received post-result counselling
8. Proportion of clients with reactive screening HIV test result who were tested with confirmatory HIV test
9. Proportion of clients with positive confirmatory HIV test result
10. Proportion of clients with positive confirmatory HIV test result who received the conclusive confirmatory HIV test result at CBVCT facility
11. Proportion of clients with positive confirmatory HIV test result who received post-result counselling at CBVCT facility
12. Proportion of clients who received a pre-test discussion or pre-test counselling or pre- result counselling and were tested for HIV with a screening test
13. Proportion of clients with non-reactive screening HIV test result who received post-result counselling
14. Proportion of clients with negative confirmatory HIV test result who received the conclusive confirmatory HIV test result at CBVCT facility
15. Cost per client tested
16. Cost per HIV diagnosis
Also, some contextual CBVCT service level descriptive data are suggested to be collected, including the type of HIV tests used.
It would be useful to monitor successful linkage of HIV infected clients? to health care and proportion of clients diagnosed late with two additional indicators:
17. Proportion of clients who tested HIV positive at CBVCT sites who were linked to health care
18. Proportion of clients who tested HIV positive at CBVCT sites who were diagnosed late
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Discussion: The standardised M&E will allow for comparability of data within the European HIV-COBATEST network of CBVCT services and other CBVCT services. The results will contribute to better access to HIV diagnosis for key populations.
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