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HIV Rapid Testing in Clinical Settings in Dnipropetrovsk Region of Ukraine

HIV Rapid Testing in Clinical Settings in Dnipropetrovsk Region of Ukraine. Irina Grishayeva, Marina Haletskaya, Clinton Health Access Initiative Alena Maksimenok , PhD., Lev Gromashevsky Institute of Epidemiology and Infectious Diseases AMS Svitlana Osipova

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HIV Rapid Testing in Clinical Settings in Dnipropetrovsk Region of Ukraine

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  1. HIV Rapid Testing in Clinical Settings in Dnipropetrovsk Region of Ukraine Irina Grishayeva, Marina Haletskaya, Clinton Health Access Initiative AlenaMaksimenok, PhD., Lev Gromashevsky InstituteofEpidemiologyandInfectiousDiseases AMS Svitlana Osipova NGO PublicHealth, KryviyRih, Ukraine IAS Conference, Vienna April 2010

  2. HIV RT in Ukraine RT use untill 2009: • Donors and pregnant women in urgent cases • Negative and positive results to be confirmed by screening and confirmation (IFA, WB) • RT results not included into official HIV statistics RT use since 2009: • Legislation on RT use in TB, DD, STI, infect disease clinics • 2 RTs algorithms • Certificate based on 2 RTs result HTC in 2008: 3,349,515 HIV tests among them 1.1 % - IDUs 0.93% - CSWs 1,7% - STI

  3. HIV RT implementation in clinical settings Phase I, project goals: To compare diagnostic efficiency of two serial HIV RT (different manufacturers) to the actual reference method To pilot two serial RT algorithm within clinical settings To strengthen referal for HIV+ Implementors: 3 Drug Dependence Treatment Clinics, 2 TB Number of clients involved: 1,078 Number of positive cases: 33% Phase II, project goals: To scale up two serial RT in clinical settings in the region To introduce RT in STI and inflectional disease clinics in addition to DD and TB To introduce RT in the remote settings Implementors: 6 Drug Dependence Treatment Clinics, 3 TB, 3 STI, Number of clients involved: 7,205 Number of positive cases: 16%

  4. Results by sites (Phase I and II)

  5. Follow up Services

  6. Main conclusions HIV Rapid Testing in clinical settings: • Could be an efficient method in reaching risk groups with T&C and follow up services • Essentially reducing the results turnaround time • Increasing effectiveness of post-test counseling • Enabling timely development of follow up treatment plan by doctor • Enabling adequate referral • Reducing time to get care and treatment services • Strengthening links and coordination between different medical services (TB, DD, STI and HIV) • Collaboration with NGO is key to get vulnerable populations to services and provide follow up support

  7. Thank you for your attention! Contacts: igrishayeva@clintonhealthaccess.org mhaletskaya@clintonhealthaccess.org maksimenok@rambler.ru

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