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Enhancing HIV Self-Testing Impact: Lessons from the STAR Project

This session explores evidence on reducing undiagnosed HIV infections among key populations in Africa and metropolitan Paris. The STAR Project in Malawi, Zambia, and Zimbabwe reveals the potential of self-testing to encourage retesting, aiding in early diagnosis. Discussing the public health benefits and cost-effectiveness, the initiative extends to South Africa, Lesotho, and Swaziland. Join experts from London School of Hygiene, UNITAID, and local health ministries in unveiling the next phase's launch.

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Enhancing HIV Self-Testing Impact: Lessons from the STAR Project

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  1. Satellite Session HIV Self-Testing: Evidence for Action: Key Findings from the HIV Self-Testing Africa (STAR) Project in Malawi, Zambia and Zimbabwe Prof. Anne-Claude Crémieux Hôpital Saint-Louis Université Paris 7

  2. France: concentrated HIV epidemic • Key populations • MSMs • Individuals from sub-Saharan Africa • Metropolitan Paris region: 42% of France’s new HIV diagnoses • Undiagnosed HIV infections • 16% of people living with HIV unaware of their infections • Almost exclusively in high-risk populations • Tested 3 to 5 years before but never retested ++ Encourage key populations to be retested (Crémieux, D’Almeida, Lert, Semailleet al, Archives of Internal Med 2012, Plos One 2013, AIDS 2012)

  3. Is self-testing able to reduce the number of undiagnosed infections by encouraging key populations to repeat tests? • 2013: French Ministry of Health legalized HIV self-testing • September 2015: whole-blood rapid self- HIV test was available in pharmacies • 140,000 tests have been sold in French pharmacies • 2017 joint initiative of the President of Metropolitan Paris Région, ValériePecresse, and the Mayor of Paris, Anne Hidalgo, for free or low-cost HIV self-tests. • French Center for Disease Control (“Santé Publique France”): REMIND study (ongoing)

  4. HIV Self-Testing in Africa, the STAR Project • In Southern Africa, the epidemic is generalized and HIV still affects up to 20% of the adult population. • 40% of people living with HIV are not aware of their infections. • HIV-screening rate is still insufficient for men. • The epidemic also disproportionally affects adolescent girls and young women, sex-workers, and MSM.

  5. People want to be tested at the moment they are ready

  6. Satellite Session • Results on the public health impact and cost-effectiveness of HIV Self-Testing. (London School of Hygiene and Tropical Medicine, University College London, Liverpool School of Tropical Medicine, and Population Services International, Malawi, Liverpool Wellcome Trust, ZAMBART, CESSHAR Zimbabwe) • Discussion with panelists on the remaining research questions that will be addressed during the next phase of the STAR Project, extension toSouth Africa, Lesotho and Swaziland • Official launch of the next STAR phase with UNITAID, PSI, Society for Family Health and the South African Ministry of Health’s

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