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UNITAID PSI HIV S ELF- T ESTING A F R ICA

This presentation discusses the progress and impact of HIV self-testing (HIVST) in Africa, highlighting its potential to address market failures and achieve public health impact. It explores the various benefits of HIVST, including reduced morbidity and mortality, improved population productivity and growth, and reduced HIV transmission. The text also outlines the key outcomes of the STAR project and suggests strategies to optimize the distribution, increase informed demand, reduce policy and regulatory barriers, and remove structural barriers to HIVST implementation. The potential market size for HIVST and the need for definitive multicountry evaluations and formative research are also addressed.

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UNITAID PSI HIV S ELF- T ESTING A F R ICA

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  1. UNITAIDPSIHIVSELF-TESTING AFRICA STAR, the world largest evaluation of HIV Self-Testing 9th IAS Conference, Paris 2017 Dr Karin Hatzold, Population Services International

  2. Progress toward the first 90 by region, 2016 Eastern & southern Africa Eastern Europe & central Asia Asia & the Pacific Latin America & the Caribbean Source: UNAIDS, Global AIDS Update 2017

  3. Using HIVST to Address Market Failures and Achieve Public Health Impact DIRECT IMPACT DIRECT ACTION ADDITIONAL IMPACT + Health for PLHIV: Reduced Morbidity & Mortality Population Productivity & Growth Link to Treatment Social Benefit Social Harm Reduced HIV Transmission & Infections Averted Link to Prevention Efficiency - • Increased uptake among populations not current reached by existing channels. • Increased testing frequency among populations with high ongoing risk of HIV infection. Expanded Coverage Triaged out of HIV negatives of Health System Cost and Time Savings (Health System & Users) Equity of Health *Adapted framework based on BMGF & UNITAID HIVST Meeting

  4. STAR Project Outcomes • Increase access to HIVST • Optimise distribution models for the safe scale-up of HIVST, including effective linkage into care & prevention for both general and key populations • Increase Informed Demand • Define the best marketing and demand creation strategies for HIVST • Reduce Policy and Regulatory Barriers • Support the full integration of HIVST into national policy & algorithms; establish WHO normative guidance; include HIVST in global HIV planning and projection tools • Remove structural barriers • Establish market landscape (including market size) to encourage market entry and competition; support establishment of a harmonised regional regulatory approval framework

  5. Potential HIVST Market Size

  6. Demand Increases with Improved Public Health Evidence • Definitivemulticountryevaluation Formative Research

  7. Contact DR. KARIN HATZOLD Director UNITAID/PSI HIV Self-Testing Africa (STAR) Project khatzold@psi.org

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