{"id":50854,"date":"2021-08-13T09:48:57","date_gmt":"2021-08-13T09:48:57","guid":{"rendered":"https:\/\/psi2030.wpengine.com\/?post_type=star_publication&#038;p=50854"},"modified":"2023-10-09T15:28:34","modified_gmt":"2023-10-09T19:28:34","slug":"optimizing-hiv-testing-services-in-sub-saharan-africa-cost-and-performance-of-verification-testing-with-hiv-self-tests-and-tests-for-triage","status":"publish","type":"star_publication","link":"https:\/\/www.psi.org\/fr\/star_publication\/optimizing-hiv-testing-services-in-sub-saharan-africa-cost-and-performance-of-verification-testing-with-hiv-self-tests-and-tests-for-triage\/","title":{"rendered":"Optimizing HIV testing services in sub-Saharan Africa: cost and performance of verification testing with HIV self-tests and tests for triage"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"50854\" class=\"elementor elementor-50854\" data-elementor-post-type=\"star_publication\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-488a0e1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"488a0e1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-52f6b55\" data-id=\"52f6b55\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-877e293 elementor-widget elementor-widget-text-editor\" data-id=\"877e293\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tStrategies employing a single rapid diagnostic test (RDT) such as HIV self-testing (HIVST) or \u201ctest for triage\u201d (T4T) are proposed to increase HIV testing programme impact. Current guidelines recommend serial testing with two or three RDTs for HIV diagnosis, followed by retesting with the same algorithm to verify HIV-positive status before anti-retroviral therapy (ART) initiation. We investigated whether clients presenting to HIV testing services (HTS) following a single reactive RDT must undergo the diagnostic algorithm twice to diagnose and verify HIV-positive status, or whether a diagnosis with the setting-specific algorithm is adequate for ART initiation.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-59d6391 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"59d6391\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-86f9f0b\" data-id=\"86f9f0b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-311f9fd elementor-widget elementor-widget-text-editor\" data-id=\"311f9fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAUTHORS: Jeffrey W Eaton, Fern Terris-Prestholt, Valentina Cambiano, Anita Sands, Rachel C Baggaley, Karin Hatzold, Elizabeth L Corbett, Thoko Kalua, Andreas Jahn and Cheryl C Johnson\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"template":"","star_resource_type":[2172],"star_language":[2177],"star_country":[2252],"star_population_served":[],"star_health_area":[2235,2234],"class_list":["post-50854","star_publication","type-star_publication","status-publish","has-post-thumbnail","hentry","star_resource_type-abstract","star_language-english","star_country-sub-saharan-africa","star_health_area-hiv","star_health_area-hivst"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.8 - aioseo.com -->\n\t<meta name=\"description\" content=\"Strategies employing a single rapid diagnostic test (RDT) such as HIV self-testing (HIVST) or \u201ctest for triage\u201d (T4T) are proposed to increase HIV testing programme impact. Current guidelines recommend serial testing with two or three RDTs for HIV diagnosis, followed by retesting with the same algorithm to verify HIV-positive status before anti-retroviral therapy (ART) initiation.\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/www.psi.org\/fr\/star_publication\/optimizing-hiv-testing-services-in-sub-saharan-africa-cost-and-performance-of-verification-testing-with-hiv-self-tests-and-tests-for-triage\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 4.9.8\" \/>\n\t\t<meta property=\"og:locale\" content=\"fr_FR\" \/>\n\t\t<meta property=\"og:site_name\" content=\"PSI - Nonprofit organization making it easier for people in the developing world to lead healthier lives and plan the families they desire by marketing affordable products and services.\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"Optimizing HIV testing services in sub-Saharan Africa: cost and performance of verification testing with HIV self-tests and tests for triage - PSI\" \/>\n\t\t<meta property=\"og:description\" content=\"Strategies employing a single rapid diagnostic test (RDT) such as HIV self-testing (HIVST) or \u201ctest for triage\u201d (T4T) are proposed to increase HIV testing programme impact. Current guidelines recommend serial testing with two or three RDTs for HIV diagnosis, followed by retesting with the same algorithm to verify HIV-positive status before anti-retroviral therapy (ART) initiation.\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/www.psi.org\/fr\/star_publication\/optimizing-hiv-testing-services-in-sub-saharan-africa-cost-and-performance-of-verification-testing-with-hiv-self-tests-and-tests-for-triage\/\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2021-08-13T09:48:57+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2023-10-09T19:28:34+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"Optimizing HIV testing services in sub-Saharan Africa: cost and performance of verification testing with HIV self-tests and tests for triage - PSI\" \/>\n\t\t<meta name=\"twitter:description\" content=\"Strategies employing a single rapid diagnostic test (RDT) such as HIV self-testing (HIVST) or \u201ctest for triage\u201d (T4T) are proposed to increase HIV testing programme impact. Current guidelines recommend serial testing with two or three RDTs for HIV diagnosis, followed by retesting with the same algorithm to verify HIV-positive status before anti-retroviral therapy (ART) initiation.\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_publication\\\/optimizing-hiv-testing-services-in-sub-saharan-africa-cost-and-performance-of-verification-testing-with-hiv-self-tests-and-tests-for-triage\\\/#breadcrumblist\",\"itemListElement\":[{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr#listItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.psi.org\\\/fr\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_publication\\\/#listItem\",\"name\":\"Star Publications\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_publication\\\/#listItem\",\"position\":2,\"name\":\"Star Publications\",\"item\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_publication\\\/\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_resource_type\\\/abstract\\\/#listItem\",\"name\":\"Abstract\"},\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr#listItem\",\"name\":\"Home\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_resource_type\\\/abstract\\\/#listItem\",\"position\":3,\"name\":\"Abstract\",\"item\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_resource_type\\\/abstract\\\/\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_publication\\\/optimizing-hiv-testing-services-in-sub-saharan-africa-cost-and-performance-of-verification-testing-with-hiv-self-tests-and-tests-for-triage\\\/#listItem\",\"name\":\"Optimizing HIV testing services in sub-Saharan Africa: cost and performance of verification testing with HIV self-tests and tests for triage\"},\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_publication\\\/#listItem\",\"name\":\"Star Publications\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_publication\\\/optimizing-hiv-testing-services-in-sub-saharan-africa-cost-and-performance-of-verification-testing-with-hiv-self-tests-and-tests-for-triage\\\/#listItem\",\"position\":4,\"name\":\"Optimizing HIV testing services in sub-Saharan Africa: cost and performance of verification testing with HIV self-tests and tests for triage\",\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_resource_type\\\/abstract\\\/#listItem\",\"name\":\"Abstract\"}}]},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/#organization\",\"name\":\"PSI\",\"description\":\"Nonprofit organization making it easier for people in the developing world to lead healthier lives and plan the families they desire by marketing affordable products and services.\",\"url\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_publication\\\/optimizing-hiv-testing-services-in-sub-saharan-africa-cost-and-performance-of-verification-testing-with-hiv-self-tests-and-tests-for-triage\\\/#webpage\",\"url\":\"https:\\\/\\\/www.psi.org\\\/fr\\\/star_publication\\\/optimizing-hiv-testing-services-in-sub-saharan-africa-cost-and-performance-of-verification-testing-with-hiv-self-tests-and-tests-for-triage\\\/\",\"name\":\"Optimizing HIV testing services in sub-Saharan Africa: cost and performance of verification testing with HIV self-tests and tests for triage - PSI\",\"description\":\"Strategies employing a single rapid diagnostic test (RDT) such as HIV self-testing (HIVST) or \\u201ctest for triage\\u201d (T4T) are proposed to increase HIV testing programme impact. 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