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Public & Private Sector HTC Questions -Where was the test done? [message #1907] Mon, 07 April 2014 15:36
chabrown is currently offline  chabrown
Messages: 2
Registered: April 2014
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On behalf of the HTC team in the Office of HIV/AIDS at USAID, we propose the following modifications to the range of answers available in response to the question: "Where was the test done?"

For the PUBLIC SECTOR, we propose the following suggestions for consideration:
1. Consider removal of "SCHOOL BASED CLINIC " given the low frequency of school-based clinics providing HTC in low and middle income countries outside of the context of MOBILE HTC Services.
2. Change "MOBILE CLINIC" TO "MOBILE HTC SERVICES" to reflect the multiple ways in which mobile HTC is available beyond mobile clinics.
3. Add "HOME-BASED HTC" to reflect the widespread, global uptake of community-based HTC via home-based HTC which is usually provided at the client's home by a lay counselor or healthcare worker.
4. Over-the-counter rapid HIV test kits are being sold directly to consumers in many countries in sub-Saharan Africa and Asia. These countries include, but are not limited to, Nigeria, Kenya, Namibia, Uganda, Malawi, and South Africa. We recommend adding "SELF-TEST" as a new category to reflect the HIV testing conducted by individuals after buying a rapid test kit over the counter or using a rapid HIV test kit given to them by a health provider.

For the PRIVATE MEDICAL SECTOR, we propose the following suggestions for consideration:
1. Add the word "PRIVATE" in front of PHARMACY to create "PRIVATE PHARMACY"
2. Add 3 subcategories under "PRIVATE PHARMACY" to reflect whether or not the test is (a) performed by the pharmacist or pharmacy staff for the client; (b) performed by the client under the observation of a pharmacist or pharmacy staff member; or (c) purchased by the client for self-testing. This can help to clarify the contextual factors associated with pharmacies given the difference in programmatic implications depending on whether or not a significant proportion of the population is testing themselves.
3. As noted for the public sector, change "MOBILE CLINIC" to "MOBILE HTC SERVICES" for the reasons described earlier.
4. Recommend adding the category of "WORKPLACE VCT" to represent HTC offered to workers at their place of employ; workplace VCT has been a widely recognized HTC modality and could be included for accuracy.
5. For the reasons stated under Public Sector, we recommend the removal of the category "SCHOOL BASED CLINIC "
6. For the reasons stated under Public Sector, we recommend the addition of the category of "HOME-BASED HTC"
7. For the reasons stated under Public Sector, we recommend the addition of the category of "SELF-TEST"




Charlene Brown, MD, MPH
Medical Officer
Office of HIV/AIDS, USAID
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