Home About us Editorial board Ahead of print Browse Articles Search Submit article Instructions Subscribe Contacts Login 
  • Users Online: 774
  • Home
  • Print this page
  • Email this page


 
Previous article Browse articles Next article 
LETTER TO EDITOR
J Res Med Sci 2020,  25:66

Improving the uptake of human immunodeficiency virus testing services globally


1 Member of the Medical Education Unit and Institute Research Council, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Tamil Nadu, India
2 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu, India

Date of Submission30-Nov-2019
Date of Decision16-Feb-2020
Date of Acceptance26-Feb-2020
Date of Web Publication27-Jul-2020

Correspondence Address:
Dr. Saurabh RamBihariLal Shrivastava
Professor, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth (SBV) – Deemed to be University, Tiruporur - Guduvancherry Main Road, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu - 603 108
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrms.JRMS_886_19

Rights and Permissions

How to cite this article:
Shrivastava SR, Shrivastava PS. Improving the uptake of human immunodeficiency virus testing services globally. J Res Med Sci 2020;25:66

How to cite this URL:
Shrivastava SR, Shrivastava PS. Improving the uptake of human immunodeficiency virus testing services globally. J Res Med Sci [serial online] 2020 [cited 2020 Aug 15];25:66. Available from: http://www.jmsjournal.net/text.asp?2020/25/1/66/291018




  Introduction Top


Human immunodeficiency virus (HIV) infection has been acknowledged as one of the global public health priorities.[1] This is predominantly due to the available estimates, which suggest that more than 32 million people died due to the dreaded complications of the infection by the end of 2018. It is an eye opener that despite the infection being known for more than three decades, even in 2018, a total of 1.7 million new cases were detected, with African region being the most affected.[1]


  Ground Reality Top


It is a fact that regardless of the efforts of different stakeholders at various levels of health-care delivery, the services of testing, therapy, and care are not universally available and we are not in a position to attain the set targets for 2020.[2],[3] Although many people have been receiving antiretroviral therapy (ART), a significant proportion of the infected individuals are not receiving ART only because of the failure of detection of the disease.[2] From the public health perspective, timely diagnosis of the infection is the critical link to ensure linkage of the infected people to a wide gamut of care and supportive services.[3],[4]


  Testing for Human Immunodeficiency Virus Top


The World Health Organization has time and again emphasized for HIV self-testing as it has been shown that the majority of the high-risk population groups find it feasible and convenient instead of approaching the conventional health centers.[2],[3] The 2019 recommendations call for adoption of a standard strategy by all the member states to get more precise results.[2]

However, in the mission to improve the accessibility of high-risk group individuals, social network-based testing has been proposed.[2] Further, innovative strategies such as use of digital media through providing short messages along with a video which is being led by the peers have also been advocated to enhance the reach and utilization of testing services.[2] Moreover, lay providers have also been involved and it has been recommended that they should offer rapid testing for both HIV and syphilis to women during the pregnancy, which will reduce the potential risk of mother-to-child transmission.[2],[4]


  Conclusion Top


HIV testing is an important dimension of the range of services offered for the prevention and control of the disease. It is the need of the hour to explore and effectively implement the new recommendations and it will essentially require concerted actions and efforts from all the stakeholders.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
World Health Organization. Innovative WHO HIV Testing Recommendations Aim to Expand Treatment Coverage. World Health Organization; 2019. Available from: https://www.who.int/news-room/detail/27-11-2019-innovative-who-hiv-testing-recommendations-aim-to-expand-treatment-coverage. [Last accessed on 2019 Nov 30].  Back to cited text no. 1
    
2.
World Health Organization. Consolidated Guidelines on HIV Testing Services for a Changing Epidemic. Geneva: WHO Press; 2019. p. 1-9.  Back to cited text no. 2
    
3.
Shrivastava SR, Shrivastava PS, Ramasamy J. Encouraging human immunodeficiency virus self-testing among vulnerable group of adolescents: A WHO initiative. Ann Trop Med Public Health 2016;9:126-7.  Back to cited text no. 3
  [Full text]  
4.
Indravudh PP, Fielding K, Kumwenda MK, Nzawa R, Chilongosi R, Desmond N, et al. Community-led delivery of HIV self-testing to improve HIV testing, ART initiation and broader social outcomes in rural Malawi: Study protocol for a cluster-randomised trial. BMC Infect Dis 2019;19:814.  Back to cited text no. 4
    




 

Top
Previous article  Next article
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
Introduction
Ground Reality
Testing for Huma...
Conclusion
References

 Article Access Statistics
    Viewed41    
    Printed0    
    Emailed0    
    PDF Downloaded10    
    Comments [Add]    

Recommend this journal