Год выпуска: 2016
Тип документа: Guidelines
Язык документа: ENG
This document presents new WHO recommendations and guidance on:
1. HIV self-testing
2. Partner notification
To achieve the United Nations (UN) 90–90–90 global HIV targets – and specifically the first target of diagnosing 90% of all people with HIV – the World Health Organization (WHO) released the Consolidated guidelines on HIV testing services in 2015.
In that first edition of the guidelines, WHO synthesized the existing guidance on HIV testing services (HTS) and issued a new recommendation to support trained lay providers to deliver HTS using rapid diagnostic tests (RDTs). In addition, the guidelines emphasized the need for strategic approaches to deliver HTS. In particular, they highlighted the potential of HIV self-testing (HIVST) to increase HTS access, especially among men, key populations1 and young people. They also highlighted the need to improve the uptake of couples and partner testing services, including by offering HTS to the partners of people with HIV. Moreover, the guidelines noted that there was a growing unregulated market for HIVST in low- and middle-income settings, where
products of unknown quality were often being used. Since the release of the 2015 guidelines, a growing number of countries have recognized the need to support HIVST in a more regulated way and to use HIV RDTs for self-testing that are approved by the relevant regulatory authority, or following results of an international regulatory review.
WHO has recommended partner testing since 2012. Although there has been some progress in including partner testing in national testing policies (especially for partners of women attending antenatal clinics), implementation of partner testing in most countries remains low.
Since the release of the consolidated guidelines in 2015, new evidence has emerged. Consequently, in an effort to further support countries, programme managers, health workers and other stakeholders seeking to achieve national and international HIV goals, this 2016 update issues new recommendations and additional guidance on HIVST and assisted HIV partner notification services.
These new guidelines aim to:
• Support the implementation and scale-up of ethical, effective, acceptable and evidencebased approaches to HIVST and assisted HIV partner notification.
• Support the routine offer of voluntary assisted HIV partner notification services as part of a public health approach to delivering HTS.