Improving access of most vulnerable populations to HIV diagnosis by the implementation of rapid diagnostic tests in the State of Sao Paulo - Brazil (2006 and 2009)
K. Wolffenbuttel1, M.T.F. Santos1, M.C. Gianna1, C.L. Soares1, C.A.F. Oliveira2, R.A. Souza1, R.G. Almeida2, Adolfo Lutz Institute HIV Study Group
1STD/AIDS State Program, STD/AIDS Reference and Training Center, Sao Paulo, Brazil, 2Adolfo Lutz Institute, Sao Paulo, Brazil
Issues: The HIV rapid diagnostic testing (RDT HIV) is a very important strategy to increase access of vulnerable populations to HIV diagnosis and integrates the São Paulo´s State Plan for Expansion of Early Diagnosis of HIV (2009 to 2012). Sao Paulo has 41 million inhabitants, 645 cities, 171,647 reported AIDS cases and a 0.6% HIV prevalence.The goal was to implement the HIV RDT in 145 priority municipalities for the control of AIDS in the state and first in 100% of the Voluntary Counseling and Testing Centers (VCT) that are reference services to populations most vulnerable to HIV by the end of 2009.
Description: Between 2006 and 2009 approximately a thousand health professionals from 104 priority municipalities were trained. 70 priority municipalities have implemented the HIV RDT, in which 82 out of 105 VCT. In HIV campaigns carried out in the state were performed approximately 3,000 rapid diagnostic HIV tests in 2008 and 18,000 in 2009.
To priorize STD/AIDS specialized services for implementing HIV RDT is an important factor in increasing access to HIV diagnosis to people who are usually excluded or do not attend health services.
The implementation of HIV RDT must face the difficulties encountered in healthcare professionals to take on the issue of diagnostic reports, an activity usually performed by the laboratories.
The acceptance of the HIV RDT by the population is good, especially in prevention work and testing carried out on the field, outside of health services.
Next steps: Priorities for 2010:
Expand implementation of HIV RDT by decentralizing the training of health professionals focusing the training of trainers.
Continue the implementation process among the remaining 75 priority municipalities and 23 VCT.
Expand HIV RDT implementation to primary care services focusing TB patients and most vulnerable populations as drug users, men who have sex with men and sex workers.
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