Avanzando en el acceso de Pruebas de VIH por medio de nuevas tecnologíasby ONUSIDA VENEZUELA |
27/05/2014
What is HIV self-testing and what could it accomplish? This is the first question that a new UNAIDS/WHO technical update on self-testing for HIV
addresses. The update aims to synthesize experiences, research and
policies on HIV self-testing in order to inform stakeholders who are
considering or already implementing such an approach.
Stigma,
discrimination, lack of privacy and long waiting times and travelling
distances are among the common disincentives for HIV testing. New
screening tools, such as HIV self-testing, overcome these barriers,
making HIV testing simpler and more convenient.
Countries
are at different states of readiness with regard to self-testing.
Kenya, for example, has included self-testing into national policies and
guidelines. Malawi, South Africa and Zimbabwe are considering its
introduction. The United States Food and Drug Administration approved in
2012 over-the-counter sales of the first oral self-test for HIV. The
United Kingdom of Great Britain and Northern Ireland legalized the sale
of self-test kits as of 1 April 2014, and France has announced plans to
approve over-the-counter sale of HIV self-test kits in 2014. In some
other countries, HIV self-testing remains explicitly illegal or there
are no formal regulations or policies.
The
technical update provides an analysis of the potential benefits and
risks of HIV self-testing, as well as programmatic approaches, policies
and regulatory considerations. It also emphasizes that UNAIDS and WHO
strongly oppose any instance of compulsory or mandatory testing of
individuals.
HIV
self-testing should be viewed as an initial, user-controlled,
self-screening approach, to be followed by appropriate referral and
confirmatory tests. HIV self-testing is an evolving approach that has
the potential to increase access to testing and to meet the needs of key
populations, who remain underserved by existing modalities of HIV
testing.
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