HIV testing

Addressing the Blind Spot in Achieving Epidemic Control in Malawi: Implementing "male-friendly" HIV services to increase access and uptake

In Malawi, men living with HIV are less likely than their female counterparts to be aware of their HIV status, on antiretroviral treatment, and virally suppressed. To address barriers that prevent men from accessing HIV services, the Elizabeth Glazer Pediatric AIDS Foundation designed and opened male-friendly clinics to provide integrated HIV, reproductive health, and non-communicable disease services during times that are more suitable for men; in this case, on Saturdays from 7:30 am-2:00 pm. The resulting mean HIV positivity rate at male-friendly clinics is 5 percent, with yields as high as 15 percent among men aged 35 - 39. Men accessing male-friendly clinics reported being more comfortable in men’s clinics and that Saturdays were more convenient. This suggests acceptability of this service delivery model, which contributed to the improved health outcomes for men. 

Male-Friendly Clinics in Lesotho: Demand Creation Targeting HIV-Infected Men to Access Comprehensive Health Services

Through the support of the United States Government’s President’s Emergency Plan for AIDS Relief (PEPFAR), Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) introduced comprehensive men’s clinics at selected high-volume health facilities in order to scale-up the Test and Start approach among HIV-infected men. The men’s clinics provide a male-friendly environment that encourages men to get tested for HIV, and therefore be identified as HIV positive and linked to HIV care and treatment services. 

CommLink: Linking People Living with HIV from Community-Based Settings to Care and Treatment Services in Eswatini

Through community-based testing, HIV-infected clients are provided baseline clinical care and a comprehensive package of peer-delivered linkage services recommended by the World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention (CDC). CommLink mobile clinical and linkage services initiated at the point of HIV diagnosis are designed to help community clients “link” to a local facility for lifetime HIV, care, treatment, and support.