HIVST DELIVERY MODELS Clause Samples

HIVST DELIVERY MODELS. Once target populations and products have been identified and selected, it is important to identify the most appropriate model of delivery of HIVST kits based on the population you are trying to reach and the health impact you are trying to achieve (see Figure 2). Considerable research on different types of delivery models has been conducted, which models are suited to which priority populations, how to mobilize clients with each approach, and the best mechanisms for linking clients to HIV prevention or treatment services after they receive their results. Detailed descriptions of how to operationalize these models are described below in the implementation section of the guide; however, the following figure and table summarize the key features of the currently used HIVST distribution models and their appropriateness for different contexts, health and program impact and priority populations. The models described are based on the HIVST impact framework (Figure 1). This summary should serve as a guide for narrowing down the options at the planning stage. Model Description • HIVST kits offered at community level through targeted distribution, either at household level, at transport hubs, marketplaces, at hotspots, bars, nightclubs and in areas where priority populations can be found. • HIVST distribution campaigns. • Community-led HIVST distribution, where communities are themselves responsible for the distribution of HIVST to beneficiaries in their community have demonstrated to be highly effective in increasing testing coverage, yield and linkage to care and treatment, ART coverage. • Targeted HIVST distribution to index cases (sexual partners of index clients) at community level by community health care workers or peer-navigators, expert clients and other cadres of lay providers as pre-screening test, index cases with reactive result are followed up with confirmative testing by health providers or are referred to health facility for confirmative testing. Rationale • Increases testing coverage, linkage to care and treatment, ART coverage, uptake of prevention services among populations who would otherwise not seek or have access to testing services, including in rural areas and among populations at high risk of HIV infection. • Index case pre-screening with HIVST can increase uptake of HIV testing (higher acceptance, more convenient), only those with reactive test results require confirmative testing by provider, increases testing coverage among index cases, ...