THISDAY

‘14m People Ignorant of Their HIV Status Globally’

- Senator Iroegbu in Abuja

The Minister of Health, Prof. Isaac Adewole, has said that more than 14 million people living with HIV globally which is about 40 per cent of all people with HIV do not know their status.

He said that it is in view of this that the WHO launched new guidelines on HIV self-testing during the World AIDS Day in 2016 in order to increase HIV Testing among those at high risk of HIV and support earlier diagnosis and access to treatment and prevention.

Adewole stated this yesterday in Abuja at the disseminat­ion meeting of the evaluation reports of Amethyst HIV 1 & 2 Self-Test Kit Saliva Cassettes for HIV self-testing and ten antibody-based HIV Rapid Test Kits

He said that the key recommenda­tion of the guidelines was that HIV self-testing (HIVST) should be offered as an additional approach to HIV testing services.

According to him, HIV testing is the gateway to HIV treatment and care services.

The Minister noted that in Nigeria, like other countries in the world, detection of specific antibodies in the blood or other body fluids is the main, easily affordable method and standard procedure for the diagnosis of HIV infection.

Speaking on the importance of self-testing to the possible eradicatio­n of HIV prevalence, Adewole said: “HIV self-testing is a new strategy intended to address challenges of increasing access to preliminar­y knowledge of sero-status. It provides the possibilit­y for testing more people than ever before. HIVST gives benefits of access to treatment, self- checking of HIV status which is convenient and confidenti­al.

“HIV self-testing (HIVST) is an empowering and innovative way to help achieve the first of the United Nations 90–90–90 treatment targets – which provides that 90% of all people with HIV should know their status by 2020. HIVST will contribute to the attainment of this global target by reaching first-time testers, as well as creating demand for and enabling more people to receive HIV testing, particular­ly the high-risk population,” he explained.

He said in a country with a gradually improving economy like ours, HIVST increases the efficiency and effectiven­ess of the health system by focusing health services and resources on those with reactive self-test results who are in need of further testing, support and referral, thereby directing services more appropriat­ely.

“Individual­s with reactive self-test results who disclose their result to a provider should be advised and referred for clinical services for additional HIV testing, and where the HIV positive diagnosis is confirmed, the individual should be referred for treatment and care. Individual­s with a nonreactiv­e self-test result who disclose their result to a provider will usually not require further testing, but need to be tested within 6 to 12 weeks if they are at high risk of HIV infection”, he advised.

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