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首页> 外文期刊>Global public health >Assessing the implementation of facility-based HIV testing policies in Malawi, South Africa and Tanzania from 2013–2018: Findings from SHAPE-UTT study
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Assessing the implementation of facility-based HIV testing policies in Malawi, South Africa and Tanzania from 2013–2018: Findings from SHAPE-UTT study

机译：从2013 - 2018年开始评估马拉维，南非和坦桑尼亚的基于设施的艾滋病毒检测政策：Shape-Utt学习的研究结果

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National HIV testing policies aim to increase the proportion of people living with HIV who know their status. National HIV testing policies were reviewed for each country from 2013 to 2018, and compared with WHO guidance. Three rounds of health facility surveys were conducted to assess facility level policy implementation in Karonga (Malawi), uMkhanyakude (South Africa), and Ifakara (Tanzania). A policy 'implementation' score was developed and applied to each facility by site for each round. Most HIV testing policies were explicit and aligned with WHO recommendations. Policies about service coverage, access, and quality of care were implemented in 80% of facilities per site and per round. However, linkage to care and the provision of outreach HIV testing for key populations were poorly implemented. The proportion of facilities reporting HIV test kit stock-outs in the past year reduced over the study period in all sites, but still occurred in = 17% of facilities per site by 2017. The implementation score improved over time in Karonga and Ifakara and declined slightly in uMkhanyakude. Efforts are needed to address HIV test kit stock-outs and to improve linkage to care among people testing positive in order to reach the 90-90-90 targets.
机译：国家艾滋病毒检测政策旨在增加艾滋病病毒患者的人们担任其地位的比例。 2013年至2018年的每个国家审查了国家艾滋病毒检测政策，与世卫组织指导相比。进行了三轮卫生设施调查，以评估卡隆达（马拉维），Umkhanyakude（南非）和Ifakara（坦桑尼亚）的设施级政策实施。为每轮的站点开发并应用于每个设施的政策“实施”得分。大多数艾滋病毒检测政策都是明确的，并与世卫组织建议一致。服务覆盖范围，访问和护理质量的政策在>每场设施的80％和每轮实施。但是，关注关键和为关键人群提供外展艾滋病毒检测的联系也仍然不利。在过去一年中报告艾滋病毒检测套件库存的设施比例在所有地点的研究期内减少，但仍然发生在2017年以上的> = 17％的设施。在卡隆达和Ifakara和Ifakara的实施评分随着时间的推移而得到改善。 umkhanyakude略有下降。需要努力来解决艾滋病毒检测套件库存，并改善与阳性测试阳性的人们关心的联系，以达到90-90-90目标。

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