Optimal HIV testing strategies for South Africa: a model-based evaluation of population-level impact and cost-effectiveness.

ABSTRACT: Although many African countries have achieved high levels of HIV diagnosis, funding constraints have necessitated greater focus on more efficient testing approaches. We compared the impact and cost-effectiveness of several potential new testing strategies in South Africa, and assessed the prospects of achieving the UNAIDS target of 95% of HIV-positive adults diagnosed by 2030. We developed a mathematical model to evaluate the potential impact of home-based testing, mobile testing, assisted partner notification, testing in schools and workplaces, and testing of female sex workers (FSWs), men who have sex with men (MSM), family planning clinic attenders and partners of pregnant women. In the absence of new testing strategies, the diagnosed fraction is expected to increase from 90.6% in 2020

SUBMITTER: Johnson LF 

PROVIDER: S-EPMC6718403 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature