Elisa: free and anonymous hiv testing

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Elisa free and anonymous hiv testing

• Lessons learned

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Elisa centre of Médecins sans Frontières

• Start 1989
• Objectives -reach at risk groups
• -making testing easy
• -primary prevention
• Since 1992 2000 tests/year
• 2006 public funding and handover

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Primary prevention

• pre- and post counselling
• continuity
• few numbers (0.29 of all tests)
• At risk groups

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Making testing easy

• Specialised centre (15 )
• Accessibility (30 )
• Free of charge (50 )
• Anonymous testing (60 )

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Free of charge

• 50 of all consultants
• IDU 64.8
• Heterosexual women 63.4
• Younger than 20 71.1

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Anonymous testing

• 60 of all consultants
• MSM 70
• Younger than 20 65

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Anonymity

• Freedom of speech
• Dont trust confidentiality
• Fear of discrimination
• Extra-marital relation
• If positive, to choose when and whom ( to tell,
  treatment)

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Reach at risk groups

• Infections rate 11.1/1000 tests
• 7 times rate in confidential testing

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Risk factors

• Age gt 30 years
• Nationality subsaharan or european non-belgian
• MSM
• IDU

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Risk groups

• Sub-Saharan nationalities 8.1
• (women 12.1 men 5,6 )
• MSM 2.2
• Sub-S and MSM 90 of all cases

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Conclusions

• Importance of free and anonymous testing
• Acknowledge risk groups
• Risk groups how to reach them, how to teach them
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