Evaluating the effectiveness and cost-effectiveness of health facility-based and community-based index-linked HIV testing strategies for children: protocol for the B …

CD Chikwari, V Simms, S Dringus, K Kranzer… - BMJ open, 2019 - bmjopen.bmj.com
Introduction The number of new paediatric infections per year has declined in sub-Saharan
Africa due to prevention-of-mother-to-child HIV transmission programmes; many children
and adolescents living with HIV remain undiagnosed. In this protocol paper, we describe the
methodology for evaluating an index-linked HIV testing approach for children aged 2–18
years in health facility and community settings in Zimbabwe. Methods and analysis
Individuals attending for HIV care at selected primary healthcare clinics (PHCs) will be …

Facility and community-based index-linked HIV testing strategies for children and adolescents in Zimbabwe

C Dziva Chikwari - 2021 - researchonline.lshtm.ac.uk
Globally over 2.8 million children aged between 0-18 years were living with HIV in 2019.
ART substantially reduces mortality but the pre-requisite step for accessing treatment is HIV
diagnosis. Coverage of HIV treatment in children has lagged behind when compared to
adults largely because of delayed diagnosis. Children experience unique challenges to
access HIV testing. Existing strategies for paediatric HIV testing, which largely are similar to
those used for adults, have not been effective in addressing the HIV diagnosis gap in …
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