HIV Recency Testing in Rwanda

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Presentation transcript:

HIV Recency Testing in Rwanda Placidie Mugwaneza, MD, MPH Rwanda Biomedical centre

Background Rwanda is committed to achieving the global target of ending the AIDS epidemic by 2030 Initiation of HIV recency testing was done as innovative approaches to efficiently monitor the HIV epidemic Initiated in October 2018 in 23 health facilities in the Kigali Plan to scale up nationwide to all viral load hubs

Background Approaches used in implementing HIV recency testing: Initially centralized testing at National lab Central testing using 8 viral load hubs distributed across the country Point-of-care testing (POCT) for recency in pioneer sites (23 health facilities) Target: All sites with POCT for recency

Recency Testing Status by Month and Scale Up October 2018- May 2019

Distribution of Recent and Long-Term Infection across Rwanda

Recency Testing Status by Age Groups October 2018-May 2019

Proportion Recent Infection among Newly Diagnosed by Age group, October 2018-May 2019

Proportion Recent Among Newly Diagnosed by Age Bands and Sex Proportion Recent Among Newly Diagnosed by Age Bands and Sex*, October 2018-May 2019 15-24 (N=340) 25-34 (N=723) 35-44 (N=442) 45+ (N=269) 14 12 10 8 6 4 2 Percent (%) Recent Overall

Distribution of Sex Among Newly Diagnosed PLHIV by Recency Status, October 2018-May 2019

Distribution of Age Among Newly Diagnosed PLHIV by Recency Status, October 2018- May 2019

Distribution of Recent Cases by Age and Gender, October 2018-May 2019

Proportion Recent Infections by Province October 2018-May 2019 Eastern (N=215) Kigali (N=931) Northern (N=126) Southern (N=175) Western (N=238) Rwanda (N=1685) 4.9 9.4 4.6 12.5 4.0 9.1 Percent (%) Recent *9 cases did not have sex documented

Median Turnaround Time for Recency Testing Results

Lessons Learned Integration of HIV recency testing in routine HIV testing services is feasible Acceptability increases with program scale up Majority of people newly diagnosed have long term HIV infection Strengthen active case finding strategies to identify people in the early stage of infection Mobilize high risk populations to test for HIV as early as possible

Conclusions Recent infections disproportionately occur in: Young people: 15-24; 25-34 years Females 15-24 where risk of new infection is >3 times higher compared to males Planning of HIV prevention interventions needs to target specific populations Adolescent and young adults

Thank you!