1. Maximizing Targeted Testing to Improve HIV Yield Among Children and Adolescents in Rwenzori Region, Uganda
Authors: Harriet Bitimwine1, Fiona Musiime1, Ajuna Patrick1, Patricia Nahirya-Ntege1, Paul Tumbu1, Adeodata Kekitiinwa1 1Baylor College of Medicine Children’s Foundation-Uganda

2. Conflict of Interest
No conflict of interest to declare

3. Country Context
The National Paed (< 15 years) ART coverage was 32%, compared to 52% for adults by June 2015
Partly attributed to low identification & linkage of HIV infected children and adolescents into care

4. Country Context
HIV Positivity among adolscents10-19yrs was 1.9% (2013 Adolescent survey)
HIV Positivity among children less than 15 years (0.7%) and adolescents (1%)(DHIS2, Sept. 2015)

5. Background
Baylor-Uganda implemented targeted HIV Testing Services (HTS) models for children and adolescents (18mos -19yrs) from Mar-June 2016,
HTS models were aimed at improving HIV testing yield.
Implementation would be critical to improving our ability to close the gap in the first 90 and link clients to treatment.
Thus closing the HIV treatment gap among children and adolescents in the Rwenzori region.

6. From these HTS models, we determined the HIV yield.
Methods
The 4 HTS models implemented included:
HTS Outreaches: Targeting Orphans & Vulnerable Children (OVC) at dwelling homes, remand homes and orphanages
Know Your Child Status (KYCS) Campaigns: Targeting children of index clients
Targeted HTS Outreaches: Targeting children of Female Sex Workers (FSWs), Fisher Folks (FFs) and Tea Plantation Workers
Evening HTS: Targeting adolescents offering Health Facility based HTS provided within Outpatient Department between 5-7pm
From these HTS models, we determined the HIV yield.

7. Results

8. Children and Adolescents Tested for HIV
Of the 4,091 children and adolescents tested, 2,135 (52%) were females & 2,030 (50%) adolescents

9. Children and Adolescents Tested Through the Different HTS Models

10. Adolescents Tested Through the Different Models

11. Proportion Tested Through the Different HTS Models who were Adolescents

12. HIV Yield Across Different Age Groups
HIV yield among children < 15 yrs was 1.1%, 1.5% for adols and 1.3% for all age groups combined.

13. HIV Yield by HTS Model

14. HIV Yield by HTS Model & Sex

15. Conclusion
The National Paediatric and Adolescent HIV Testing program could benefit from scaling down implementation of:
Targeted HTS outreaches to children of Tea Plantation Workers
KYCS campaigns

16. Conclusion
And better relocate resources to higher risk HTS target groups thru:
HTS for children at OVC dwelling homes
HTS for children of FSWs and Fisher Folks
Evening (Flexi-time) HTS for adolescents

17. Acknowledgements

18. Thank you! Any Questions? Harriet Bitimwine