ArticleBulletin of the World Health Organization2016
Point-of-care HIV tests done by peers, Brazil.
Article in Bulletin of the World Health Organization, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- The Prevalence of HIV Among Men Who Have Sex With Men (MSM) and Young MSM in Latin America and the Caribbean: A Systematic Review.AIDS and behavior · 2021Pooled it
- Peer-Led Adjunctive Interventions for Increasing the Reach of HIV Prevention and Care Interventions to Latino/x/e Men Who Have Sex with Men: a Scoping Review.Current HIV/AIDS reports · 2025Article
- Geographical Access to Point-of-care diagnostic tests for diabetes, anaemia, Hepatitis B, and human immunodeficiency virus in the Bono Region, Ghana.BMC health services research · 2024Article
- Peer-based interventions to support transgender and gender diverse people's health and healthcare access: A scoping review.International journal of transgender health · 2024Article
- Mapping projects for expanding rapid HIV testing in key populations, Brazil, 2004-2021.Cadernos de saude publica · 2024Article
- Individual level peer interventions for gay and bisexual men who have sex with men between 2000 and 2020: A scoping review.PloS one · 2022Article
- HIV incidence estimates by sex and age group in the population aged 15 years or over, Brazil, 1986-2018.Revista da Sociedade Brasileira de Medicina Tropical · 2022Article
- Feasibility and Acceptability of a Behavioral Group Support Intervention Among Transgender Women: A Sexual and Mental Health Mixed-Methods Pilot Study in Beirut, Lebanon.AIDS education and prevention : official publication of the International Society for AIDS Education · 2019Article
- Ending the HIV/AIDS epidemic in low- and middle-income countries by 2030: is it possible?F1000Research · 2016Review
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
problemEarly diagnosis of infections with human immunodeficiency virus (HIV) is needed - especially among key populations such as sex workers, transgender people, men who have sex with men and people who use drugs. APPROACH: The Brazilian Ministry of Health developed a strategy called Viva Melhor Sabendo ("live better knowing") to increase HIV testing among key populations. In partnership with nongovernmental organizations (NGOs), a peer point-of-care testing intervention, using an oral fluid rapid test, was introduced at social venues for key populations at different times of the day. LOCAL
settingKey populations in Brazil can have 40 times higher HIV prevalence than the general population (14.8% versus 0.4%). RELEVANT CHANGES: Legislation was reinterpreted, so that oral fluid rapid tests could be administered by any person trained in rapid testing by the health ministry. Between January 2014 and March 2015, 29 723 oral fluid tests were administered; 791 (2.7%) were positive. Among the key populations, transgender people had the greatest proportion of positive results (10.7%; 172/1612), followed by men who declared themselves as commercial sex workers (8.7%; 165/1889) and men who have sex with men (4.8%; 292/6055). LESSONS LEARNT: The strategy improved access to HIV testing. Testing done by peers at times and locations suitable for key populations increased acceptance of testing. Working with relevant NGOs is a useful approach when reaching out to these key populations.
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