Evidence map›Paper›PMID 28057054›Full record

ArticleBMC research notes2017

Can trained lay providers perform HIV testing services? A review of national HIV testing policies.

David E Flynn, Cheryl Johnson, Anita Sands, Vincent Wong, Carmen Figueroa, Rachel Baggaley

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

David E FlynnGriffith University School of Medicine, Griffith University, Gold Coast, QLD, Australia. deflynn75@gmail.com.
Cheryl JohnsonHIV Department, World Health Organization (WHO), Geneva, Switzerland.
Anita SandsEssential Medicines and Health Products, World Health Organization (WHO), Geneva, Switzerland.
Vincent WongGlobal Health Bureau: Office of HIV/AIDS, United States Agency for International Development (USAID), Washington, DC, USA.
Carmen FigueroaHIV Department, World Health Organization (WHO), Geneva, Switzerland.
Rachel BaggaleyHIV Department, World Health Organization (WHO), Geneva, Switzerland.
World Health Organization · CHLandcare Australia · AUUnited States Agency for International Development · US

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundOnly an estimated 54% of people living with HIV are aware of their status. Despite progress scaling up HIV testing services (HTS), a testing gap remains. Delivery of HTS by lay providers may help close this testing gap, while also increasing uptake and acceptability of HIV testing among key populations and other priority groups.

methods50 National HIV testing policies were collated from WHO country intelligence databases, contacts and testing program websites. Data regarding lay provider use for HTS was extracted and collated. Our search had no geographical or language restrictions. This data was then compared with reported data from the Global AIDS Response Progress Reporting (GARPR) from July 2015.

resultsForty-two percent of countries permit lay providers to perform HIV testing and 56% permit lay providers to administer pre-and post-test counseling. Comparative analysis with GARPR found that less than half (46%) of reported data from countries were consistent with their corresponding national HIV testing policy.

conclusionsGiven the low uptake of lay provider use globally and their proven use in increasing HIV testing, countries should consider revising policies to support lay provider testing using rapid diagnostic tests.

Indexed as

Community Health WorkersCounselingDiagnostic Tests, RoutineGeographyHealth PolicyHIV InfectionsHIV SeropositivityHumansInternationalityMass ScreeningProfessional-Patient RelationsTruth DisclosureCommunity health workersHIV policyHIV testingLay providers

Identifiers

PMID28057054
PMCPMC5216526
OpenAlexW2564979869

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.