Ryan White and HIV Testing Day
Ryan White and HIV Testing Day
The proportion of HIV-infected individuals who know their status has improved in recent years, demonstrating progress toward objectives set forth in the National HIV/AIDS Strategy and Continuum of Care Initiative, both of which include the goal of expanded testing to reduce further transmission and link infected individuals to life-saving HIV/AIDS care. Being on treatment has the added value of serving as a prevention strategy as individuals whose virus is fully suppressed are highly unlikely to transmit infection to others (see the below video on the Treatment Cascade and an earlier 2010 Ryan White video, Test and Treat).
Despite the progress, gaps remain. According to CDC, approximately 16% of infected individuals remain unaware of their status and thus are not benefiting from antiretroviral treatment. About half of the 50,000 new HIV/AIDS infections occurring each year are by individuals who do not know they are infected.
HIV Testing Day is June 27, 2014.
Below are resources to support Ryan White and other agencies in expanding their HIV/AIDS counseling and testing efforts.
Policies Support HIV Testing
Care agencies, including HIV/AIDS programs, have policy flexibility and technical resources to help them expand HIV testing in order to identify infected individuals and engage them in care. The need to do so remains great. Below are highlights:
- Health Care Reform and HIV Testing. In April 2013, the U.S. Preventive Services Task Force (USPSTF) issued recommendations that assigned an “A” rating to routine HIV testing for all adolescents and adults ages 15 through 65. The new rating means that routine HIV screening is now defined as one of the preventive services under the Essential Health Benefits (EHB) package that must be included in all new group and individual plans under the Affordable Care Act (ACA).
- HRSA/HAB Policy Guidance. Ryan White agencies can turn to guidance from HRSA on use of Ryan White funds for HIV counseling of testing. Such guidance comes in the form of Funding Opportunity Announcements (FOAs) for grantees along with Ryan White policies and letters. They include Use of Ryan White HIV/AIDS Program Funds for HIV Diagnostics and Laboratory Tests, 07-02 and a 2/25/13 HRSA/CDC letter clarifying testing and the timely linkage to care for individuals who have received an initial positive test result.
HIV Testing Technical Resources
Ryan White agencies can find a wealth of resources on the TARGET Center’s HIV Counseling and Testing topic page to guide them in carrying out testing in the care setting. Highlights include:
- Testing and Assessment in the HRSA/HAB Guide for HIV/AIDS Clinical Care. Chapters cover testing in the context of, for example, initial intake and evaluation and rapid testing.
- Testing Resources for Clinicians. The AETC National Resource Center has a topic page with a collection of clinician training materials (e.g., curricula, fact sheets, patient education materials).
- Clinician HIV Screening/Testing and Email Consultation. The Ryan White Clinician Consultation Center (CCC), part of the HRSA AETC clinical training network, provides consultation on HIV care and testing, including an email consultation service.
- Jail: Time for Testing. This guide explains how to implement an opt-out HIV testing program in a jail setting.
- HRSA Grantees: Key Players in HIV Testing, June 24, 2013 Webcast