Integration of community-based testing data into national HIV surveillance in Poland, Serbia and Slovakia within the framework of INTEGRATE project
Fernández López, Laura (Institut Germans Trias i Pujol)
Baros, Sladjana (Dr Milan Jovanovic Batut". Institute of Public Health of Serbia)
Niedźwiedzka-Stadnik, Marta (Institute of Public Health of Serbia, Dr Milan Jovanovic Batut")
Staneková, Danica Valkovičová (Slovak Medical University)
Rosińska, Magdalena (National Institute of Public Health - National Institute of Hygiene (Varsòvia, Polònia))
Simic, Danijela (Dr Milan Jovanovic Batut". Institute of Public Health of Serbia)
Jovanoic, Verica (Dr Milan Jovanovic Batut". Institute of Public Health of Serbia)
Hábeková, Monika (Slovak Medical University)
Takáčová, Mária (Slovak Medical University)
Wawer, Iwona (National AIDS Centre, The agency of the Ministry of Health (Varsòvia, Polònia))
Wysocki, Piotr (National AIDS Centre , The agency of the Ministry of Health (Varsòvia, Polòni))
Conway, Anna (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Klavs, Irena (National Institute of Public Health (Ljubljana, Eslovènia))
Casabona-Barbarà, Jordi (Universitat Autònoma de Barcelona. Departament de Pediatria, d'Obstetrícia i Ginecologia i de Medicina Preventiva)

Data:	2021
Resum:	Community-based voluntary counselling and testing contributes to early HIV diagnoses among key populations. Testing data from such decentralized services is however often not standardized nor linked to national surveillance systems. This study aimed to support the integration of community testing data into respective national surveillance and monitoring and evaluation systems for those infections. We present results from three national pilots, focused on improved data collection and transfer. Within the Joint Action INTEGRATE different pilot activities were planned and implemented according to the local context. In Slovakia, standardised data collection tools were implemented in three community testing services. The data generated was used to calculate the proposed indicators. In Poland, positive test results from the community testing database were linked to the national case-based surveillance database using confirmatory test number, to improve the completeness of behavioural data in the national database. In Serbia, voluntary counselling and testing forms were improved enabling identification of community-based testing. A system to generate unique client identifiers was initiated in the National registry of HIV cases to monitor linkage to care. All three sites were able to estimate most of the agreed indicators. In Slovakia during the study period 675 people were tested for HIV, 410 for hepatitis C and 457 for syphilis, with reactivity rates of 0. 4, 2. 5 and 1. 8%, respectively. For HIV, 66. 7% of reactive cases were confirmed and linked to care. In Poland, 28. 9% of the community testing sites' records were linked to the national surveillance database (and accounted for 14. 3% of all new diagnoses registered here during 2017-2018). Reactivity rate ranged between 1. 9% and 2. 1%. In Serbia, 80 persons were tested at community sites, from which two had a reactive HIV test result. By linking unique client identifiers from voluntary counselling and testing and National Registry of HIV cases databases, linkage to care within a two-month period was observed for one of two people with reactive HIV test result. Pilot activities in the three countries demonstrate that integration of community-based testing data into surveillance systems is feasible and can help improve national surveillance data by providing key information.
Ajuts:	European Commission 761319
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	HIV infection ; Sexually transmitted infections ; Hepatitis ; Testing ; Community health services ; Surveillance ; Monitoring and evaluation
Publicat a:	BMC Infectious diseases, Vol. 21 (september 2021) , ISSN 1471-2334

DOI: 10.1186/s12879-021-06498-6
PMID: 34517839

10 p, 671.4 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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