Implementation of Rapid Test for HIV in Buenos Aires City: A Strategy to Facilitate Access to Timely Diagnosis

Abstract

NTRODUCTION: The timely diagnosis of HIV infection is a key strategy in the control of the epidemic. The use of rapid tests facilitates access to diagnosis at the primary care level and in spaces outside the health system. METHODS: The implementation process of the rapid test for HIV in Buenos Aires city was described, analyzing epidemiological indicators to assess the health impact. RESULTS: From the beginning of this strategy in 2012 and until 2018, the rapid test was implemented in 36 centers in the city, both in the health system and in civil society organizations. In 2014, a promotional campaign was started offering monthly testing in the public space of different neighborhoods. The number of people tested doubled in the testing centers and progressively increased in public hospital laboratories, with a decrease in the proportion of diagnoses in symptomatic stages. CONCLUSIONS: The implementation of the rapid test for the diagnosis of HIV in Buenos Aires city shows a successful model of offer of provision at the points of care, that facilitates access to screening and that can be extended for the diagnosis and treatment of other sexually transmitted infections