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Table 2 Access to HIV testing and counseling among key populations

From: HIV service delivery models towards ‘Zero AIDS-related Deaths’: a collaborative case study of 6 Asia and Pacific countries

 

Cambodia

Myanmar

Nepal

PNG

Thailand

Vietnam

Service availability

      

Geographical areas of out-reach services*

46 districts for FSWs, 33 districts for MSM, 1 city for PWID

(Districts covered by NGOs for PWID and FSWs)

(For PWID, FSWs, MSM, TG and migrants)

National Capital District and Madang.

All districts

More than half of total districts for PWID and FSWs.

Total no. of VCT sites*

246

480

204

411

1316

272

Provinces with VCT sites*

24/24 provinces

14/14 provinces

14/14 zones

20/20 provinces

76/76 provinces

63/63 provinces

Districts with VCT sites*

77/77 districts

212/325 townships

75/75 districts

89/89 districts

878/878 districts

175/697 districts

VCT sites at lower than district (township) level*

166/997 health centers

Few

Few

121

Few

Few

Districts with VCT sites (%)*

100 (77/77 districts)

65 (212/325 townships)

100 (75/75 districts)

100 (89/89 districts)

100 (878/878 districts)

25 (175/697 districts)

Linking approach

      

Approaches to accelerate access to testing and counseling and referrals to care among key populations*

−Peer educators refer key populations to VCT

−Peer educators refer key populations to VCT

−Peer educators refer key populations to VCT

−Peer educators refer key populations to VCT

−Peer educators refer key populations to VCT

−Peer educators refer key populations to VCT.

−OST sites refer PWID to VCT

−OST sites refer PWID to VCT

−OST sites and drug treatment and rehabilitation centers refer PWID to VCT

 

−OST sites refer PWID to VCT

−OST sites refer PWID to VCT

−On-site HIV testing initiated in hot spots for FSWs and MSM

−Drop-in centers refer key populations to VCT

−Drop-in centers refer key populations to VCT

 

−Drop-in centers refer key populations to VCT.

−Drop-in centers refer key populations to VCT

Performance monitoring

      

HIV testing coverage among key populations (%)**

      

FSW

81.5 (2010)

71.1 (2008)

54.6 (2011)

46.4 (2010)

50.4 (2010)

43.8 (2011)

MSM

34.0 (2010)

47.6 (2009)

42.0 (2009)

55.8 (2010)

29.2 (2010)

30.2 (2011)

PWID

35.3 (2007)

27.3 (2008)

21.4 (2011)

Not available

40.8 (2010)

29.1 (2011)

  1. Source: *National HIV programs of 6 countries as of 2010, **AIDS Progress Report 2012 of Cambodia [19], Myanmar [20], Nepal [21], PNG [22], Thailand [23], Vietnam [24].
  2. Remark: Province refers to the health administration, one level higher than so called district. District refers to the health administration level with the first referral-hospital (Operational district in Cambodia, Township in Myanmar, District in Nepal, PNG, Thailand, and Vietnam).
  3. FSW: Female sex worker, MSM: Men having sex with men, PWID: People who inject drugs, TG: Transgender persons, OST: Opioid substitution therapy, VCT: Voluntary testing and counselling, CHBC: Community- and home-based care.