Consolidated guidelines on HIV testing services

Overview
These consolidated guidelines on HIV testing services (HTS) bring together existing and new guidance on HTS across different settings and populations.
In this guideline, WHO updates recommendation on HIV self-testing (HIVST) and provides new recommendations on social network-based HIV testing approaches and western blotting. This guideline seeks to provide support to Member States, programme managers, health workers and other stakeholders seeking to achieve national and international goals to end the HIV epidemic as a public health threat by 2030.
These guidelines also provide operational guidance on HTS demand creation and messaging; implementation considerations for priority populations; HIV testing strategies for diagnosis HIV; optimizing the use of dual HIV/syphilis rapid diagnostic tests; and considerations for strategic planning and rationalizing resources such as optimal time points for maternal retesting.
Related policy briefs
- Consolidated guidelines on HIV testing services for a changing epidemic
- WHO recommends countries move away from the use of western blotting and line immunoassays in HIV testing strategies and algorithms
- WHO recommends social network-based HIV testing approaches for key populations as part of partner services package
- Dual HIV/syphilis rapid diagnostic tests can be used as the first test in antenatal care
- WHO recommends HIV self-testing – evidence update and considerations for success
- What works for generating demand for HIV testing services
- WHO encourages countries to adapt HIV testing strategies in response to changing epidemic
Web annexes
- Annex A - GRADE Table: Which demand creation approaches are effective for increasing uptake of HIV testing and onward linkage to prevention, treatment and care? (PDF, 654 KB)
- Annex B - GRADE Table: Should HIV self-testing be offered as an additional HIV testing approach? (PDF, 619 KB)
- Annex C - GRADE Table: Should social network-based approaches be offered as an additional HIV testing approach for key populations and their contacts? (PDF, 437 KB)
- Annex D - GRADE Table: Should western blotting and line immunoassays be used in national testing strategies and algorithms? (PDF, 665 KB)
- Annex E - Abstract: Performance of HIV testing strategies: considerations for global guideline development (PDF, 299 KB)
- Annex F - Abstract: Modelling the cost-effectiveness of maternal HIV retesting in high- and low-HIV burden settings (PDF, 388 KB)
- Annex G - Abstract: Modelling the cost-effectiveness of using HIV/syphilis dual tests in antenatal care in high and low HIV burden settings (PDF, 240 KB)
- Annex H - Considerations for monitoring HIV testing services programmes (PDF, 253 KB)
- Annex I - In vitro diagnostics for HIV diagnosis (PDF, 313 KB)
- Annex J- Ensuring the quality of HIV testing services (PDF, 276 KB)
- Annex K - Global examples of HIV testing services (PDF, 1.7 MB)
- Annex L - Symptom and risk-based screening to optimize HIV testing services: a scoping review (PDF, 727 KB)