HIV Viral Load Scale up Tools


Photo credit: Sydelle Willow Smith

Photo credit: Sydelle Willow Smith

Several countries are at different stages of scaling up HIV viral load testing and uptake of results for patient management. Viral load testing is the gold standard and the most effective method for monitoring of people on antiretroviral therapy (ART) living with HIV. For countries to achieve the UNAIDS target of 90% viral suppression of patients on ART, increased access to viral load testing and utilization of results for patient management with adherence counselling would be critical for monitoring patients. Several barriers to access and uptake of HIV viral load results have been identified within the pre-analytical, analytical and post analytical phase of the viral load cascade and include weaknesses in demand creation, sample referral systems, procurement, optimization of testing capacity, return and uptake of results, and monitoring and evaluation of the cascade for improvements.

Recognizing these barriers to viral load scale up, a group of partners and stakeholders (World Health Organization, African Society for Laboratory Medicine, Centers for Disease Control and Prevention, United States Agency for International Development, Clinton Health Access Initiative, Médecins Sans Frontières, Global Fund, Riders for Health, Clinical Laboratory Standards Institute) convened, identified and developed tools that would assist programs in scaling up viral load testing and uptake of results.

Videos About:

Collection of Dried Blood Spot (DBS) specimen for Viral Load (VL) testing

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Early Infant Diagnosis (EID) through Dried Blood Spot (DBS) collection

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Viral Load Scale up Tools

Module 1 – Background
– Background (PPT)
Module 2 – Implementing the Viral Load Algorithm
– Implementing the Viral Load Algorithm(PPT)
Module 3 – Ensuring Specimen Integrity for Viral Load Testing
– Ensuring Specimen Integrity for Viral Load Testing(PPT)
Module 4 – Lab quality and efficiency
– Lab quality and efficiency(PPT)
Module 5 – Patient Education
– Patient Education(PPT)
Module 6 – Enhanced Adherence Counseling
– Enhanced Adherence Counseling(PPT)

Viral Load Cascade Self-Assessment Scorecard and User Guide                                 Download User Guide                                                                                                    Download Scorecard

Guidance for Developing a Specimen Transport and Referral System for Viral Load and Infant Virologic HIV Diagnosis Testing                                                                             Download

Costing Framework Tool

Costing Model for Viral Load and CD4 Testing Transition
User Guide: Costing Model for CD4 and Viral Load Transition
Costing Module for CD4 and Viral Load Transition(XLS)

Monitoring and Evaluation Framework for Viral Load Scale-Up and Implementation Download

HIV Viral Load and Early Infant Diagnosis Scorecard                                                  Download

LARC Workbook – June 2018 LabCoP ECHO Session Resource                                   Download