Balancing HIV testing efficiency with HIV case-identification among children and adolescents (2-19 years) using an HIV risk screening approach in Tanzania.
- Gretchen Antelman
- Michelle M Gill
- Ola Jahanpour
- Roland van de Ven
- Catherine Kahabuka
- Asheri Barankana
- Sharon Lwezaura
- Naftali Ngondi
- Alison Koler
- Peris Urasa
- Rhoderick Machekano
DOIAbstract
To optimize HIV testing resources, programs are moving away from universal testing strategies toward a risk-based screening approach to testing children/adolescents, but there is little consensus around what defines an optimal risk screening tool. This study aimed to validate a 12-item risk screening tool among children and adolescents and provide suggested fewer-item tool options for screening both facility out-patient and community populations by age strata (<10 and ≥10 years). Children/adolescents (2-19 years) with unknown HIV status were recruited from a community-based vulnerable children program and health facilities in 5 regions of Tanzania in 2019. Lay workers administered the screening questions to caregivers/adolescents; nurses en...
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