HIV viral load point-of-care testing: the what, the whys and the wherefores

Developing countries face many challenges in achieving the UNAIDS 90:90:90 targets for HIV testing, treatment and viral load (VL) undetectability by 2020.1 Even if a high proportion of patients are diagnosed and put on antiretroviral therapy (ART), the third target requires access to VL testing. The fact is that this is not available to a high proportion of patients in resource-poor countries and most are monitored using clinical assessment or CD4 counts (if available).2 Even when the VL machinery is introduced, lack of maintenance, reagents and skilled staff means that testing is still not done.3 Some WHO member states report that 10% of VL analysers are out of action and only 36% of available capacity is being used.3

The most likely way that these problems will be overcome is by the use of HIV viral load point-of-care testing (VL-POCT).4 If this becomes…

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