CD4 Testing is an Efficient Way to Get Blood Samples

Dr. Charles Kiyaga, National EID/VL and Sample Transport Coordinator at the Ugandan Ministry of Health
 

What are the challenges faced by people in remote areas when it comes to HIV/AIDS testing?

The main challenge is access. People in remote areas can be very poor, so it can be difficult for them to physically travel to the service point — and expensive, too, although the treatment itself is free in Uganda. The service points can also get overcrowded and have limited resources, so there could be lots of waiting around. They may even be told to come back another day.

Can you explain how Uganda's National Sample Transport Network has improved things?

It's based on a 'hub' and 'spoke' model, where 100 'hubs' — big health facilities with laboratory infrastructure — are connected to around 3000 'spokes', or lower health facilities via bike riders. They pick up samples from the spokes every day and bring them to the hubs for testing, and for further referral for those that cannot be tested at the hub. It has been phenomenally successful.

How important are demand generation strategies in this area?

Vital. It's one thing to set up a service —but it's quite another for it to be used by those who need it. So we have to get the message out to people in order to empower them to demand for the service. It's also important to prepare the system itself, so that it's ready and able to cope when the demand increases. 

How do you get the message out to people in remote areas?

All health facilities have patients groups which, together, create a patient network. Giving patients networks information about the service through their network creates an effective trickledown effect.
 

Download and Read the Full Case Study

FLOWC-HIV White paper trio V2 - Section 3

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CD4 Testing in Remote Areas

How Uganda is Leaving No One Behind

For over three decades, Uganda has been in the grip of a devastating HIV/AIDS epidemic. Around 1,350,000 people are currently living with HIV in the country, and there are an estimated 33 new HIV infections per day among young people between the ages of 15 and 24.

Efficient Sample Collection in Remote Areas ​

What are the challenges faced by people in remote areas when it comes to HIV/AIDS testing?
The main challenge is access. People in remote areas can be very poor, so it can be difficult for them to physically travel to the service point — and expensive, too, although the treatment itself is free in Uganda.

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