CDC HIVST Mtg Seattle WA RM MO

1. Michele Owen PhD
Robin MacGowan MPH
Status and Future for HIV ST
Bill & Melinda Gates Foundation
500 Fifth Ave N, Seattle
February, 2015
HIV Self-testing
US Perspective and Projects
The findings and conclusions are those of the author and do not necessarily represent the official position of the
Centers for Disease Control and Prevention

2. CDC Domestic Overview
• HIV self-testing potential benefits
– Individuals who would not otherwise test
– Individuals with multiple high risk exposures
• Challenges
– Current technology
• People who self-test must understand the limitations of the test
• Cost
– Quality control/assurance
– Surveillance
– Counseling and linkage to care
• Self-test research/projects
The findings and conclusions are those of the author and do not necessarily represent the official position of the
Centers for Disease Control and Prevention

3. Evaluation of Rapid HIV Self Testing Among Men who have Sex with Men
(MSM) in High Prevalence Cities. “eSTAMP” (Research)
• To evaluate the public health benefit of distributing rapid HIV tests for “at-
home” use by MSM recruited via the internet.
• Tests: OraQuick, Sure Check & Dried Blood Spot Card.
• Four part study:
• 1) Focus Groups, In-depth Int. – assess contractor developed materials;
• 2) Observed testing – proficiency;
• 3) Field Performance – N=850;
• 4) RCT (3200 Neg /Unk – 12 months) & Distribution (150 Pos – 3
months)
MSM Testing Initiative. “MTI” (Program)
• To identify at least 3,000 unrecognized HIV infections among MSM and link
them into medical care < 90 days
• Five recruitment strategies, 1 used Home Access testing: Itestathome.org
• April 2014 through February 2015
• Recruitment via palm cards distributed at venues and via FaceBook
• Home Access (DBS) test kit shipped to eligible men (N=500; Prevalence 2%)