The document discusses expanding access to HIV testing and diagnosis options in Brazil to promote equality and universal access. It outlines the evolution of HIV diagnostic technologies from 1986 to the present, including the development of home sample collection kits, point-of-care rapid tests, and oral fluid tests. Most recently, the Brazilian Ministry of Health proposed allowing the sale of HIV self-test kits in drugstores to further increase testing rates as part of efforts to achieve the UNAIDS 90-90-90 goals of diagnosing and treating people with HIV.

1. Coordination of Laboratory
Department of IST, Aids and Viral Hepatitis (DDAHV)
Health Surveillance Secretariat (SVS)
Ministry of Health
miriam.franchini@aids.gov.br
July 18th, 2015
Self testing:
adding diagnostic options to
ensure equity

2. Our goal:
Universal access
Equality not only
on COVERAGE
and
DISPONIBILITY
of quality
services, but
also in the
ACCESS of these
services.
Equality Justice

3. Evolution of HIV Diagnostics
2015
1986
2002
1996
First proposals of
collection kits for
HIV home testing
in USA.
The FDA approved
two home sample
collection kits for
HIV
FDA approved
the first point-
of-care HIV
test.
2005
Brazilian Ministry of
Health starts using
POC rapid tests for HIV
diagnosis.
2012
Approval of the
first HIV self
test kits in
USA.
2013
2014
Distribution of POC
oral fluid tests to
NGO in Brazil.
United Kingdom legalizes
the sale of self test kits.
Other countries plan to adopt
self test kits.
The Time is Now:
testing makes us
stronger.
Department of IST, Aids
e Viral Hepatitis
proposes to Anvisa the
self test sale in Brazil
UNAIDS proposes self testing as
an strategy for achieving the
90/90/90 goal.

4. The time is now
Testing makes us stronger

5. HIV self test sale in Brazil
• HIV self test sale in drugstores
• Public consultation in Anvisa: http://portal.anvisa.gov.br/
 Deadline: mid August, 2015
• Approval for HIV self test sale in drugstores
 Deadline: September, 2015