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WTH INDEX TESTING CASCADE
Index testing cascade
Reporti
ng
period
Age
group
HVL,
New, IIT
#offered
index
services
#index cases
that accepted
index testing
Contact
elicited
(children)
Contact
elicited
(partners)
Tested Negative Positives Link
January
to May
2022
<14
222
0 0 109 0 58 55 3 3
>15 64 64 0 5 22 20 2 2
64 64 109 5 80 75 5 5
Index testing Challenges in WTH
Challenges recorded Intervention attempted
Distance to clinic (refuse to test in near by clinic or health facility) Continue counselling to test from near facility
Stigma & Discrimination about index testing services Continue counselling on every visit or by COVs
Busy schedules by clients (work & school) Weekend appointment tried
Wrong contacts & location given by client Data clerks & clinicians to continue updating contacts details
Fear of disclosure of status to partners, relatives, family & friends Counselling on the important of disclosure
Poor client elicitation by health care workers & knowledge gap More mentoring & on job training

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Index cascade WTH.presentation slides ptx

  • 2. Index testing cascade Reporti ng period Age group HVL, New, IIT #offered index services #index cases that accepted index testing Contact elicited (children) Contact elicited (partners) Tested Negative Positives Link January to May 2022 <14 222 0 0 109 0 58 55 3 3 >15 64 64 0 5 22 20 2 2 64 64 109 5 80 75 5 5
  • 3. Index testing Challenges in WTH Challenges recorded Intervention attempted Distance to clinic (refuse to test in near by clinic or health facility) Continue counselling to test from near facility Stigma & Discrimination about index testing services Continue counselling on every visit or by COVs Busy schedules by clients (work & school) Weekend appointment tried Wrong contacts & location given by client Data clerks & clinicians to continue updating contacts details Fear of disclosure of status to partners, relatives, family & friends Counselling on the important of disclosure Poor client elicitation by health care workers & knowledge gap More mentoring & on job training