The document discusses the pilot implementation of point-of-care CD4 counting in Mozambique's national health system, emphasizing its multi-step evaluation process for technology selection and the effectiveness of rapid tests in HIV counselling. It highlights the need for skilled training and addresses challenges such as limited human resources and patient overflow that impact access to CD4 counting. The expected outputs include improved tools for scaling up implementation and a roadmap for continuous improvement in health system culture and responsibilities at the primary care level.

1. Pilot Implementation of Point-Of-Care CD4 Counting in Mozambique’s National Health SystemIlesh V. JaniInstituto Nacional de SaúdeMaputo, Mozambique

2. AcknowledgementsMISAU

3. INS

4. CHAI

5. Provincial Health Authorities in Maputo City, Maputo Province, Gaza, Sofala and Niassa

6. Implementing Health Centres

7. Anglican Church, Niassa Province

8. MSF-Belgium

9. MSF-Switzerland

10. ARK

11. UNITAIDThe Use of Rapid Tests Allowed Dramatic Scale Up of HIV Counselling and TestingSource: Ministério da Saúde, Moçambique

12. HIV Rapid Testing – Leaps and Hiccups?Proficiency Testing Programs Show That Error Rates Are High in Some Settings% of Participating InstitutionsNumber of Participations in the EQASource: Instituto Nacional de Saúde, Moçambique

13. Mozambique’s National Health System Adopted a Multi-Step Evaluation Process for Point-Of-Care TechnologiesTechnology SelectionTechnical Evaluation(Laboratory, Field)Pilot Implementation(Site, Province)

14. How to Select Technologies to Evaluate?Description of technology and parameters

15. Type of technology (disposable, handheld, tabletop)

16. Technical Sophistication