RTQII - Indicator Reporting


Between 2004 and 2012, over 159 million HTC sessions were provided with PEPFAR support using HIV rapid tests (RT). Working towards the elimination of new HIV infections under PEPFAR's Combination HIV Prevention strategy will require increasing access to and uptake of HTC and emphasizing efforts to ensure the accuracy of HIV testing. In support of these efforts, the Laboratory, HTC and PMTCT TWGs collectively proposed an HIV Rapid Testing Quality Improvement Initiative (RTQII), which has been approved by Ambassador Goosby. The RTQII aims to ensure the quality of HIV rapid testing and expand upon current in-country HIV rapid testing quality improvement work.

The RTQII is comprised of the following five key action areas:

  1. Policy Engagement Create an enabling framework for policy development
  2. Human Resource Increase cadres of qualified testers through training and certification
  3. Proficiency Testing Programs Increase uptake and coverage and demonstrate impact
  4. Standardized RegisterData Collection Tools Increase uptake and coverage and demonstrate impact Monitor the quality of testing
  5. Post Market Surveillance Monitor the quality of new kit lotstest Kits

All seven selected countries, like all PEPFAR-supported ones, are presently implementing to some extent the different focused areas identified by this Initiative. However, because of inadequate engagements at national levels, insufficient resource allocations, coverage and consistency in rolling out quality assurance has been challenging. To this end, the RTQII will help synergize and leverage existing country resources and ensure long-term sustainability of the quality of HIV testing.

The RTQII indicators are developed to help monitor the implementation of activities and to demonstrate progress in strengthening country capacity to improve the quality of HIV testing. These indicators will help assess processes, outcomes and impact. They may not satisfy every country need and may not be designed to provide information on all aspect of the HTC program in country-specific settings. However, they can be adapted at the country-level to assess the impact of overall efforts geared toward improving the quality of HIV testing.

These indicators have been developed collectively by PEPFAR interagency technical working groups (Laboratory, HTC and PMTCT).