European HIV-Hepatitis Testing Week

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1 European HIV-Hepatitis Testing Week COBATEST Network meeting Barcelona, Spain 14 May 2018 Lauren Combs, CHIP, Rigshospitalet, University of Copenhagen

2 Background The first Testing Week was launched by HIV in Europe in 2013 increase testing efforts and awareness in Europe. In 2015, hepatitis was added as a key focus disease Testing week takes place during the last week of November in 2017 with 640 participating organisations Offers partners across Europe the opportunity to unite to increase awareness and communicate the benefits of testing and reduce late diagnosis Provides a public platform on social media for participating partners to interact and create awareness on the international level

3 Why should you sign up for Testing Week? Provides an opportunity to participate in a widespread European awareness campaign Partners across Europe stand united in creating awareness for increased access to testing

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5 How to get involved in European Testing Week During ETW, partners organise their own local activities which can include: Testing activities Awareness raising and/or advocacy initiatives Engaging with HIV/HBV/HCV ambassadors or celebrities Training/capacity building Media campaigns, etc. Many partners also target their activities to increase testing efforts for key groups such as MSM, PWID, sex workers, migrants, etc.

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8 Outreach ETW activities Adhara/ Sevilla Checkpoint outreach event Spain, 2017 AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach activities Spain, 2017

9 ETW Campaign materials Promotional materials developed by Fundação Portuguesa "A Comunidade Contra a SIDA" Portugal, 2017 Promotional materials developed by LILA Lecce - Lega Italiana per la Lotta contro l'aids Italy, 2017 BCN Checkpoint poster in metro station Spain 2016 Central Public Health Institute of Public Health in Croatia poster Croatia, 2016 Cy Checkpoint, by AIDS Solidarity Movement Cyprus materials Cyprus, 2017

10 Policy level World AIDS Symposium at Klinika za Infektivne Bolesti. Clinicians, scientists, Ministry of Health representatives, civil society representatives and other established national experts involved in different aspects of HIV infection and related co-infections (e.g HCV, syphilis, etc), actively participated at this interdisciplinary symposium. Croatia, 2015 Co-President of the European Parliament intergroup on LGBTI Rights, Daniele Viotti MEP, getting tested for HIV for ETW 2017

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12 Results from European Testing Week 2017

13 ETW Evaluation All participants are asked to complete a post-etw online evaluation survey 81 multiple choice and free text questions. Indicators include: Types of activities (testing, awareness raising etc) Targeted key groups Details on testing activities (types of tests, increase in testing, linkage to care) Use of social media Satisfaction with ETW Barriers or challenges experienced.

14 ETW participants Regional distribution of participants (N=640) and respondents (N=155) by the WHO European Regions 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 58.1% 49.1% 29.0% 22.5% 21.1% 12.9% West Centre East Other 7.3% Survey respondents ETW participants Types of respondents organisation (N=155) 0% 20% 40% 60% 80% NGO/CSO (Civil society organisation) 66.5% Healthcare professional/hospital/clinic Governmental (national/regional) and other policy organisations Other 5.8% 16.1% 11.6%

15 Types of activities Awareness raising activities Testing activities Advocacy initiatives Engaging with ambassadors/celebrities Training/capacity building initiatives Policy/political activities Other 3 1 HIV HBV HCV

16 Target populations Target populations during ETW (N=146) MSM 96 People who inject drugs 60 Sex workers 50 Migrants and mobile populations 38 Prisoners 12 Patients with sexually transmitted infections 25 Pregnant women 5 General population 93 Youth 57 Immigrants originating from countries with 22 People presenting with an HIV indicator condtion Other 14 15

17 Estimated increase in testing during TW compared to the average week 0% 5% 10% 15% 20% 25% 30% 35% >200% increase 20% 27% 31% % increase 18% 23% 27% % increase 14% 11% 19% HIV HBV HCV Up to 50% increase 15% 19% 25% No increase 14% 18% 20%

18 ETW Evaluation, COBATEST and INTEGRATE JA

19 INTEGRATE Joint Action INTEGRATE JA Aim: To increase integrated early diagnosis and linkage to prevention and care of HIV, viral hepatitis, TB and STIs in EU Member States by Offers a platform to share best practices among Member States and discuss innovations and emerging issues within these four diseases Existing tools for prevention, testing and linkage to care for HIV, viral hepatitis, TB and STIs will be evaluated, adapted, extended and implemented for one or more of the four diseases in selected pilot countries

20 INTEGRATE Work Package 6 Objective 1: To identify indicators and adapt existing data collection/m&e tools (COBATEST) to assess the impact of European Testing Week related to HIV, viral hepatitis, and STIs and linkage to care Plan: To use lessons learned from existing M&E tools (from ETW and COBATEST) to improve how ETW measures impact INTEGRATE partners will pilot new tool

21 Spring European Hepatitis-HIV Testing Week Pilot As part of the work through the INTEGRATE JA and in collaboration with the European Liver Patients Association, there will be a pilot Spring European Testing Week from May 2018 Main aims of the pilot: To provide another opportunity during the year to promote testing and increase awareness of knowing one's hepatitis/hiv status Focus on integrated testing activities for hepatitis and HIV with the aim of understanding how we can improve and address barriers Assess interest and the feasibility of having more than one Testing Week during the year

22 Spring European Hepatitis-HIV Testing Week Pilot All interested organisations at the local and national levels are welcome to participate in the pilot Partners can register on the ETW website at

23 Thank you! Contact Information: Lauren Combs at For more information about Testing Week, visit: Follow us on Facebook and Twitter!

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