HIV: Undetectable Campaign Publications & Resources

Report- Making Viral Load RoutineVolume 8 - Making Viral Load Routine

From 2013-2016 the UNITAID-funded MSF HIV viral load initiative has supported the scale-up of viral load testing in seven countries performing almost 320,000 viral load tests. The three years of implementation have seen both laboratory and programmatic strategies developed to enhance the uptake of routine viral load. Success withstanding, significant challenges still remain. 'Making viral load routine' aims to share practical lessons from the field with Ministries of Health and implementing partners.
Release date: July 2016

Volume 7 - Undetectable 7 - Putting HIV and HCV to the Test: A Product Guide for Point-of-Care CD4 and Laboratory-Based and Point-of-Care Virological HIV and HCV Tests.

This report is a guide for policymakers, treatment providers and advocates interested in learning more about laboratory-based and point-of-care virological HIV and hepatitis C (HCV), and point-of-care CD4, diagnostic and monitoring tests.
Release date: July 2015

Previous titles in the Undetectable series:

Volume 6 - Undetectable 6 - Achieving Undetectable: What questions remain in scaling-up HIV virologic treatment monitoring?

This issue brief looks at which questions remain in the further scale up of viral load testing in developing countries and addresses the barriers that are preventing the broad scale-up of viral load testing on the ground. In highlighting these questions, MSF looks at the best practices and lessons learnt, including from its own implementation of viral load monitoring in MSF HIV treatment programmes.
Release date: November 2014


Volume 5 - Getting to Undetectable: Usage of HIV Viral Load Monitoring in Five Countries

This issue brief looks at the  in-country market dynamics that serve to drive the demand for viral load tests—a topic which is not well understood. The brief includes top-line findings from an in-depth qualitative survey in five countries – India, Kenya, Malawi, South Africa and Zimbabwe – on the current state of CD4, infant diagnostic and viral load testing, along with future scale-up plans and barriers to implementation.
Release date: July 2014


Volume 4 - HIV status? Undetectable:  Four essential interventions to improve HIV treatment, save lives and reduce transmission.

This issue brief uses MSF’s experience to illustrate how prioritising four interventions – earlier treatment, viral load monitoring, enhanced adherence support and increased rollout of community-based models of care – can help reach more people with treatment, helping them remain in care and attain and maintain undetectable viral load.
Release date: December 2013


Volume 3 - How low can we go? Pricing for HIV viral load testing in low- and middle- income countries

This issue brief looks at how price reductions, strategies of specimen collection, the technique of  pooling blood samples, and new point-of-care technologies are making it possible to implement viral load monitoring in resource-limited settings.
Release date: December 2013



Volume 2 - Putting HIV Treatment to the Test

This report looks at issues of implementing routine viral load monitoring in resource-limited settings, and the barriers to its scale-up, including the cost and complexity of current viral load and point-of-care CD4 diagnostic tests for developing countries.
Release date: July 2013




Volume 1 - Undetectable: How Viral Load Monitoring Can Improve HIV Treatment in Developing Countries

This report seeks to identify steps to improving access to viral load testing in resource-limited settings, by assessing the current state of implementation in  developingcountries.  It explores how to overcome technical barriers with products in the pipeline, defines the ideal specifications of a viral load test for resource-limited settings, and identifies strategies to overcome market barriers in order to make viral load monitoring more affordable.
Release date: July 2012

Viral Load Toolkit from MSF's Southern Africa Medical Unit
An implementer's guide to introducing HIV viral load monitoring



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