The aim of this study is to provide information about the current HIV / AIDS epidemiology, present international declarations and strategies as well as the most relevant international and national guidelines on HIV-testing. Furthermore this study is focusing on national HIV-testing policies and strategies from 7 European countries with a comparable HIV situation, including the suitability, efficacy and efficiency of these policies. In addition specific aspects like community-based testing, self-testing, the length of the window period, partner notification or multi-disease testing are described and good practice examples from selected and additional countries presented.
The study demonstrates the complexity of challenges, the diversity of stakeholders involved and the variety of measures and initiatives in the area of HIV counselling and testing services. It also illustrates that coordinated approaches, adapted to the national health structures and local circumstances are needed. Countries need to identify evidence-based solutions suitable to their respective societal and cultural contexts. The exchange of knowledge, experiences and good practices, both nationally and internationally, will certainly be useful in the development and implementation of policies and programmes. Securing political commitment, raising public awareness as well as including innovative solutions (e.g. by using social media) are all essential to reach those who remain unaware of their HIV infection.
