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Table 1 Summary of the pilot actions and the main outcomes assessed

From: Recommendations for collection and integration of community-based testing and linkage to care data into national surveillance, monitoring and evaluation systems for HIV, viral hepatitis and sexually transmitted infections: results from the INTEGRATE Joint Action

Countries

Participating CBVCT sites /total number of CBVCT sites

Testing of different diseases

Pilot actions

Main outcomes assessed

Estonia

6/6

HIV

Develop a time efficient way to include HIV rapid testing data from VCTs and CBVCTs/outreach activities into the annual national surveillance report

Analyse the 2010–2018 CBVCT HIV rapid testing data and write a report/submit an abstract

Making HIV self-testing available at CBVCT sites, and to provide further training for CBVCT personnel on how to counsel clients to use HIV self-testing kits and how to collect data

VCT and CBVCT data added to annual national HIV surveillance report

Aggregated data published in the annual national HIV surveillance report

Number of HIV tests performed at anonymous HIV testing sites in 2010–2018

CBVCT data during in 2012–2018 analyzed

Poland

30/30

HIV

Linkage of positive test results from community testing database to the national case-based surveillance database using confirmatory test number

To include testing for Syphilis and HCV in the electronic data collection system for CBVCT services

Integration of VCT database with HIV case-based surveillance system linking cases by Western Blot number, VCT number and other variables, reducing missing data from HIV surveillance (gender, nationality, age, transmission route)

VCT data was integrated into national surveillance report

No collection of information on testing for HCV and Syphilis in VCT

In August 2019—National Aids Centre’s mandate was extended from HIV/AIDS to STI’s prevention, allowing the collection of STI testing from VCT in the future

Serbia

2/7

HIV

Improvement of voluntary counselling and testing forms to enable identification of community-based testing

Use of unique client identifier to monitor linkage to care

Most of the key indicators for HIV were obtained

M&E data linked with surveillance data (HIV registry) for those preliminary reactive which are confirmed as HIV positive (and linked to care)

Developing a system for automatic personal data coding in HIV registry, in line with Unique Identifier used for online VCT database

Matching Unique Identifiers of HIV positive cases in VCT database with HIV register

Slovakia

3/4

HIV, Syphilis, HCV

To implement standardised data collection tools in the CBVCT services, as most of them are not using a questionnaire

Discussions and meetings with epidemiologist, stakeholders, National AIDS Committee to discuss about the needs to integrate minimal set of indicators to Epidemiological Information System

Most of key indicators for HIV, Syphilis and HCV were obtained

HIV epidemiological reporting system was extended to minimum set of indicators for NGOs

Information about HIV-positive persons with first HIV-reactive in NGO was added into Epidemiological Information System

Data was included in the yearly National AIDS programme report and also in the National infection disease control Action plans

Slovenia

1/1

HIV, Syphilis, HCV, HVB, Gonorrhoea

Agreement reached between Legebitra (CBVCT service for MSM) and NIJZ:

on the list of core testing M&E indicators

on the mode for data submission from Legebitra to NIJZ

Testing & linkage to health care data for HIV, STIs, HBV and HCV available at Legebitra has been integrated into the national surveillance and M&E system

After 2019, Legebitra will submit the estimates for the agreed core testing M&E indicators to NIJZ annually

These results will be included in respective annual reports published by NIJZ

Spain

12/12

HIV, syphilis

Integration of HCV testing for HIV seronegative MSM/trans at high risk into the existing CBVCT Network in Catalonia

Implementation of a risk assessment tool

HCV testing and risk assessment questionnaire added to data collection tool

To promote a national network of CBVCT services in Spain

Most of key indicators for HIV, Syphilis and HCV were obtained

At Catalonia level there was involvement of all key stakeholders (CBVCT services, CEEISCAT, ASPCAT) but not at national level. In-person meetings with ministry are still needed