Seminar #16C

Launch of HIV Viral Load Scale-up Tools

Hosted by: US CDC

No invitations necessary; open to all conference registrants

Sunday, 4 December
CTICC room location: 1.61-1.62

Ministries of Health Officials, clinicians, laboratorians, implementing partners, program managers, stakeholders, and donors

Several countries are at different stages of scaling up HIV viral load testing and uptake of results for patient management. Viral load testing is the goal standard and the most effect method for monitoring of people on antiretroviral therapy (ART) living with HIV. For countries to achieve the UNAIDS target of 90% viral suppression of patients on ART, increased access to viral load testing and utilization of results for patient management with adherence counselling would be critical. Several barriers to access and uptake of HIV viral load results have been identified within the pre-analytical, analytical and post analytical phase of the viral load cascade and include weaknesses in demand creation, sample referral systems, procurement, optimization of testing capacity, return and uptake of results, and monitoring and evaluation of the cascade for improvements.

Recognizing these barriers to viral load scale up, a group of partners and stakeholders (World Health Organization, African Society for Laboratory Medicine, US Centers for Disease Control and Prevention, United States Agency for International Development, Clinton Health Access Initiative, Médecins Sans Frontières, Global Fund) convened, identified and developed tools that would assist programs in scaling up viral load testing and uptake of results. The tools include

  • Clinician and Laboratorian Training Tool
  • Guidance for Developing a Specimen Transport and Referral System for Viral Load and Infant Virologic HIV Diagnosis Testing
  • Costing Framework Tool
  • Inventory and Forecasting Tool
  • Monitoring and Evaluation Framework for Viral Load Scale-Up and Implementation

To advocate and share specific tools to assist countries overcome barriers and scale up viral load testing and uptake of results


  • Dr. Peter Fonjungo, Centers for Disease Control and Prevention
  • Dr. Trevor Peter, Clinton Health Access Initiative