Priorities in planning person-centred hepatitis B and C testing services: operational guide

Table of Contents

• Priorities in planning person-centred hepatitis B and C testing services 1
• Priorities in planning person-centred hepatitis B and C testing services 3
• Contents 5
• Acknowledgements 6
• Abbreviations 7
• Glossary 8
• Key messages 9
• 1. Introduction 10
• Testing is the first step in accessing hepatitis B and C prevention care and treatment services making it a critical component of national responses 11
• 2. Framework for planning person-centred hepatitis B and C testing approaches 14
• The selection and mix of hepatitis B and C testing approaches with the greatest public health impact must be based on a situational analysis 14
• A situational analysis must be data-driven as well as participatory inclusive and iterative drawing on a wide range of expertise and capturing a broad range of stakeholder views including communities 15
• This enables establishing priority populations and areas with the highest prevalence of hepatitis B or C and the largest proportion of undiagnosed cases 16
• Annexes 1 and 2 present a consolidated summary of all WHO testing recommendations for hepatitis B D and C 20
• Mobilizing and creating demand is fundamental in encouraging health care workers to offer viral hepatitis testing and for affected populations to actively seek it and accept it 22
• All hepatitis testing whether facility- or community-based or self-testing should adopt strategies to enhance uptake of testing and linkage to care 23
• Ensuring that hepatitis testing programmes are reaching their intended populations and identifying previously undiagnosed persons requires continuous monitoring and evaluation 30
• 3. Key enablers in implementing hepatitis B and C testing 31
• Every person we diagnose with hepatitis is not just someone we need to treat they are also advocates and partners in advancing our hepatitis response 32
• Access to quality-assured diagnostics is essential for planning testing strategies 33
• A systematic review demonstrated the implementation of integrated triple HIVHBVHCV testing could identify five additional cases of HBV and three additional cases of HCV for every case of HIV detected 35
• 4. Country case examples 38
• References 48
• Annex 1 50
• Annex 2 51
• Annex 3 52
• Annex 4 53
• Annex 5 54