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www.testingweek.eu www.hiveurope.eu European HIV-Hepatitis Testing Week COBATEST Network meeting Barcelona, Spain 14 May 2018 Lauren Combs, CHIP, Rigshospitalet, University of Copenhagen

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Page 1: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

European HIV-Hepatitis Testing Week

COBATEST Network meeting

Barcelona, Spain

14 May 2018

Lauren Combs, CHIP, Rigshospitalet, University of

Copenhagen

Page 2: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Background • The first Testing Week was launched by HIV in

Europe in 2013 increase testing efforts and awareness in Europe. In 2015, hepatitis was added as a key focus disease

• Testing week takes place during the last week of November – in 2017 with 640 participating organisations

• Offers partners across Europe the opportunity to unite to increase awareness and communicate the benefits of testing and reduce late diagnosis

• Provides a public platform on social media for participating partners to interact and create awareness on the international level

Page 3: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Why should you sign up for Testing Week?

• Provides an opportunity to participate in a widespread European awareness campaign

• Partners across Europe stand united in creating awareness for increased access to testing

Page 4: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Page 5: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

How to get involved in European Testing Week

• During ETW, partners organise their own local activities which can include: • Testing activities

• Awareness raising and/or advocacy initiatives

• Engaging with HIV/HBV/HCV ambassadors or celebrities

• Training/capacity building

• Media campaigns, etc.

• Many partners also target their activities to increase testing efforts for key groups such as MSM, PWID, sex workers, migrants, etc.

Page 6: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Page 7: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Page 8: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Outreach ETW activities

Adhara/ Sevilla Checkpoint

outreach event

Spain, 2017

AHF Ukraine outreach event

Ukraine, 2017

Cy

Checkpoint,

by AIDS

Solidarity

Movement

Cyprus

outreach

event

Cyprus, 2017

Apoyo Positivo

outreach activities

Spain, 2017

Page 9: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

ETW Campaign materials

Promotional materials developed by Fundação

Portuguesa "A Comunidade Contra a SIDA"

Portugal, 2017

BCN Checkpoint poster in metro station

Spain 2016 Promotional materials developed by LILA Lecce -

Lega Italiana per la Lotta contro l'Aids

Italy, 2017

Cy Checkpoint, by AIDS Solidarity

Movement Cyprus materials

Cyprus, 2017

Central Public

Health Institute

of Public

Health in

Croatia poster

Croatia, 2016

Page 10: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Policy level

World AIDS Symposium at Klinika za Infektivne Bolesti. Clinicians, scientists,

Ministry of Health representatives, civil society representatives and other

established national experts involved in different aspects of HIV infection and

related co-infections (e.g HCV, syphilis, etc), actively participated at this

interdisciplinary symposium.

Croatia, 2015

Co-President of the European Parliament intergroup

on LGBTI Rights, Daniele Viotti MEP, getting tested

for HIV for ETW 2017

Page 11: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Page 12: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Results from European Testing Week 2017

Page 13: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

ETW Evaluation

• All participants are asked to complete a post-ETW online evaluation survey • 81 multiple choice and free text questions.

• Indicators include: • Types of activities (testing, awareness raising etc)

• Targeted key groups

• Details on testing activities (types of tests, increase in testing, linkage to care)

• Use of social media

• Satisfaction with ETW

• Barriers or challenges experienced.

Page 14: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

ETW participants

58.1%

29.0%

12.9%

49.1%

22.5% 21.1%

7.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

West Centre East Other

Survey respondents

ETW participants

Regional distribution of participants (N=640) and respondents (N=155) by the

WHO European Regions

66.5%

16.1%

11.6%

5.8%

0% 20% 40% 60% 80%

NGO/CSO (Civil society organisation)

Healthcare professional/Hospital/Clinic

Governmental (national/regional) and other policy organisations

Other

Types of respondents’ organisation (N=155)

Page 15: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Types of activities

93

121

28

7

19

14

3

36

40

10

2

6

4

1

50

65

13

4

10

6

1

0 20 40 60 80 100 120 140

Awareness raising activities

Testing activities

Advocacy initiatives

Engaging with ambassadors/celebrities

Training/capacity building initiatives

Policy/political activities

Other

HIV HBV HCV

Page 16: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Target populations

96

60

50

38

12

25

5

93

57

22

14

15

0 20 40 60 80 100 120

MSM

People who inject drugs

Sex workers

Migrants and mobile populations

Prisoners

Patients with sexually transmitted infections

Pregnant women

General population

Youth

Immigrants originating from countries with …

People presenting with an HIV indicator condtion

Other

Target populations during ETW (N=146)

Page 17: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Estimated increase in testing during TW compared to the

average week

20%

18%

19%

25%

18%

27%

27%

14%

19%

14%

31%

23%

11%

15%

20%

0% 5% 10% 15% 20% 25% 30% 35%

>200% increase

100-200% increase

50-100% increase

Up to 50% increase

No increase

HIV

HBV

HCV

Page 18: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

ETW Evaluation, COBATEST and INTEGRATE JA

Page 19: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

INTEGRATE JA INTEGRATE Joint Action

• Aim: To increase integrated early diagnosis and linkage to prevention and care of HIV, viral hepatitis, TB and STIs in EU Member States by 2020.

• Offers a platform to share best practices among Member States and discuss innovations and emerging issues within these four diseases

• Existing tools for prevention, testing and linkage to care for HIV, viral hepatitis, TB and STIs will be evaluated, adapted, extended and implemented for one or more of the four diseases in selected pilot countries

Page 20: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

INTEGRATE Work Package 6

• Objective 1: • To identify indicators and adapt existing data

collection/M&E tools (COBATEST) to assess the impact of European Testing Week related to HIV, viral hepatitis, and STIs and linkage to care

• Plan: • To use lessons learned from existing M&E

tools (from ETW and COBATEST) to improve how ETW measures impact

• INTEGRATE partners will pilot new tool

Page 21: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

Spring European Hepatitis-HIV

Testing Week Pilot

• As part of the work through the INTEGRATE JA and in collaboration with the European Liver Patients’ Association, there will be a pilot Spring European Testing Week from 18 – 25 May 2018

• Main aims of the pilot: • To provide another opportunity during the year to promote

testing and increase awareness of knowing one's hepatitis/HIV status

• Focus on integrated testing activities for hepatitis and HIV with the aim of understanding how we can improve and address barriers

• Assess interest and the feasibility of having more than one Testing Week during the year

Page 22: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

Spring European Hepatitis-HIV

Testing Week Pilot

• All interested organisations at the local and national levels are welcome to participate in the pilot

• Partners can register on the ETW website at http://www.testingweek.eu/register-to-take-part.aspx

Page 23: European HIV-Hepatitis Testing Week · AHF Ukraine outreach event Ukraine, 2017 Cy Checkpoint, by AIDS Solidarity Movement Cyprus outreach event Cyprus, 2017 Apoyo Positivo outreach

www.testingweek.eu

www.hiveurope.eu

Thank you!

Contact Information: Lauren Combs at [email protected]

For more information about Testing Week, visit: www.testingweek.eu

Follow us on Facebook and Twitter!

https://www.facebook.com/EuroTestWeek

https://twitter.com/HIVheptestweek