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Self-testers can reliably and accurately do HIV rapid diagnostic tests, as compared with trained health-care workers

To inform a WHO recommendation, a systematic review and meta-analysis assessed the reliability and performance of HIV rapid diagnostic tests used by self-testers compared with health-care workers, by calculating statistics on test concordance to account for the imperfect reference standard. This review included studies that used products designed for self-testing in diverse country settings. 

This review concluded that self-testers can reliably and accurately do an HIV rapid diagnostic test, whether assistance is provided or not, when compared with a trained health-care worker. Errors in the test procedure might be reduced by refinement of the design of rapid diagnostic tests for self-testing, improvement of manufacturer labelling and instructions for use, and provision of additional support with instructional videos.

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Posted: 9 May 2018