Published on September 15, 2015 by

HIV testing in South Africa: successes and challenges

HIV testing is critically important to HIV prevention and treatment. Therefore UNAIDS has called for 90% of all HIV-positive individuals to be diagnosed by 2020. However, there are practical challenges associated with measuring progress towards this target. Many countries simply quote the proportion of adults who report having ever been tested for HIV in national household surveys. In a recent study, we attempted to obtain more accurate estimates of rates of HIV testing in South Africa, by combining survey data and routine testing data from health services. The results suggest that there is likely to be significant bias in self-reporting of past HIV testing. The results also show that South Africa has made substantial progress in scaling up access to HIV testing and counselling, with 76% of HIV-positive adults diagnosed by 2012. However, men and older adults appear to have a relatively low rate of HIV testing.