A Systematic Review of HIV Testing Implementation Strategies in Sub-Saharan African Countries

Ivy Mannoh, Danielle Amundsen, Gnilane Turpin, Carrie E. Lyons, Nikita Viswasam, Elizabeth Hahn, Sofia Ryan, Stefan Baral, Bhakti Hansoti

Research output: Contribution to journalReview articlepeer-review


HIV/AIDS remains a looming presence in public health across the world, particularly in Sub-Saharan Africa. The HIV Care Cascade hinges on testing and knowledge of HIV status. Though significant advances have been made in diagnosing people living with HIV (PLHIV), limitations in understanding which strategies are best suited to certain regions or populations have contributed to the uneven distribution in the success of various HIV testing strategies. Here, we present a conceptual framework that outlines effective HIV testing strategies for four target groups. This framework is based on a systematic literature review of articles published from January 1st, 2008, to December 31st, 2019. The effectiveness of HIV testing strategies depends on various factors including the setting, type of test and service providers. Multiple strategies are needed to reach the UNAIDS target of 95% of individuals knowing their HIV status. Expansion of community-based approaches, self-testing and HIV testing services in antenatal care will further improve the state of HIV testing in Sub-Saharan Africa.

Original languageEnglish (US)
Pages (from-to)1660-1671
Number of pages12
JournalAIDS and behavior
Issue number5
StatePublished - May 2022


  • HIV testing
  • Healthcare delivery
  • Sub-Saharan Africa
  • Treatment cascade

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology


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