The Ministry of Health and Medical Services in Fiji is making strides to implement HIV rapid antigen testing for specific populations and locations. Dr. Rachel Devi, the head of Family Health, noted that antibody testing is currently the predominant method in use.
She explained that point-of-care testing allows individuals to receive immediate results at clinics where they can provide a blood sample. After around 20 minutes, patients can obtain their results. Currently, sexual reproductive health hubs provide this testing, and efforts are underway to extend this service across Fiji for confirmation purposes.
Dr. Devi mentioned that the ministry has not yet fully explored the option of HIV rapid antigen self-testing, particularly for those who may be hesitant to visit medical facilities for testing. Concerns were raised about the implications of testing positive at home and the psychological impact on individuals.
She emphasized the importance of effective testing and counseling procedures, stating that many individuals withdraw after learning they are HIV positive. Proper counseling is critical for preparing patients mentally and psychologically to cope with their diagnoses.
The antigen testing process represents a shift in testing methodologies, and it will be conducted by healthcare workers rather than being self-administered. Additionally, the ministry is working to decentralize diagnosis confirmation services from major and subdivisional hospitals to sexual reproductive health clinics and other sites, aiming for confirmation within a few weeks.
Individuals will have a three-month period to return for a repeat test, especially if they have engaged in high-risk behaviors, such as unprotected sex or injectable drug use. Test results will help determine if an individual has engaged in unsafe practices and will inform whether a repeat test is necessary.