The Ministry of Health and Medical Services is in the process of introducing HIV rapid antigen testing at specific locations and for targeted populations. Dr. Rachel Devi, the head of Family Health, explained that Fiji currently uses antibody testing as its primary method for HIV diagnostics.
Dr. Devi highlighted that point-of-care testing is a significant aspect of their efforts. This method allows individuals to receive immediate blood tests at clinics, with results available in about 20 minutes. Currently, sexual and reproductive health hubs in Fiji provide point-of-care testing, and the ministry plans to expand these services for confirmation purposes.
The possibility of self-testing for HIV rapid antigen is still being evaluated, particularly for individuals hesitant to visit healthcare facilities. Dr. Devi noted that there are complexities to self-testing, particularly regarding what happens if a person tests positive at home, which could lead to serious consequences and psychological challenges. Thus, the ministry believes it is important to educate the public before implementing such options.
Dr. Devi emphasized the need for effective post-test counseling for those who receive positive results, as many people tend to withdraw after being diagnosed. Counseling must address mental and psychological preparedness for handling a positive result.
The planned introduction of antigen testing represents a significant shift in testing methods, with the administration of tests remaining in the hands of healthcare professionals. Furthermore, the ministry aims to decentralize HIV diagnosis confirmation, allowing these services to be available in more locations, including reproductive health clinics. Individuals who may have engaged in high-risk behaviors are encouraged to return for repeat testing within a three-month window to ensure accurate results regarding their HIV status.