The Ministry of Health and Medical Services is planning to introduce HIV rapid antigen testing for specific populations and locations. Dr. Rachel Devi, the Head of Family Health, remarked that antibody testing is currently the predominant method utilized in Fiji.
She explained that point-of-care testing allows individuals to receive immediate results. “For instance, when I visit a clinic that offers point-of-care testing, I provide a sample there, and after about 20 minutes, I receive my test results,” she said. Currently, sexual reproductive health centers in Fiji provide this point-of-care testing, and the ministry aims to enhance confirmation testing in the country as well.
Dr. Devi noted that self-testing for HIV rapid antigen has not yet been fully explored, particularly concerning individuals who may be hesitant to visit healthcare facilities for testing. “We haven’t developed this option yet because we need to consider the potential implications if someone tests positive at home, including the psychological impacts,” she said. “It’s essential to educate the population before implementing such measures.”
She emphasized the importance of effective testing and counseling for individuals. “Many people withdraw after learning they are HIV positive, so post-test counseling is crucial to help individuals mentally and psychologically prepare for their results.”
The antigen testing process represents a shift in testing strategies, involving healthcare professionals rather than self-administration. The ministry is also working to decentralize HIV diagnosis confirmation from major hospitals to sexual reproductive health clinics and other locations.
Dr. Devi added that individuals may be provided a three-month window to return for repeat tests, especially after engaging in high-risk activities such as unprotected sexual intercourse or injectable drug use. She indicated that blood tests would help determine if individuals have engaged in unsafe practices that could lead to HIV transmission.