EATG » Projects » Optimising testing and linkage to care for HIV across Europe - OptTEST

Optimising testing and linkage to care for HIV across Europe - OptTEST


OptTEST has built on the multi-disciplinary and multi-stakeholder platform of HIV in Europe.

Project aims: To help reducing the number of undiagnosed people with HIV infection and newly diagnosed late presenters in the European regions and to promote timely treatment and care.  The project builds on the HIV in Europe platform.

Project leader: CHIP, Rigshospitalet, University of Copenhagen, Denmark

Duration: 39 months years from July 2014, ending date 30 September 2017

Main partners: Aids Fonds Stop AIDS now! Soa AIDS, NL; EATG; Public Health of England, UK; St. Stephens AIDS Trust, UK; MEDFASH, UK ; Institut national de la santé et de la recherche médicale (INSERM), France; The Global Network of People living with HIV/AIDS (GNP+); Instituto de Salud Carlos III, Madrid, Spain; National Institute for Health Development, Estonia.

EATG participation: Involved in the coordination (WP1), dissemination (WP2) and evaluation (WP3) of the project.

Main funding source/programme:  co-funded by the EU Public Health programme.

Budget: Total of 1,429,984 EUR,  119,171 EUR for EATG


EATG contact person(s): Ann Isabelle Von Lingen (Office); and Maria Dutarte at (office)

OptTEST newsletters available here:


Key results from the two projects (Euro HIV EDAT and OptTEST):

Some of this work will be followed upon in the 3 years joint action of several EU countries “ INTEGRATE” that was launched on 19 September. It brings together 29 partners from public health institutions, hospitals, NGOs and universities in Croatia, Denmark, Estonia, Greece, Hungary, Ireland, Italy, Lithuania, Malta, Poland, Romania, Slovakia, Slovenia, Spain, UK and Serbia. The main aim of the Joint Action is to integrate early diagnosis and linkage to prevention and care of HIV, viral hepatitis, TB and STIs in EU countries by 2020.

Tools and resources from

(Optimising HIV testing and linkage to care)

  1. Tools to set up/ improve indicator condition (IC) guided testing in clinics: these include overall introduction to IC guided testing, online tool on how to set up IC guided testing in a clinic, staff training for IC guided testing and a briefing providing a recap of guidelines and evidence on the implementation of IC guided testing. The tools are available in different languages to facilitate local use: English, French, Estonian, Polish, Russian, Spanish.
  2. Tools for improving linkage to HIV treatment and care:these include a literature review, reports on country pilots measuring linkage to care, an assessment method and country example on efforts to improve national data.
  3. Tools to evaluate cost-effectiveness of testing:these include methodology; examples of heat maps; published articles; country reports for Estonia, France, Spain.
  4. Tools to advance legal and regulatory changes to improve testing and linkage to care of key affected communities:these include a searchable database on legal and regulatory barriers: advocacy tip sheets;  case studies on legal and regulatory reform to remove problematic restrictions and provisions; a briefing summary guidance on testing outside of medical settings and published evidence (e.g. lay provider testing, self-testing etc). The resources are available in several languages.
  5. Tools to address Stigma:these include stigma index


Tools and resources from Euro HIV EDAT

(Operational knowledge to improve HIV early diagnosis and treatment among vulnerable groups in Europe)


  1. Toolkit for MSM Checkpoints:these include practical information to implement MSM Checkpoints.
  2. Tools to improve HIV testing and care for migrant populations in Europethese include an overview report, qualitative study on access to HIV testing and linkage to care for migrants in the EU;  Guide to improve access (available in several languages).
  3. Tools to improve linkage to care for MSM from community counselling and testing centres:these include “how to do it bette” guides – available in several languages).
  4. Tools to improve CBVCTs:these include “how to do it bette” guides – available in several languages); core indicators to monitor HIV diagnosis at CBVCT services; guide to data collection for M&E.
  5. Innovative testing strategies: results from a six country pilot on An HIV-Testing strategy using oral fluid samples and online communication of test results for MSM and migrants.



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