Self-Testing & Self-Sampling Programme in Malaysia
The JOM.TEST Program in Malaysia offers fast, comforting, and confidential self-testing and self-sampling for vulnerable populations. It aims to combat stigma and discrimination and improve access to HIV, STIs, and hepatitis services.
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aids2022.org #AIDS2022 29 July 2 August Montreal & virtual Davindren Tharmalingam, Portfolio Manager, Malaysian AIDS Council Self-Testing & Self-Sampling to Enhance Integrated HIV, STIs & Hepatitis Services Self-Testing & Self- Sampling Programme in Malaysia
Why developed JOM TEST Program? Perceived stigma and discrimination by healthcare providers were a major barrier to facility-based HIV testing among MSM, TG and SW in Malaysia. To ensure Malaysia s vision of ending AIDS by 2030, successful implementation is dependent on identifying undiagnosed individuals, and linking and retaining them in care. Self-testing provides an ideal alternative for key populations to investigate their HIV status.
Fast | Comforting | Confidential The JOM TEST Program is the first HIV Self-Testing pilot study conducted in Malaysia for people vulnerable to HIV infection to do self-testing whereby a person collects his or her own specimen (oral fluid or blood) and then performs an HIV test and interprets the result. www.jom-test.com the program was supported by the Global Fund, SKPA Program (AFAO), and Coalition PLUS
JOM TEST Program Timeline 1,200 16-Sep-2020 = Launch of JOM TEST 1,000 06-Nov-2020 = Start of Recruitment 800 31-Oct-2021 = End of Recruitment 21-Aug-2021 = OraQuick Self-Test Kit approved under MDA 600 01-Nov-2021 = Continued as MAC Program 400 200 0 29 July 2 August Montreal & virtual aids2022.org #AIDS2022
JOM TEST Program Services Existing Services Future Development JOM TEST website is available in English and Bahasa Malaysia languages HIV 101 & Hepatitis C 101 The importance of self-testing, knowing health status and taking charge of self- health Available Treatment information. Direct contact line via WhatsApp Risk assessment STI 101 and its available treatment Linkage to Chemsex Online Intervention Assessment to sort the suitable mental health service provider. QR code activation of test kits. Same-day delivery services 29 July 2 August Montreal & virtual aids2022.org #AIDS2022
JOM TEST Linkage-to- care Services List of Community Health Workers List of community- friendly clinics, hospitals, and government clinics with NGO-based (KK-Model) Direct link to MyPrEP Locator Website Helpline available via phone call, SMS, WhatsApp & Email 29 July 2 August Montreal & virtual aids2022.org #AIDS2022
JOM TEST Program Overview Total Registered = 5,536 Did not proceed with Pre-Test = 1,594 Completed Pre-Test Survey = 3,942 Total Test Kit Sent = 3,190 Total Test Results Reported = 1,268 Completed Post-Test Survey = 1,215 29 July 2 August Montreal & virtual aids2022.org #AIDS2022
Key Population Type ORAL-BASED -VE 50 4 1 0 0 12 0 0 0 0 0 0 0 0 0 3 70 BLOOD -VE CATEGORY TOTAL +VE IVD +VE IVD MSM MSM-PWUD MSM-PWUD-SW MSM-PWUD-PESW MSM-PWID MSM-SW MSM-PESW PWUD PWUD-PESW PWID PWID-PESW TGW TGW-PWUD SW PESW GP TOTAL 870 30 623 21 81 6 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 81 29 0 0 1 0 6 0 2 0 0 0 3 1 2 2 1 1 0 0 2 1 0 1 2 0 0 0 0 0 0 0 0 0 6 7 1 2 4 0 1 92 61 11 1 1 8 1 0 1 7 0 0 0 0 1 0 0 0 0 4 10 1 1 1 10 1 16 28 14 22 197 1268 144 908 23 20 121 119 41 29 July 2 August Montreal & virtual aids2022.org #AIDS2022
By Age Group AGE GROUP 18-19 20-24 25-29 30-34 35-39 >40 TOTAL ORAL-BASED -VE 4 35 11 18 2 0 70 BLOOD -VE TOTAL +VE IVD +VE IVD 93 575 343 172 55 30 75 412 246 112 39 24 908 8 0 2 3 4 0 0 9 4 2 53 36 14 8 2 53 38 17 3 4 20 9 7 3 0 41 1268 121 119 Targetted for YKP who are tech-savvy. Consider the underage population. The potential of them ordering the test kits, however, linkage to care would be a challenge. 29 July 2 August Montreal & virtual aids2022.org #AIDS2022
Challenges (i) COVID-19 restrictions and movement control order by the government. Unable to deliver test kits on time while working from home. Average time to deliver is 2 weeks. The latest is 2 months. Addresses were written manually on consignment notes. High demand for HIVST orders within the first 2 months. Lack of manpower. Test kits go out of stock quicker than expected. Inquiries from participants came in off operational hours. Procurement of test kits delayed due to shipment. Test kits manufactured from US. 29 July 2 August Montreal & virtual aids2022.org #AIDS2022
Challenges (ii) Data Verification Manual verification of data of key population type, and test kits results. Test kits uploaded pictures are irrelevant Linkages to care No automated system available to link clients tested negative, positive, and/or invalid to the next step immediately. IT experts available on-site to enhance the service delivery. Unable to make necessary changes in the system. 29 July 2 August Montreal & virtual aids2022.org #AIDS2022
Acknowledgement Email: davin@mac.org.my Phone: (+60) 11 2113 8981
