The aim of this paper is to introduce the digitalization process and its effects on better reach of the target population. Progress in the digitalization and e-health tools worldwide enables new opportunities in prevention, diagnostics and treatment for people living with HIV (PLHIV) and people in the risk of HIV infection, hepatitis C (HCV) and other sexually transmitted infections (STIs), especially in the context of the COVID-19 pandemic. The system already used for voluntary counselling and testing (VCT) at the CheckPoint Centre Zagreb run by the non-governmental organization (NGO) Croatian Association for HIV and Viral Hepatitis (CAHIV) was upgraded and adapted (due to the COVID-19 prevention epidemiological measures) and developed for implementation of the pilot project of feasibility and acceptability of home HIV self-testing (HIVST) among men who have sex with men (MSM) in Zagreb. A special feature of the HIVST mobile application enables an innovative approach in collecting clients' test result feedback. This paper presents the method of use digitalization of the VCT and HIVST activities to support and increase availability of screening testing. Described procedures of new technologies application in VCT services and preliminary results of the HIVST pilot project indicate that technology-delivered interventions can contribute and improve access and utilisation of HIV/STI prevention and care services.

Andrija Stampar School of Public Health School of Medicine University of Zagreb Zagreb Croatia

Andrija Stampar Teaching Institute of Public Health Zagreb Croatia

Croatian Institute of Public Health Zagreb Croatia

Dr Fran Mihaljevic University Hospital for Infectious Diseases Zagreb Croatia

Sestre Milosrdnice University Hospital Centre Zagreb Croatia

Zobrazit více v PubMed

Nadarzynski T. The role of digital technologies in sexual health [Internet]. [cited 2021 May 15]. Available from: https://www.letstalkaboutit.nhs.uk/media/1113/digital-technologies-dr-tom-nadarzynski.pdf.

Horvath KJ, Walker T, Mireles L, Bauermeister JA, Hightow-Weidman L, Stephenson R. A Systematic review of technology - assisted HIV testing interventions. Curr HIV/AIDS Rep. 2020;17(4):269-80. PubMed

European Centre for Disease Prevention and Control. Effective use of digital platforms for HIV prevention among men who have sex with men in the European Union/European Economic Area - an introduction to the ECDC guides [Internet]. Stockholm: ECDC; 2017 [cited 2021 May 15]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/Effective-use-digital-platforms-HIV-prevention-EU-EEA.pdf.

Kutner BA, Pho AT, López-Rios J, Lentz C, Dolezal C, Balán IC. Attitudes and perceptions about disclosing HIV and syphilis results using smarttest, a smartphone app dedicated to self- and partner testing. AIDS Educ Prev. 2021;33(3):234-48.

Sexual health [Internet]. Zagreb: CAHIV; 2016 [cited 2021 May 16]. Available from: https://spolnozdravlje.hr/. (In Croatian.)

All about hepatitis [Internet]. Zagreb: CAHIV; 2017 [cited 2021 May 16]. Available from: http://hepatitis.hr/. (In Croatian.)

Risk radar [Internet]. Nicosia: eHealth Lab; 2017 [cited 2021 May 16]. Available from: https://integrateja.eu/riskradar/index. (In Croatian.)

EmERGE Project; European AIDS Treatment Group. EmERGE: mHealth Platform [Internet]. Brussels: EmERGE Project [cited 2021 May 17]. Available from: https://www.emergeproject.eu/.

RVM Cervical Cancer Prevention Program [mobile application software]. Požega: DotSoft software solutions; 2019 [cited 2022 May 4]. Available from: https://play.google.com/store/apps/details?id=hzjz.dotsoft2.rvm>

World Health Organization. WHO guideline: recommendations on digital interventions for health system strengthening. Geneva: WHO; 2019.

Croatian Association for HIV and Viral Hepatitis. CheckPoint Zagreb [Internet]. Zagreb: CAHIV [cited 2021 May 15]. Available from: https://huhiv.hr/checkpoint/. (In Croatian.)

Ministry of Health of the Republic of Croatia. Croatian national programme for HIV/AIDS prevention 2017-2021 [Internet]. Zagreb: Ministry of Health of the Republic of Croatia; 2017 [cited 2021 May 16]. Available from https://zdravlje.gov.hr/UserDocsImages/2017%20programi%20i%20projekti/Hrvatski%20nacionalni%20program%20za%20prevenciju%20HIV%20AIDS-a.pdf. (In Croatian.)

Croatian Association for HIV and Viral Hepatitis. A new pilot study will for the first time assess the acceptability and simplicity of self-testing for HIV in Croatia [Internet]. Zagreb: CAHIV; 2020 [cited 2021 May 15]. Available from: https://huhiv.hr/novo-pilot-istrazivanje-po-prvi-puta-ce-procijeniti-prihvatljivost-i-jednostavnost-samostalnog-testiranja-na-hiv-u-hrvatskoj/. (In Croatian.)

Bogdanić N, Dubravić D, Kresović J, Erceg M, Dišković A, Beganović T, et al. Preliminary results of a pilot project on HIV self-testing among men who have sex with men in the City of Zagreb, Croatia, 2020/2021. In: HepHIV 2021 Lisbon & Virtual Conference; 2021 May 5-7; Lisbon, Portugal [Internet]. Copenhagen: EuroTEST; 2021 [cited 2021 May 15]. Available from: https://region-hovedstaden-ekstern.23video.com/po3-3-bogdanicmp4mp4.

World Health Organization. Guidelines on HIV self-testing and partner notification: supplement to consolidated guidelines on HIV testing services [Internet]. Geneva: WHO; 2016 [cited 2021 May 15]. Available from: https://apps.who.int/iris/handle/10665/251655.

Joint United Nations Programme on HIV/AIDS. A short technical update on self-testing for HIV [Internet]. Geneva: UNAIDS; 2014 [cited 2021 May 15]. Available from: https://www.unaids.org/sites/default/files/media_asset/JC2603_self-testing_en_0.pdf.

Croxford S, Tavoschi L, Sullivan AK, Combs L, Raben D, Delpech V, et al. HIV testing strategies outside of health care settings in the European Union (EU)/European Economic Area (EEA): a systematic review to inform European Centre for Disease Prevention and Control guidance. HIV Med. 2020;21(3):142-62. PubMed

Delaney KP, Branson BM, Uniyal A, Kerndt PR, Keenan PA, Jafa K, et al. Performance of an oral fluid rapid HIV-1/2 test: experience from four CDC studies. AIDS. 2006;20(12):1655-60. PubMed

Johnson CC, Kennedy C, Fonner V, Siegfried N, Figueroa C, Dalal S, et al. Examining the effects of HIV self-testing compared to standard HIV testing services: a systematic review and meta-analysis. J Int AIDS Soc. 2017;20(1):21594. doi: 10.7448/IAS.20.1.21594. PubMed DOI