{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T13:22:15Z","timestamp":1789046535649,"version":"build-2803163510"},"reference-count":66,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>In 2022, Australia met the global UNAIDS 95% targets for treatment and viral suppression. Achieving 95% of people knowing their HIV status requires implementation of a wider mix of HIV testing types and access points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In October 2023, a community\u2010led HIV testing roundtable meeting of 34 participants was convened to better understand current barriers and enablers to foster HIV testing equity. Delegates participated in data\u2010informed discussions and a facilitated workshop. Outputs were collated and independently analysed to identify HIV testing barriers and potential actionable strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Current best practices for HIV testing are targeted towards at\u2010risk populations and limited by funding and capacity constraints. Identified barriers to testing include ongoing stigma, cultural barriers, structural barriers to accessing and navigating the healthcare system, clinical reticence among non\u2010expert practitioners and the need to expand access beyond at\u2010risk groups. Current HIV testing practices are limited by a lack of provider\u2010initiated (opt\u2010out) testing, contributing to late diagnoses among people with high barriers to testing. Awareness of and access to HIV testing resources need to be expanded and should be underpinned by healthcare education. Wider exploration of opt\u2010out testing is warranted, but requires consideration of jurisdictional infrastructure\/funding differences and determination of optimal settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To achieve the UNAIDS 95% diagnosis target, we recommend three key strategies: implementing opt\u2010out testing in selected settings, expanding access to self\u2010testing and reducing barriers to point of care testing. These strategies should be supported by enhanced healthcare provider education and actions to reduce structural barriers to testing access.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.70083","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T09:33:29Z","timestamp":1755250409000},"page":"3-16","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Strategies to achieve the <scp>UNAIDS<\/scp> 95% <scp>HIV<\/scp> diagnosis target in Australia: Insights from a multidisciplinary roundtable"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9621-976X","authenticated-orcid":false,"given":"Brent","family":"Clifton","sequence":"first","affiliation":[{"name":"National Association of People with HIV Australia (NAPWHA)  Newtown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2678-0645","authenticated-orcid":false,"given":"Phillip","family":"Keen","sequence":"additional","affiliation":[{"name":"HIV Epidemiology and Prevention Program, Kirby Institute, Faculty of Medicine University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8660-5558","authenticated-orcid":false,"given":"Janine","family":"Trevillyan","sequence":"additional","affiliation":[{"name":"Clinical Virology and HIV Services, Department of Infectious Disease Austin Health  Melbourne Victoria Australia"},{"name":"Department of Infectious Diseases University of Melbourne at the Peter Doherty Institute of Infection and Immunity  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9998-9466","authenticated-orcid":false,"given":"Nikki","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Thorne Harbour Health  Adelaide South Australia Australia"},{"name":"School of Humanities Adelaide University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6124-9990","authenticated-orcid":false,"given":"Karl","family":"Johnson","sequence":"additional","affiliation":[{"name":"Medical Affairs HIV Gilead Sciences Pty Ltd  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2070-475X","authenticated-orcid":false,"given":"Melissa","family":"Warner","sequence":"additional","affiliation":[{"name":"Queensland Positive People  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2148-3059","authenticated-orcid":false,"given":"Cara","family":"Taheny","sequence":"additional","affiliation":[{"name":"Sexual &amp; Reproductive Health Services The Royal Women's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0041-7555","authenticated-orcid":false,"given":"Heather","family":"Ellis","sequence":"additional","affiliation":[{"name":"Positive Women Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7503-7540","authenticated-orcid":false,"given":"Jack","family":"Freestone","sequence":"additional","affiliation":[{"name":"National Centre for Clinical Research on Emerging Drugs University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9964-3564","authenticated-orcid":false,"given":"Brent","family":"Allan","sequence":"additional","affiliation":[{"name":"QThink Consulting  Melbourne Victoria Australia"},{"name":"Australian Society of HIV Medicine (ASHM)  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2697-1468","authenticated-orcid":false,"given":"Beau","family":"Newham","sequence":"additional","affiliation":[{"name":"National HIV Self\u2010testing Project, National Association of People With HIV Australia (NAPWHA)  Newtown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,15]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"KingJ KwonA McManusH et al.HIV viral hepatitis and sexually transmissible infections in Australia: Annual surveillance report 2024. 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