{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T04:35:43Z","timestamp":1781584543434,"version":"3.54.5"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"S2","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Third Health Programme of the European Union","award":["761319"],"award-info":[{"award-number":["761319"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Community-based voluntary counselling and testing contributes to early HIV diagnoses among key populations. Testing data from such decentralized services is however often not standardized nor linked to national surveillance systems. This study aimed to support the integration of community testing data into respective national surveillance and monitoring and evaluation systems for those infections. We present results from three national pilots, focused on improved data collection and transfer.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>\u00a0Within the Joint Action INTEGRATE different pilot activities were planned and implemented according to the local context. In Slovakia, standardised data collection tools were implemented in\u00a0three community testing services. The data generated was used to calculate the proposed\u00a0indicators. In Poland, positive test results from the community testing database were linked to the national case-based surveillance database using confirmatory test number, to improve the completeness of behavioural data in the national database. In Serbia, voluntary counselling and testing forms were improved enabling identification of community-based testing. A system to generate unique client identifiers was initiated in the National registry of HIV cases to monitor linkage to care.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>All three sites were able to estimate most of the agreed indicators. In Slovakia during the study period 675 people were tested for HIV, 410 for hepatitis C and 457 for syphilis, with reactivity rates of 0.4, 2.5 and 1.8%, respectively. For HIV, 66.7% of reactive cases were confirmed and linked to care. In Poland, 28.9% of\u00a0the community testing sites\u2019 records were linked to the national surveillance database (and accounted for 14.3% of all new diagnoses registered here during 2017\u20132018). Reactivity rate ranged between 1.9% and 2.1%. In Serbia, 80 persons were tested at\u00a0community sites, from which\u00a0two\u00a0had a reactive HIV test result.\u00a0By linking unique client identifiers\u00a0from voluntary counselling and testing and National Registry of HIV cases databases, linkage to care\u00a0within a two-month period\u00a0was observed\u00a0for one\u00a0of\u00a0two\u00a0people\u00a0with reactive HIV test result.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>\u00a0Pilot activities in\u00a0the three\u00a0countries\u00a0demonstrate that integration of community-based testing data into surveillance systems is feasible and can help improve national surveillance data by providing key information.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12879-021-06498-6","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T15:03:30Z","timestamp":1631545410000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Integration of community-based testing data into national HIV surveillance in Poland, Serbia and Slovakia within the framework of INTEGRATE project"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6353-3942","authenticated-orcid":false,"given":"Laura","family":"Fern\u00e0ndez-L\u00f3pez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sladjana","family":"Baros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Nied\u017awiedzka-Stadnik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danica Valkovi\u010dov\u00e1","family":"Stanekov\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Rosi\u0144ska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danijela","family":"Simic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verica","family":"Jovanoic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"H\u00e1bekov\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1ria","family":"Tak\u00e1\u010dov\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iwona","family":"Wawer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Wysocki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Conway","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irena","family":"Klavs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Casabona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"6498_CR1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2016.21.48.30410","author":"L Tavoschi","year":"2016","unstructured":"Tavoschi L, Hales D. Monitoring of HIV testing services in the EU\/EEA. Euro Surveill. 2016. https:\/\/doi.org\/10.2807\/1560-7917.ES.2016.21.48.30410.","journal-title":"Euro Surveill"},{"key":"6498_CR2","unstructured":"European Centre for Disease Prevention and Control. Public health guidance on HIV, hepatitis B and C testing in the EU\/EEA\u2014an integrated approach. www.ecdc.europa.eu. Accessed 26 Mar 2021."},{"key":"6498_CR3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001496","author":"AB Suthar","year":"2013","unstructured":"Suthar AB, Ford N, Bachanas PJ, Wong VJ, Rajan JS, Saltzman AK, et al. Towards universal voluntary HIV testing and counselling: a systematic review and meta-analysis of community-based approaches. 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Core indicators to monitor community based voluntary counselling and testing (CBVCT) for HIV Guidelines for CBVCT services,Field-test version [Internet]. 2012. https:\/\/eurohivedat.eu\/arxius\/ehe_cdocsmenu_cdocsmenu_doc_3-CBVCT_core_indicators_field_test_version.pdf. Accessed 23 Apr 2019."},{"key":"6498_CR9","unstructured":"EURO HIV EDAT. Guidelines for data collection for monitoring and evaluation of community based voluntary counselling and testing (CBVCT) for HIV in the COBATEST Network [Internet]. https:\/\/eurohivedat.eu\/arxius\/ehe_docsmenu_docsmenu_doc_106-20131101_D03_00_OTH_1_EN_PS.PDF. Accessed 29 Nov 2017."},{"key":"6498_CR10","unstructured":"INTEGRATE | Joint Action on integrating prevention, testing and linkage to care strategies across HIV, viral hepatitis, TB and STIs in Europ [Internet]. https:\/\/integrateja.eu\/. Accessed 14 Jul 2020."},{"key":"6498_CR11","unstructured":"COBATEST NETWORK [Internet]. https:\/\/cobatest.org\/. 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Montreaux; 2009. https:\/\/www.unaids.org\/sites\/default\/files\/sub_landing\/files\/20110520_Unique_Identifiers_Meeting_Report_Montreux.pdf.\u00a0Accessed 15 Jul 2020."}],"container-title":["BMC Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-021-06498-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12879-021-06498-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-021-06498-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T16:05:18Z","timestamp":1643904318000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcinfectdis.biomedcentral.com\/articles\/10.1186\/s12879-021-06498-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":14,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["6498"],"URL":"https:\/\/doi.org\/10.1186\/s12879-021-06498-6","relation":{},"ISSN":["1471-2334"],"issn-type":[{"value":"1471-2334","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]},"assertion":[{"value":"29 July 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"800"}}