It is estimated that 30-40 per cent of people living with HIV do not know their HIV status, which can have a serious effect on the spread of the disease. One of the approaches developed to help change this statistic, especially among populations at higher risk for infection and who lack access to care, is the development of HIV self-testing, which provides people with an HIV diagnostic test that they can use in private. Now this screening strategy is getting a global push thanks to a major new partnership between the Research Institute of the McGill University Health Centre (RI-MUHC), Sympact-X and The International Association of Providers of AIDS Care (IAPAC), a key player in the fight against HIV/AIDS. This partnership with IAPAC will allow the implementation of HIVSmart!™ – a software and cloud based application that facilitates HIV self-testing, linkages and retention in care – in high HIV burden Fast-Track Cities worldwide.

HIVSmart!™ is a multilingual, portable application that has been developed by a team of scientists and physicians based at the RI-MUHC and at McGill University. It has been tested in well-designed studies in Canada and South Africa in diverse patient groups, including high-risk men who have sex with other men; at-risk community clinic attendees; low-risk healthcare professionals; and student populations. The application, which works with any approved HIV self-test, is personalized, assesses user’s HIV exposure risk, provides test interpretation, and links users to care. In addition, the app based program assists with retention in care through enhanced patient-provider communication. The platform is confidential and HIPPA compliant and is currently available in six languages.

“The global scale up of HIVSmart!™ with IAPAC is a dream come true,” said Dr. Nitika Pant Pai, who is an Associate Professor at McGill University, a Medical Scientist at the RI-MUHC and Founder/President of the RI-MUHC start-up Sympact-X. “It will help to bridge the gap between HIV services and populations who are most vulnerable to infection and less likely to be able to access diagnosis and treatment. HIVSmart!™ will also facilitate self-testing, plug service delivery gaps and provide rapid HIV treatment initiation, ultimately leading to what we hope will be an AIDS-free generation.”

The Fast-Track Cities is a global partnership between the City of Paris, International Association of Providers of AIDS Care (IAPAC), the Joint United Nations Programme on HIV/AIDS (UNAIDS), and the United Nations Human Settlements Programme (UN-Habitat), in collaboration with local, national, regional, and international partners and stakeholders. Since its launch on World AIDS Day 2014, cities in every region of the world have joined the Fast-Track Cities network, pledging to attain 90-90-90 targets by 2020. The targets translate into 90 per cent of people living with HIV (PLHIV) knowing their status, 90 per cent of PLHIV who know their status linked to care and who are initiated on antiretroviral therapy (ART), and 90 per cent of PLHIV on ART achieving viral suppression. HIV self-testing and the use of apps to promote HIV self-testing, linkage to care, and retention in care are strongly recommended in the 2015 IAPAC Guidelines for Optimizing the HIV Care Continuum for Adults and Adolescents, as well as the 2017 IAPAC/ASLM Recommendations for the Rapid Expansion of HIV Self Testing in Fast-Track Cities.

“IAPAC is proud to partner with the RI-MUHC and SYMPACT-X to introduce and scale-up the implementation of the HIVSmart™ app as an innovative means of assisting Fast-Track Cities to attain the 90-90-90 targets – starting with the first 90 without which we cannot succeed in reaching the estimated 40 per cent of PLHIV worldwide who do not know their status,” said Dr. José M. Zuniga, President/CEO of the International Association of Providers of AIDS Care (IAPAC).

“HIV self-testing is an empowering and innov