Thanks on point 1 that makes sense. To add (I should have said before) that often HIV tests will already be supplied through a different donor program and the easies thing might just be to add, so yes being very aware of those dynamics is importnt
On point 2 I don’t think changing the system will necessarl be all that hard in many cases. It is likely to be be more of a financial/logistics issue getting the tests to the health centers than a technical/education problem. If the tests are freely available at facilities people will do them. Most health providers already know women should get a syphilis test even if it’s not available at this point in time. Both staff and patients often love the idea of extra tests in Uganda at least (which might see weird to some people) so I doubt the barriers will be that great. 100% agree that a strong charity entrepreneur could pull this off well.
Thanks on point 1 that makes sense. To add (I should have said before) that often HIV tests will already be supplied through a different donor program and the easies thing might just be to add, so yes being very aware of those dynamics is importnt
On point 2 I don’t think changing the system will necessarl be all that hard in many cases. It is likely to be be more of a financial/logistics issue getting the tests to the health centers than a technical/education problem. If the tests are freely available at facilities people will do them. Most health providers already know women should get a syphilis test even if it’s not available at this point in time. Both staff and patients often love the idea of extra tests in Uganda at least (which might see weird to some people) so I doubt the barriers will be that great. 100% agree that a strong charity entrepreneur could pull this off well.