Reaching the Third 90: Key Findings from Facility Assessment on Readiness to Scale-up Routine Viral Load Testing in Swaziland

This poster, from Reaching the Third 90: Implementing High Quality Viral Load Monitoring at Scale—a PEPFAR-supported meeting convened in 2016 to advance the scale-up of viral load (VL) services in sub-Saharan Africa—describes a facility readiness assessment conducted in 24 high volume VL roll-out sites in Swaziland. The assessment objectives were to establish baseline facility readiness to roll out viral load (VL) implementation, to assess site-level VL testing characteristics, and to give feedback to mentors to prepare sites for implementation. Conclusions and way forward include the recommendation that capacity of health care providers should be enhanced and facility-specific action plans should be developed by regional mentors—working with the Swaziland National AIDS Programme (SNAP) to access the facility findings, and the national routine VL implementation plan and tools will be finalized and should be adopted at the facility level.