The importance of going for voluntary screening to increase the chance of diagnosing the infection at an early stage was supported by statistics from MOH. Around 66 per cent of the newly-reported cases detected by HIV tests done in the course of medical care provision were already suffering from late-stage HIV when they were diagnosed. On the other hand, of those who were diagnosed through voluntary testing, only around 20 per cent of the new cases were suffering from late-stage HIV.
IGNORANCE, FEAR OF STIGMATISATION CITED AS REASONS FOR LOW VOLUNTARY SCREENING RATE
Many reasons have been cited as barriers to voluntary HIV testing but Ms Banerjee said one main reason is stigmatisation.
“People are worried that if they get tested, if they come out as being positive they would be subject to discriminatory behaviours and attitudes within their social spaces and their social networks,” she added.
Leow Yangfa, the executive director of Oogachaga – a counselling group for the lesbian, gay, bisexual, and transgender community – agreed with that perspective. He said fear is also a contributing factor. “What happens after one is tested HIV-positive? For example, will my employer know? Will I lose my job? Can I get another job? What do I tell my family? How much will it cost?”
But there is still a lack of awareness among the general population that has to be addressed. “People don’t know the difference between getting tested early and getting tested late,” said Ms Banerjee.
A COMMONPLACE FOR HIV TESTING TO INCREASE VOLUNTARY SCREENING RATE
At AFA, the number of people going for HIV testing in 2015 decreased by about 12 per cent to 8,469 from 2014. While efforts such as having talks and seminars could be scaled up to get more people to go for HIV testing, Ms Banerjee suggested working with private-sector companies.
“We need inputs from the private sector where we could maybe have a day when we can go into some places and get people run a HIV testing at a workplace,” she said. “We have limited resources as well. So I think there is scope to expand but I think it requires engagement by other players.”
Mr Leow said much more could be done to normalise HIV testing and to remove the stigma attached to going for an HIV test. “Perhaps make it as commonplace as going for a cholesterol test or dental check up,” he suggested.
In a statement to Channel NewsAsia, a spokesperson from the Health Promotion Board (HPB) said its public education programmes are aimed at raising awareness on HIV or AIDS and its prevention.
HPB has also worked with partner organisations to put in place programmes and campaigns, urging high-risk individuals to go for early and regular HIV testing.
“Persons engaging in high-risk sexual behaviour, such as having multiple sexual partners or engaging in casual or commercial sex, are strongly advised to use condoms to reduce their risk of HIV infection,” the spokesperson added.
Daniel’s condition was detected while he is still in the early stage of infection. For those who are engaging in high-risk sexual behaviour, he strongly encouraged them to go for early testing.
“You never know until you know. It’s always good to know your status because you are not actually saving yourself, you are saving everyone else,” he said, adding that the screening process is anonymous.
“You just have to fill in some forms, get a prick on the finger, then wait for another 20 minutes, they will tell you the results straightaway. It was that fast.”
by Lim Jia Qi