Testing is the first step to reaching 90% with diagnosis and 90% with treatment, yet there are so many reasons why children do not make it to a clinic to be tested for HIV. Community testing services are essential for reaching children, but what is the right way to reach the most at-risk children and preventing stigma within the community? This literature review found 26 studies, including 428,501 participants, looking HIV testing for vulnerable children. Of identified screens, all were facility based; there were no examples of a validated community-based HIV testing screen for OVC. The article identifies community testing services for OVC as a critical gap in reaching the 90-90-90 goals.
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