Table 1.

Key challenges and potential solutions for the implementation of HIV viral load testing in resource limited settings

Ensure linkage to care	Faster clinical decision‐making	Rapid test turn around: Faster sample transport networks Electronic result delivery Point‐of‐care testing
	Improved clinical follow‐up through the cascade of care	Health data systems: Data dashboards Dedicated patient identifiers Electronic patient medical records Electronic clinic data management and scheduling
Improve testing efficiency	Supply chain best practices	Price‐per‐result supply terms including: Instruments Reagents Service and maintenance Controls Test failures Distribution
	Tiered diagnostic network	Integrated sample referral network: Covers all clinic sites Incorporates all test types Regular frequency Low cost
	Resource mobilization	Forecasting and budgeting: Forecast national test demand Map testing funding and identify gaps Update national budgets Incorporate resource needs for lab systems strengthening
	Management	Build a management team focused on diagnostics service delivery: Operations management team Quality management team