 Paradigm shift from client-initiated testing for personal reasons to provider-initiated testing for medical diagnosis  Proliferation of many models ◦ Traditional VCT ◦ Mobile VCT and outreach VCT ◦ Door to door and home based testing ◦ Testing in medical settings  New technologies allowing for great expansion ◦ Rapid, on site tests using whole blood, urine, saliva 4
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