Document Detail


Should home-based HIV testing and counseling services be offered periodically in programs of ARV treatment as prevention? A case study in Likoma (Malawi).
MedLine Citation:
PMID:  23180155     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To reduce HIV incidence, prevention programs centered on the use of antiretrovirals require scaling-up HIV testing and counseling (HTC). Home-based HTC services (HBHTC) increase HTC coverage, but HBHTC has only been evaluated during one-off campaigns. Two years after an initial HBHTC campaign ("round 1"), we conducted another HBHTC campaign ("round 2") in Likoma (Malawi). HBHTC participation increased during round 2 among women (from 74 to 83%, P < 0.01). New HBHTC clients were recruited, especially at ages 25 and older. Only 6.9% of women but 15.9% of men remained unreached by HBHTC after round 2. HIV prevalence during round 2 was low among clients who were HIV-negative during round 1 (0.7%), but high among women who received their first ever HIV test during round 2 (42.8%). The costs per newly diagnosed infection increased significantly during round 2. Periodically conducting HBHTC campaigns can further increase HTC, but supplementary interventions to enroll individuals not reached by HBHTC are needed.
Authors:
Stéphane Helleringer; James Mkandawire; Georges Reniers; Linda Kalilani-Phiri; Hans-Peter Kohler
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  AIDS and behavior     Volume:  17     ISSN:  1573-3254     ISO Abbreviation:  AIDS Behav     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-06-05     Completed Date:  2013-08-30     Revised Date:  2014-07-02    
Medline Journal Info:
Nlm Unique ID:  9712133     Medline TA:  AIDS Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2100-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Counseling* / economics
Female
HIV Infections / drug therapy,  epidemiology,  psychology
HIV Seropositivity / diagnosis*
Health Promotion / economics,  methods
Humans
Malawi / epidemiology
Male
Patient Acceptance of Health Care / psychology,  statistics & numerical data
Self Care / methods*,  psychology
Sesquiterpenes
Young Adult
Grant Support
ID/Acronym/Agency:
P30 AG12836/AG/NIA NIH HHS; R01 HD/MH41713/HD/NICHD NIH HHS; R01 HD044228/HD/NICHD NIH HHS; R01 HD044228/HD/NICHD NIH HHS; R01 HD053781/HD/NICHD NIH HHS; R03 HD071122/HD/NICHD NIH HHS; R03 HD071122/HD/NICHD NIH HHS; R24 HD-044964/HD/NICHD NIH HHS; R24 HD047879/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
0/Sesquiterpenes; 4IK578SA7Z/costunolide
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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