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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Starting a home and mobile HIV testing service in a rural area of South Africa
Journal of Acquired Immune Deficiency Syndromes, Volume 59, No. 3, Year 2012
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Description
Objective: To compare users of a home and mobile HIV counseling and testing service implemented in rural KwaZulu-Natal, South Africa. Methods: Communities of similar population size and density were allocated HIV counseling and testing provision be either home or mobile services. Uptake of services was compared, including results from a brief questionnaire. Results: Majority of individuals proceeded to test. Mobile services reported a higher proportion of clients who were male (41% vs. 31%; P < 0.001), younger than 25 years (53% vs. 28%; P < 0.001), single (66% vs. 40%; P < 0.001), and never previously tested (62% vs. 56%; P = 0.003). Home services reported a higher proportion of clients older than of 35 years (56% vs. 35%; P , 0.001) and married/ partner (43% vs. 30%; P < 0.001). HIV prevalence amongst clients of the 2 services was comparable, with both services testing more clients daily than the local primary health care clinics, but similar to the local hospital. Conclusions: The numbers tested, different populations reached, and high detection rates suggest both modalities have an important role to play, especially in rural communities where cost of transport may be a deterrent. Copyright © 2012 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Maheswaran, Hendramoorthy
South Africa, Durban
University of Kwazulu-natal
United Kingdom, Coventry
Warwick Medical School
Thulare, Hilary
United Kingdom, Coventry
Warwick Medical School
Stanistreet, Debbi L.
United Kingdom, Liverpool
University of Liverpool
Tanser, Frank C.
United Kingdom, Coventry
Warwick Medical School
Newell, Marie Louise
United Kingdom, Coventry
Warwick Medical School
United Kingdom, London
Ucl Great Ormond Street Institute of Child Health
Statistics
Citations: 62
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1097/QAI.0b013e3182414ed7
ISSN:
15254135
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Locations
South Africa
Participants Gender
Male