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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Promotion of couples' voluntary counselling and testing for HIV through influential networks in two African capital cities
BMC Public Health, Volume 7, Article 349, Year 2007
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Description
Background. Most new HIV infections in Africa are acquired from cohabiting heterosexual partners. Couples' Voluntary Counselling and Testing (CVCT) is an effective prevention strategy for this group. We present our experience with a community-based program for the promotion of CVCT in Kigali, Rwanda and Lusaka, Zambia. Methods. Influence Network Agents (INAs) from the health, religious, non-governmental, and private sectors were trained to invite couples for CVCT. Predictors of successful promotion were identified using a multi-level hierarchical analysis. Results. In 4 months, 9,900 invitations were distributed by 61 INAs, with 1,411 (14.3%) couples requesting CVCT. INAs in Rwanda distributed fewer invitations (2,680 vs. 7,220) and had higher response rates (26.9% vs. 9.6%), than INAs in Zambia. Context of the invitation event, including a discreet location such as the INA's home (OR 3.3-3.4), delivery of the invitation to both partners in the couple (OR 1.6-1.7) or to someone known to the INA (OR 1.7-1.8), and use of public endorsement (OR 1.7-1.8) were stronger predictors of success than INA or couple-level characteristics. Conclusion. Predictors of successful CVCT promotion included strategies that can be easily implemented in Africa. As new resources become available for Africans with HIV, CVCT should be broadly implemented as a point of entry for prevention, care and support. © 2007 Allen et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Allen, Susan A.
United States, Atlanta
Emory University
United States, Atlanta
Rollins School of Public Health
Karita, Etienne
United States, Atlanta
Emory University
Chomba, Elwyn Nachanya
United States, Atlanta
Emory University
Zambia, Lusaka
University Teaching Hospital Lusaka
Roth, David L.
United States, Birmingham
The University of Alabama at Birmingham
Telfair, Joseph
United States, Greensboro
The University of North Carolina at Greensboro
Zulu, Isaac S.
United States, Atlanta
Emory University
Clark, Leslie F.
United States, Los Angeles
University of Southern California
Kancheya, Nzali G.
United States, Atlanta
Emory University
Conkling, Martha
United States, Atlanta
Emory University
United States, Atlanta
Rollins School of Public Health
Stephenson, Rob B.
United States, Atlanta
Rollins School of Public Health
Bekan, Brigitte
United States, Atlanta
Emory University
Kimbrell, Katherine
United States, Atlanta
Emory University
United States, Cambridge
Harvard University
Dunham, Steven M.
United States, Atlanta
Emory University
Henderson, Faith
United States, Atlanta
Emory University
United States, Atlanta
Rollins School of Public Health
Sinkala, Moses M.
Zambia, Lusaka
Lusaka Urban District Health Management Team
Caraël, Michel
Switzerland, Geneva
Unaids
Haworth, Alan
United States, Atlanta
Emory University
Zambia, Lusaka
University Teaching Hospital Lusaka
Zambia, Lusaka
Zambian Ministry of Health
Statistics
Citations: 121
Authors: 17
Affiliations: 10
Identifiers
Doi:
10.1186/1471-2458-7-349
e-ISSN:
14712458
Research Areas
Infectious Diseases
Study Locations
Rwanda
Zambia