Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Early uptake of HIV clinical care after testing HIV-positive during home-based testing and counseling in western Kenya
AIDS and Behavior, Volume 17, No. 1, Year 2013
Notification
URL copied to clipboard!
Description
Home-based HIV testing and counseling (HBTC) has the potential to increase access to HIV testing. However, the extent to which HBTC programs successfully link HIV-positive individuals into clinical care remains unclear. To determine factors associated with early enrollment in HIV clinical care, adult residents (aged ≥13 years) in the Health and Demographic Surveillance System in Kisumu, Kenya were offered HBTC. All HIV-positive residents were referred to nearby HIV clinical care centers. Two to four months after HBTC, peer educators conducted home visits to consenting HIV-positive residents. Overall, 9,895 (82 %) of 12,035 residents accepted HBTC; 1,087 (11 %) were HIV-positive; and 737 (68 %) received home visits. Of those receiving home visits, 42 % reported HIV care attendance. Factors associated with care attendance included: having disclosed, living with someone attending HIV care, and wanting to seek care after diagnosis. Residents who reported their current health as excellent or who doubted their HBTC result were less likely to report care attendance. While findings indicate that HBTC was well-received in this setting, less than half of HIV-positive individuals reported current care attendance. Identification of effective strategies to increase early enrollment and retention in HIV clinical care is critical and will require coordination between testing and treatment program staff and systems. © 2012 Springer Science+Business Media New York.
Authors & Co-Authors
Medley, Amy M.
United States, Atlanta
Centers for Disease Control and Prevention
Ackers, Marta Louise
United States, Atlanta
Centers for Disease Control and Prevention
Amolloh, Manase
Kenya, Nairobi
Kenya Medical Research Institute
Owuor, Patrick Mbullo
Kenya, Nairobi
Kenya Medical Research Institute
Muttai, Hellen C.
United States, Atlanta
Centers for Disease Control and Prevention
Audi, Beryl
Kenya, Nairobi
Kenya Medical Research Institute
Sewe, Maquins Odhiambo
Kenya, Nairobi
Kenya Medical Research Institute
Laserson, Kayla F.
Kenya, Nairobi
Kenya Medical Research Institute
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 59
Authors: 8
Affiliations: 2
Identifiers
Doi:
10.1007/s10461-012-0344-5
ISSN:
10907165
Research Areas
Health System And Policy
Infectious Diseases
Study Locations
Kenya