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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Trends in the uptake of voluntary counselling and testing for HIV in rural Tanzania in the context of the scale up of antiretroviral therapy
Tropical Medicine and International Health, Volume 17, No. 8, Year 2012
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Description
Objectives To describe trends in voluntary counselling and testing (VCT) use and to assess whether high-risk and infected individuals are receiving counselling and learning their HIV status in rural Tanzania. Methods During two rounds of linked serological surveys (2003-2004 and 2006-2007) with anonymous HIV testing among adults, VCT was offered to all participants. The crude and adjusted odds ratios for completing VCT in each survey were calculated to compare uptake by demographic, behavioural and clinical characteristics, stratified by sex. Repeat testing patterns were also investigated. Results The proportion of participants completing VCT increased from 10% in 2003-2004 to 17% in 2006-2007, and among HIV-infected persons from 14% to 25%. A higher proportion of men than women completed VCT in both rounds, but the difference declined over time. Socio-demographic and behavioural factors associated with VCT completion were similar across rounds, including higher adjusted odds of VCT with increasing numbers of sexual partners in the past 12months. The proportion having ever-completed VCT reached 26% among 2006-2007 attendees, with repeat testing rates highest among those aged 35-44years. Among 3923 participants attending both rounds, VCT completion in 2006-2007 was 17% among 3702 who were HIV negative in both rounds, 19% among 124 who were HIV infected in both rounds and 22% among 96 who seroconverted between rounds. Conclusion VCT services are attracting HIV-infected and high-risk individuals. However, 2years after the introduction of antiretroviral therapy, the overall uptake remains low. Intensive mobilisation efforts are needed to achieve regular and universal VCT use. © 2012 Blackwell Publishing Ltd.
Authors & Co-Authors
Isingo, Raphael
Unknown Affiliation
Wringe, Alison
Unknown Affiliation
Todd, Jim E.
Unknown Affiliation
Urassa, Mark S.
Unknown Affiliation
Mbata, Doris
Unknown Affiliation
Maiseli, Griter
Unknown Affiliation
Manyalla, Rose
Unknown Affiliation
Changalucha, John M.
Unknown Affiliation
Mngara, Julius T.
Unknown Affiliation
Mwinuka, Ester
Unknown Affiliation
Zaba, Basia W.
Unknown Affiliation
Statistics
Citations: 51
Authors: 11
Affiliations: 3
Identifiers
Doi:
10.1111/j.1365-3156.2011.02877.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Tanzania
Participants Gender
Male
Female