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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Increasing access to HIV counseling and testing through mobile services in Kenya: Strategies, utilization, and cost-effectiveness
Journal of Acquired Immune Deficiency Syndromes, Volume 54, No. 3, Year 2010
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Description
Introduction: This study compares client volume, demographics, testing results, and costs of 3 "mobile" HIV counseling and testing (HCT) approaches with existing "stand-alone" HCT in Kenya. A retrospective cohort of 62,173 individuals receiving HCT between May 2005 and April 2006 was analyzed. Mobile HCT approaches assessed were community-site mobile HCT, semimobile container HCT, and fully mobile truck HCT. Data were obtained from project monitoring data, project accounts, and personnel interviews. Results: Mobile HCT reported a higher proportion of clients with no prior HIV test than stand-alone (88% vs. 58%). Stand-alone HCT reported a higher proportion of couples than mobile HCT (18% vs. 2%) and a higher proportion of discordant couples (12% vs. 4%). The incremental cost-effectiveness of adding mobile HCT to stand-alone services was $14.91 per client tested (vs. $26.75 for stand-alone HCT); $16.58 per previously untested client (vs. $43.69 for stand-alone HCT); and $157.21 per HIV-positive individual identified (vs. $189.14 for stand-alone HCT). Conclusions: Adding mobile HCT to existing stand-alone HCT seems to be a cost-effective approach for expanding HCT coverage for reaching different target populations, including women and young people, and for identifying persons with newly diagnosed HIV infection for referral to treatment and care. Copyright © 2010 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Grabbe, Kristina L.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Menzies, Nicolas A.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
United States, Calverton
Macro International Inc.
United States, Cambridge
Harvard University
Taegtmeyer, Miriam M.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Kenya, Nairobi
Liverpool Vct
Emukule, Gideon O.
United States, Durham
Fhi 360
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
Angala, Patrick
Kenya, Nairobi
Liverpool Vct
Mwega, Irene
Kenya, Nairobi
Liverpool Vct
Musango, Geraldine
Unknown Affiliation
Marum, Elizabeth
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Statistics
Citations: 125
Authors: 8
Affiliations: 7
Identifiers
Doi:
10.1097/QAI.0b013e3181ced126
ISSN:
15254135
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Study Locations
Kenya
Participants Gender
Female