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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Project accept (HPTN 043): A community-based intervention to reduce HIV incidence in populations at risk for HIV in sub-Saharan Africa and Thailand
Journal of Acquired Immune Deficiency Syndromes, Volume 49, No. 4, Year 2008
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Description
Background: Changing community norms to increase awareness of HIV status and reduce HIV-related stigma has the potential to reduce the incidence of HIV-1 infection in the developing world. Methods: We developed and implemented a multilevel intervention providing community-based HIV mobile voluntary counseling and testing, community mobilization, and posttest support services. Forty-eight communities in Tanzania, Zimbabwe, South Africa, and Thailand were randomized to receive the intervention or clinic-based standard voluntary counseling and testing (VCT), the comparison condition. We monitored utilization of community-based HIV mobile voluntary counseling and testing and clinic-based standard VCT by community of residence at 3 sites, which was used to assess differential uptake. We also developed quality assurance procedures to evaluate staff fidelity to the intervention. Findings: In the first year of the study, a 4-fold increase in testing was observed in the intervention versus comparison communities. We also found an overall 95% adherence to intervention components. Study outcomes, including prevalence of recent HIV infection and community-level HIV stigma, will be assessed after 3 years of intervention. Conclusions: The provision of mobile services, combined with appropriate support activities, may have significant effects on utilization of voluntary counseling and testing. These findings also provide early support for community mobilization as a strategy for increasing testing rates. Copyright © 2008 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Khumalo-Sakutukwa, Gertrude N.
United States, San Francisco
University of California, San Francisco
United States, San Francisco
Ucsf Center for Aids Prevention Studies
Morin, Stephen F.
United States, San Francisco
University of California, San Francisco
Fritz, Katherine E.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Charlebois, Edwin D.
United States, San Francisco
University of California, San Francisco
Van-Rooyen, Heidi E.
South Africa, Pretoria
Human Sciences Research Council of South Africa
Chingono, Alfred H.
Zimbabwe, Harare
University of Zimbabwe
Modiba, Precious
South Africa, Johannesburg
University of the Witwatersrand
Mrumbi, Khalifa
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Visrutaratna, Surasing
Thailand, Chaing Mai
Chiang Mai University
Singh, Basant
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Sweat, Michael D.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Celentano, David D.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Coates, Thomas J.
United States, Los Angeles
University of California, Los Angeles
Statistics
Citations: 161
Authors: 13
Affiliations: 9
Identifiers
Doi:
10.1097/QAI.0b013e31818a6cb5
ISSN:
15254135
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Study Locations
South Africa
Tanzania
Zimbabwe