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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Family model of HIV care and treatment: A retrospective study in Kenya
Journal of the International AIDS Society, Volume 15, No. 1, Article 8, Year 2012
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Description
Background: Nyanza Province, Kenya, had the highest HIV prevalence in the country at 14.9% in 2007, more than twice the national HIV prevalence of 7.1%. Only 16% of HIV-infected adults in the country accurately knew their HIV status. Targeted strategies to reach and test individuals are urgently needed to curb the HIV epidemic. The family unit is one important portal. Methods. A family model of care was designed to build on the strengths of Kenyan families. Providers use a family information table (FIT) to guide index patients through the steps of identifying family members at HIV risk, address disclosure, facilitate family testing, and work to enrol HIV-positive members and to prevent new infections. Comprehensive family-centred clinical services are built around these steps. To assess the approach, a retrospective study of patients receiving HIV care between September 2007 and September 2009 at Lumumba Health Centre in Kisumu was conducted. A random sample of FITs was examined to assess family reach. Results: Through the family model of care, for each index patient, approximately 2.5 family members at risk were identified and 1.6 family members were tested. The approach was instrumental in reaching children; 61% of family members identified and tested were children. The approach also led to identifying and enrolling a high proportion of HIV- positive partners among those tested: 71% and 89%, respectively. Conclusions: The family model of care is a feasible approach to broaden HIV case detection and service reach. The approach can be adapted for the local context and should continue to utilize index patient linkages, FIT adaption, and innovative methods to package services for families in a manner that builds on family support and enhances patient care and prevention efforts. Further efforts are needed to increase family member engagement. © 2012 Lewis Kulzer et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Lewis-Kulzer, Jayne
Kenya, Nairobi
Kenya Medical Research Institute
United States, San Francisco
University of California, San Francisco
Penner, Jeremy A.
Kenya, Nairobi
Kenya Medical Research Institute
Canada, Vancouver
The University of British Columbia
Marima, Reson
Kenya, Nairobi
Kenya Medical Research Institute
Oyaro, Patrick
Kenya, Nairobi
Kenya Medical Research Institute
Oyanga, Arbogast O.
Kenya, Nairobi
Kenya Medical Research Institute
Shade, Starley B.
Kenya, Nairobi
Kenya Medical Research Institute
United States, San Francisco
Ucsf School of Medicine
Blat, Cinthia C.
Kenya, Nairobi
Kenya Medical Research Institute
United States, San Francisco
University of California, San Francisco
Nyabiage, Lennah
Kenya, Nairobi
Ministry of Health Nairobi
Mwachari, Christina W.
Kenya, Nairobi
Kenya Medical Research Institute
Muttai, Hellen C.
United States, Atlanta
Centers for Disease Control and Prevention
Bukusi, Elizabeth Anne
Kenya, Nairobi
Kenya Medical Research Institute
Cohen, Craig R.
Kenya, Nairobi
Kenya Medical Research Institute
United States, San Francisco
University of California, San Francisco
Statistics
Citations: 125
Authors: 12
Affiliations: 6
Identifiers
Doi:
10.1186/1758-2652-15-8
e-ISSN:
17582652
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Kenya