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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Removing barriers to knowing HIV status: Same-day mobile HIV testing in Zimbabwe
Journal of Acquired Immune Deficiency Syndromes, Volume 41, No. 2, Year 2006
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Description
Objectives: We developed a mobile HIV voluntary counseling testing (VCT) strategy. Our aims were (1) to describe those using the services, (2) to assess the acceptability of such services, (3) to assess reasons for not testing previously, and (4) to compare those who used the services with those who did not to determine how to increase acceptability. Methods: We provided free anonymous mobile VCT using 2 rapid HIV tests in 12 marketplaces in Epworth and Seke, Zimbabwe. Qualitative interviews were conducted to assess motivations for and barriers to testing. A subsample of HIV testers and individuals near testing vans who declined testing (nontesters) completed a questionnaire. Results: A total of 1099 individuals participated in mobile VCT between March 2002 and August 2003. The proportion of participants infected with HIV was 29.2%. Overall, 98.8% of participants elected to receive HIV test results the same day. Reasons for not testing previously were often logistic (eg, inconvenience of hours [25.6%] and location [20.7%] or cost [8%]). Those who used the same-day mobile testing services (testers vs. nontesters) perceived themselves at higher risk for HIV infection (adjusted odds ratio [AOR] = 1.8) but were less likely to have known people with HIV (AOR = 0.49) or where to get tested (AOR = 0.57). Conclusions: Same-day HIV testing in community settings seems to be acceptable in sub-Saharan Africa. Barriers to HIV testing are often logistic and can be overcome with community-based strategies. These strategies need to be refined to address the needs of those not using mobile testing services. Copyright © 2006 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Morin, Stephen F.
United States, San Francisco
Ucsf School of Medicine
United States, San Francisco
University of California, San Francisco
Khumalo-Sakutukwa, Gertrude N.
Zimbabwe, Harare
Godfrey Huggins School of Medicine
Charlebois, Edwin D.
United States, San Francisco
Ucsf School of Medicine
Routh, Janell A.
United States, San Francisco
Ucsf School of Medicine
Fritz, Katherine E.
United States, San Francisco
Ucsf School of Medicine
Lane, Tim
United States, San Francisco
Ucsf School of Medicine
Vaki, Taurai
Zimbabwe, Harare
Godfrey Huggins School of Medicine
Fiamma, Agnès
United States, San Francisco
Ucsf School of Medicine
Coates, Thomas J.
United States, San Francisco
Ucsf School of Medicine
United States, Los Angeles
University of California, Los Angeles
Statistics
Citations: 186
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1097/01.qai.0000179455.01068.ab
ISSN:
15254135
Research Areas
Infectious Diseases
Study Design
Case-Control Study
Study Approach
Qualitative
Study Locations
Zimbabwe