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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
High uptake of home-based, district-wide, HIV counseling and testing in Uganda
AIDS Patient Care and STDs, Volume 24, No. 11, Year 2010
Notification
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Description
More than 80% of the people infected with HIV in low-income countries of sub-Saharan Africa do not know their HIV serostatus. Innovative measures of increasing access to HIV counseling and testing (HCT) are urgently needed so as to improve care and prevention. We implemented a home-based HCT program in Bushenyi District from September 2004 to March 2007, in Uganda where approximately 90% of people aged older than 14 years had never tested for HIV to gauge whether it was acceptable and increased uptake of HCT. Twenty-nine teams comprising a counselor and a laboratory assistant systematically visited homes offering HCT for all people older than 14 years of age and at-risk children (mother deceased or HIV infected) using a rapid HIV testing three-test algorithm. HIV-infected people received cotrimoxazole prophylaxis, were supplied with long-lasting insecticide-treated bed nets and equipment for treatment of drinking water at home, and were referred for assessment for antiretroviral therapy. The program reached 92,984 (63%) of all the homes in the district. Of these, 32,3621 people were eligible for HCT, and 28,2857 (87%) were present at home and were offered pretest counseling. A total of 264,966 (94%) accepted testing and received their results, of whom 11,359 (4.3%) were HIV-infected. Ninety percent of those testing had never tested before. The cost of testing was $7.83 per previously untested client. Ninety-seven percent of HIV-infected people initiated cotrimoxazole prophylaxis, 74% received bed nets, 70% received water treatment equipment, and 11% began antiretroviral therapy. Forty-four percent of people who were in an HIV-discordant relationship were infected. These results demonstrate that home-based HCT was well-accepted, feasible, and effective in identifying HIV-infected individuals who did not know their HIV status in rural Uganda. © 2010, Mary Ann Liebert, Inc.
Authors & Co-Authors
Tumwesigye, Elioda
Unknown Affiliation
Wana, Goodwill
Unknown Affiliation
Kasasa, Simon
Uganda, Kampala
Makerere University School of Public Health
Muganzi, Elly
Unknown Affiliation
Nuwaha, Fred
Uganda, Kampala
Makerere University School of Public Health
Statistics
Citations: 107
Authors: 5
Affiliations: 1
Identifiers
Doi:
10.1089/apc.2010.0096
ISSN:
10872914
Research Areas
Environmental
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Locations
Uganda