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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
High acceptance of home-based HIV counseling and testing in an urban community setting in Uganda
BMC Public Health, Volume 11, Article 730, Year 2011
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Description
Background: HIV testing is a key component of prevention and an entry point into HIV/AIDS treatment and care however, coverage and access to testing remains low in Uganda. Home-Based HIV Counseling and Testing (HBHCT) has potential to increase access and early identification of unknown HIV/AIDS disease. This study investigated the level of acceptance of Home-Based HIV Counseling and Testing (HBHCT), the HIV sero-prevalence and the factors associated with acceptance of HBHCT in an urban setting. Methods. A cross-sectional house-to-house survey was conducted in Rubaga division of Kampala from January-June 2009. Residents aged 15 years were interviewed and tested for HIV by trained nurse-counselors using the national standard guidelines. Acceptance of HBHCT was defined as consenting, taking the HIV test and receipt of results offered during the home visit. Multivariable logistic regression analysis was performed to determine significant factors associated with acceptance of HBHCT. Results: We enrolled 588 participants, 408 (69%, 95% CI: 66%-73%) accepted testing. After adjusting for confounding, being male (adj. OR 1.65; 95%CI 1.03, 2.73), age 25-34 (adj. OR 0.63; 95% CI 0.40, 0.94) and 35 years (adj. OR 0.30; 95%CI 0.17, 0.56), being previously married (adj. OR 3.22; 95%CI 1.49, 6.98) and previous HIV testing (adj. OR 0.50; 95%CI 0.30, 0.74) were significantly associated with HBHCT acceptance. Of 408 who took the test, 30 (7.4%, 95% CI: 4.8%- 9.9%) previously unknown HIV positive individuals were identified and linked to HIV care. Conclusions: Acceptance of home-based counseling and testing was relatively high in this urban setting. This strategy provided access to HIV testing for previously untested and unknown HIV-infected individuals in the community. Age, sex, marital status and previous HIV test history are important factors that may be considered when designing programs for home-based HIV testing in urban settings in Uganda. © 2011 Sekandi et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Sekandi, Juliet Nabbuye
United States, Athens
University of Georgia
Uganda, Kampala
Makerere University
Sempeera, Hassard
Uganda, Kampala
Makerere University
List, Justin M.
United States, New Haven
Yale School of Medicine
Mugerwa, Michael Angel
United States, Cleveland
Case Western Reserve University
Asiimwe, Stephen B.
United States, Athens
University of Georgia
Yin, Xiaoping
United States, Athens
University of Georgia
Whalen, Christopher Curtis
United States, Athens
University of Georgia
Statistics
Citations: 88
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1186/1471-2458-11-730
e-ISSN:
14712458
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Uganda
Participants Gender
Male