Family model of HIV care and treatment: a retrospective study in Kenya.

Journal of the International AIDS Society
Jayne Lewis KulzerCraig R Cohen

Abstract

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. 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. 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 wer...Continue Reading

References

May 27, 2003·Social Science & Medicine·Erick Otieno NyambedhaJens Aagaard-Hansen
Jun 25, 2010·Journal of the International AIDS Society·Theresa S BetancourtMary C Smith Fawzi

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Citations

Jul 28, 2013·Culture, Health & Sexuality·Mellissa WithersSara J Newmann
Apr 5, 2014·Bulletin of the World Health Organization·Megan J HuchkoCraig R Cohen
Feb 13, 2016·PeerJ·Grace Gachanja, Gary J Burkholder
Sep 30, 2017·Open Forum Infectious Diseases·Stephanie A KujawskiBatya Elul
Oct 17, 2015·Journal of the International AIDS Society·Darshini GovindasamyKatharina Kranzer
Nov 27, 2016·Journal of the International AIDS Society·Anna Joy RogersLynae A Darbes
Sep 7, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Sara J NewmannCraig R Cohen
Dec 14, 2017·Journal of the International AIDS Society·Anna J RogersJanet M Turan
Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Katherine R SimonSaeed Ahmed
Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Anna GrimsrudLynne Wilkinson
Apr 4, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Matthew D HickeyMonica Gandhi
Oct 17, 2017·The Journal of the Association of Nurses in AIDS Care : JANAC·Pamela MusokeJanet M Turan
Jun 4, 2014·International Journal of Cancer. Journal International Du Cancer·Megan J HuchkoCraig R Cohen
Jul 4, 2019·AIDS and Behavior·Patricia Ong'wenHilary T Wolf
Oct 29, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Hong-Ha M TruongCraig R Cohen
Jun 21, 2019·Journal of Global Health·Janet MichelPeter van Eeuwijk
Mar 1, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Patrick O OwitiElizabeth A Bukusi
Dec 28, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Anjuli D WagnerJennifer A Slyker
Jul 13, 2016·BMC Pregnancy and Childbirth·Anna Joy RogersJanet M Turan
Mar 26, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Megan J HuchkoCraig R Cohen

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