Feasibility and effectiveness of two community-based HIV testing models in rural Swaziland

Tropical Medicine & International Health : TM & IH
Lucy Anne ParkerRoger Teck

Abstract

To evaluate the feasibility (population reached, costs) and effectiveness (positivity rates, linkage to care) of two strategies of community-based HIV testing and counselling (HTC) in rural Swaziland. Strategies used were mobile HTC (MHTC) and home-based HTC (HBHTC). Information on age, sex, previous testing and HIV results was obtained from routine HTC records. A consecutive series of individuals testing HIV-positive were followed up for 6 months from the test date to assess linkage to care. A total of 9 060 people were tested: 2 034 through MHTC and 7 026 through HBHTC. A higher proportion of children and adolescents (<20 years) were tested through HBHTC than MHTC (57% vs. 17%; P < 0.001). MHTC reached a higher proportion of adult men than HBHTC (42% vs. 39%; P = 0.015). Of 398 HIV-positive individuals, only 135 (34%) were enrolled in HIV care within 6 months. Of 42 individuals eligible for antiretroviral therapy, 22 (52%) started treatment within 6 months. Linkage to care was lowest among people who had tested previously and those aged 20-40 years. HBHTC was 50% cheaper (US$11 per person tested; $797 per individual enrolled in HIV care) than MHTC ($24 and $1698, respectively). In this high HIV prevalence setting, a community...Continue Reading

References

Nov 13, 2010·PloS One·Katharina KranzerRobin Wood
Mar 4, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Edward M GardnerWilliam J Burman
Jul 20, 2011·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Mar 20, 2012·American Journal of Respiratory and Critical Care Medicine·Adrienne E ShapiroNeil A Martinson
May 23, 2012·AIDS·Margaret L McNairy, Wafaa M El-Sadr
Sep 5, 2012·Tropical Medicine & International Health : TM & IH·Alison WringeBasia Zaba
Dec 20, 2012·Sexually Transmitted Diseases·Wafaa M El-SadrMyron S Cohen
Dec 24, 2013·AIDS·Saeed AhmedUNKNOWN Child Survival Working Group of the Interagency Task Team on the Prevention and Treatment of HIV infection in Pregnant Women
Dec 1, 2015·Turkish Journal of Obstetrics and Gynecology·Çağrı Gülümser, Tuğrul Erbaydar

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Citations

Mar 5, 2016·International Journal of Preventive Medicine·Saurabh RamBihariLal ShrivastavaJegadeesh Ramasamy
Aug 11, 2016·AIDS Patient Care and STDs·Lindsey K ReifMargaret L McNairy
May 20, 2016·PloS One·Kavindhran VelenChristopher J Hoffmann
Apr 28, 2017·Tropical Medicine & International Health : TM & IH·Eugene RuzagiraUNKNOWN Working Group on Linkage to HIV Care
Sep 30, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jienchi DorwardChristopher J Hoffmann
Jan 31, 2017·Current Opinion in HIV and AIDS·Willem Daniel Francois VenterWendy Stevens
Jan 1, 2015·Journal of the International AIDS Society·Mary-Ann DaviesMarlène Bras
Dec 8, 2015·Journal of the International AIDS Society·Dick D ChamlaChewe Luo
Jun 24, 2017·AIDS and Behavior·Reshma NaikTanya Doherty
Aug 5, 2017·Journal of the International AIDS Society·Stephen AsiimweRuanne V Barnabas
Feb 2, 2019·BMC Public Health·Moshoeu Prisca MoshoeuTivani P Mashamba-Thompson
Oct 20, 2020·Open Forum Infectious Diseases·Eneyi E KpokiriJoseph D Tucker
Apr 2, 2021·The Lancet. HIV·Gabriel ChamieHarsha Thirumurthy
Jul 17, 2021·Frontiers in Medicine·Alain AmstutzNiklaus Daniel Labhardt

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Methods Mentioned

BETA
enzyme-linked immunosorbent assay

Software Mentioned

Stata
Epidata
SE

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