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Starting a home and mobile HIV testing service in a rural area of South Africa
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Maheswaran, Hendramoorthy, Thulare, Hilary, Stanistreet, Debbi, Tanser, Frank and Newell, Marie-Louise (2012) Starting a home and mobile HIV testing service in a rural area of South Africa. JAIDS Journal of Acquired Immune Deficiency Syndromes, Vol.59 (No.3). e43-e46. doi:10.1097/QAI.0b013e3182414ed7 ISSN 1525-4135.
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Official URL: http://dx.doi.org/10.1097/QAI.0b013e3182414ed7
Abstract
Objective: To compare users of a home and mobile HIV counseling and testing service implemented in rural KwaZulu-Natal, South Africa.
Methods: Communities of similar population size and density were allocated HIV counseling and testing provision be either home or mobile services. Uptake of services was compared, including results from a brief questionnaire.
Results: Majority of individuals proceeded to test. Mobile services reported a higher proportion of clients who were male (41% vs. 31%; P < 0.001), younger than 25 years (53% vs. 28%; P < 0.001), single (66% vs. 40%; P < 0.001), and never previously tested (62% vs. 56%; P = 0.003). Home services reported a higher proportion of clients older than of 35 years (56% vs. 35%; P < 0.001) and married/partner (43% vs. 30%; P < 0.001). HIV prevalence amongst clients of the 2 services was comparable, with both services testing more clients daily than the local primary health care clinics, but similar to the local hospital.
Conclusions: The numbers tested, different populations reached, and high detection rates suggest both modalities have an important role to play, especially in rural communities where cost of transport may be a deterrent.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | JAIDS Journal of Acquired Immune Deficiency Syndromes | ||||
Publisher: | Lippincott Williams & Wilkins | ||||
ISSN: | 1525-4135 | ||||
Official Date: | 2012 | ||||
Dates: |
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Volume: | Vol.59 | ||||
Number: | No.3 | ||||
Page Range: | e43-e46 | ||||
DOI: | 10.1097/QAI.0b013e3182414ed7 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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