A hybrid mobile approach for population-wide HIV testing in rural east Africa: an observational study

Chamie, Gabriel et al.

Despite large investments in HIV testing, only an estimated 45% of HIV-infected people in sub-Saharan Africa know their HIV status. Optimum methods for maximising population-level testing remain unknown. We sought to show the effectiveness of a hybrid mobile HIV testing approach at achieving population-wide testing coverage.

In each community, we did 2 week multiple-disease community health campaigns (CHCs) that included HIV testing, counselling, and referral to care if HIV infected; people who did not participate in the CHCs were approached for home-based testing (HBT) for 1–2 months within the 1–6 months after the CHC. We measured population HIV testing coverage and predictors of testing via HBT rather than CHC and non-testing.

We found a hybrid, mobile approach of multiple-disease CHCs followed by HBT allowed for flexibility at the community and individual level to help reach testing coverage goals. Men and mobile populations remain challenges for universal testing.

 

May 24, 2016
Year of publication
2016
Resource types
Journal and research articles
Tags
HIV testing, HIV counseling and testing (HCT), HIV status, population-level testing, mobile HIV testing, community health campaigns, home-based HIV testing, health service coverage

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