home-based HIV testing

The use of home-based HIV testing and counseling in low-and-middle income countries: A scoping review

BACKGROUND: Knowledge of HIV status is crucial for both prevention and treatment of HIV infection. However, according to the Joint United Nations Programme on HIV/AIDS in low-and-middle-income countries (LMICs), only 10% of the population has access to HIV testing services. Home-based HIV testing and counseling (HTC) is one of the approaches which have been shown to be effective in improving access to HIV testing in LMICs. The objective of this review was to map evidence on the use of home-based HTC in LMICs.

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Impact of Home-Based HIV Testing Services on Progress Toward the UNAIDS 90-90-90 Targets in a Hyperendemic Area of South Africa

BACKGROUND: In several subgroups of South Africa, the percentage of HIV-positive individuals aware of their status falls well below the UNAIDS 90% target. This study examined the impact that home-based HIV testing services (HBHTS) had on knowledge of status in a hyperendemic area of South Africa.

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Retention in Care Trajectories of HIV-Positive Individuals Participating in a Universal Test-and-Treat Program in Rural South Africa (ANRS 12249 TasP Trial)

Author
Gosset, Andréa; Protopopescu, Camelia; Larmarange, Joseph; Orne-Gliemann, Joanna; McGrath, Nuala; Pillay, Deenan,; Dabis, François; Iwuji, Collins; Boyer, Sylvie
In this study, we aimed to study retention in care trajectories and associated factors in ART-eligible patients enrolled in a universal test-and-treat trial implemented in rural South Africa.
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‘I will choose when to test, where I want to test’: investigating young people's preferences for HIV self-testing in Malawi and Zimbabwe

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Yes
Author
Indravudh, Pitchaya P.; Sibanda, Euphemia L.; d’Elbée, Marc; Kumwenda, Moses K.; Ringwald, Beate; Maringwa, Galven; Simwinga, Musonda; Nyirenda, Lot J.; Johnson, Cheryl C.; Hatzold, Karin; Terris-Prestholt, Fern; Taegtmeyer, Miriam

Objectives: The current study identifies young people's preferences for HIV self-testing (HIVST) delivery, determines the relative strength of preferences and explores underlying behaviors and perceptions to inform youth-friendly services in southern Africa.

Design: A mixed methods design was adopted in Malawi and Zimbabwe and includes focus group discussions, in-depth interviews and discrete choice experiments.

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Do gifts increase consent to home-based HIV testing? A difference-in-differences study in rural KwaZulu-Natal, South Africa

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Yes
Author
Mark E McGovern Kobus Herbst Frank Tanser Tinofa Mutevedzi David Canning Dickman Gareta Deenan Pillay Till Bärnighausen

Despite the importance of HIV testing for controlling the HIV epidemic, testing rates remain low. Efforts to scale up testing coverage and frequency in hard-to-reach and at-risk populations commonly focus on home-based HIV testing. This study evaluates the effect of a gift (a US$5 food voucher for families) on consent rates for home-based HIV testing.

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Taking HIV Testing to Families: Designing a Family-Based Intervention to Facilitate HIV Testing, Disclosure, and Intergenerational Communication

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Yes
Author
Heidi van Rooyen, Zaynab Essack, Tamsen Rochat, Daniel Wight, Lucia Knight, Ruth Bland and Connie Celum

Facility-based HIV testing does not capture many adults and children who are at risk of HIV in South Africa. This underscores the need to provide targeted, age-appropriate HIV testing for children, adolescents, and adults who are not accessing health facilities. While home-based counseling and testing has been successfully delivered in multiple settings, it also often fails to engage adolescents. To date, the full potential for testing entire families and linking them to treatment has not been evaluated.

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Uptake of Home-Based HIV Testing, Linkage to Care, and Community Attitudes about ART in Rural KwaZulu-Natal, South Africa: Descriptive Results from the First Phase of the ANRS 12249 TasP Cluster-Randomised Trial

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Yes
Author
Collins C. Iwuji, Joanna Orne-Gliemann, Joseph Larmarange, Nonhlanhla Okesola, Frank Tanser, Rodolphe Thiebaut, Claire Rekacewicz, Marie-Louise Newell, Francois Dabis

The 2015 WHO recommendation of antiretroviral therapy (ART) for all immediately following HIV diagnosis is partially based on the anticipated impact on HIV incidence in the surrounding population. We investigated this approach in a cluster-randomised trial in a high HIV prevalence setting in rural KwaZulu-Natal. We present findings from the first phase of the trial and report on uptake of home-based HIV testing, linkage to care, uptake of ART, and community attitudes about ART.

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Increased adolescent HIV testing with a hybrid mobile strategy in Uganda and Kenya

Is the resource available on the Internet?
Yes
Author
Kadede, Kevin; Ruel, Theodore; Kabami, Jane; Ssemmondo, Emmanuel; Sang, Norton; Kwarisiima, Dalsone; Bukusi, Elizabeth; Cohen, Craig R.; Liegler, Teri; Clark, Tamara D.; Charlebois, Edwin D.; Petersen, Maya L.; Kamya, Moses R.; Havlir, Diane V.; Chamie, G

This study sought to increase adolescent HIV testing across rural communities in east Africa and identify predictors of undiagnosed HIV. It measured adolescent HIV testing coverage and prevalence, and determined predictors of newly-diagnosed HIV among HIV+ adolescents using multivariable logistic regression.

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