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Sangiwa, M. Gloria; Straten, Ariane van der; Grinstead, Olga

doi:10.1023/a:1009584623712

Cited by 28 publications

(3 citation statements)

References 16 publications

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“…Consistent with studies conducted elsewhere, the main reason for receiving VCT through either model among the study population was to find out their status as opposed to other reasons such as own or spouse's past sexual behavior [22,29,30]. As demonstrated elsewhere, this may suggest that VCT is feasible and well accepted and may also be a high profile subject among rural communities in south western Uganda [11,30].…”

Section: Discussionsupporting

confidence: 74%

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Facility and home based HIV Counseling and Testing: a comparative analysis of uptake of services by rural communities in southwestern Uganda

Mulogo

Abdulaziz

Guerra

et al. 2011

BMC Health Serv Res

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BackgroundIn Uganda, public human immunodeficiency virus (HIV) Voluntary Counseling and Testing (VCT) services are mainly provided through the facility based model, although the home based approach is being promoted as a strategy for improving access to VCT. However the uptake of VCT varies according to service delivery model and is influenced by a number of factors. The aim of this study therefore, was to compare predictors for uptake of facility and home based VCT in a rural context.MethodsA longitudinal study with cross-sectional investigative phases was conducted at two sites (Rugando and Kabingo) in southwestern Uganda between November 2007 (baseline) and March 2008 (follow up). During the baseline visit, facility based VCT was offered at the main health centre in Rugando while home based VCT was offered at the household level in Kabingo and a mixed survey questionnaire administered to the respondents. The results presented in this paper are derived from only the baseline data.ResultsNine hundred ninety four (994) respondents were interviewed, of whom 500 received facility based VCT in Rugando and 494 home based VCT in Kabingo during the baseline visit. The respondents had a mean age of 32.2 years (SD 10.9) and were mainly female (68 percent). Clients who received facility based VCT were less likely to be residents of the more rural households (adjusted Odds Ratio (aOR) = 0.14, 95% CI 0.07, 0.22). The clients who received home based VCT were less likely to report having an STI symptom (aOR = 0.63, 95% CI 0.46, 0.86), and more likely to be worried about discrimination if they contracted AIDS (aOR = 1.78, 95% CI 1.22, 2.61).ConclusionThe uptake of VCT provided through either the facility or home based models is influenced by client characteristics such as proximity to service delivery points, HIV related symptoms, and fear of discrimination in rural Uganda. Interventions that seek to improve uptake of VCT should provide potential clients with both facility and home based VCT options within a given setting. The clients are then able to select a model for VCT that best fits their characteristics. This is likely to have positive implications for both service coverage and uptake by different sub-groups within particular communities.

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Section: Discussionsupporting

confidence: 74%

“…As demonstrated elsewhere, this may suggest that VCT is feasible and well accepted and may also be a high profile subject among rural communities in south western Uganda [11,30]. …”

Section: Discussionmentioning

confidence: 63%

Facility and home based HIV Counseling and Testing: a comparative analysis of uptake of services by rural communities in southwestern Uganda

Mulogo

Abdulaziz

Guerra

et al. 2011

BMC Health Serv Res

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“…Knowledge of one's HIV status helps people make decisions about their personal response to HIV, including preventative behaviors, accessing treatment, and planning for the future (Sangiwa, Van den Straten, Grinstead, & VCT Study Group, 2000). In Tanzania In an ideal world, the best HIV testing coverage is 100%.…”

Section: An Assessment Of Hiv Testing In Tanzania To Inform Future Stmentioning

confidence: 99%

An assessment of HIV testing in Tanzania to inform future strategies and interventions

et al. 2014

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This study identified characteristics of Tanzanians who have never tested for HIV in order to inform localized interventions to increase HIV testing coverage and uptake. A total of 3257 randomly selected participants aged 18-49 years were surveyed in 16 Mainland regions. Those surveyed were asked about demographics, HIV risk perception, HIV testing behavior, knowledge of both their own and partner's HIV status, and if they were tested with their partner. Approximately 22% of women and 46% of men reported never testing for HIV, with those who are younger (18-24 years), single/never married, living in rural areas, less educated, and having multiple sexual partners in the past year less likely to have tested. The gender differences in HIV testing behavior identified are supported by existing research. No association was found in either gender between HIV risk perception and testing, however, those least likely to test were those with multiple sex partners. These findings can help better target localized interventions focused on younger, single people, and those with multiple sex partners.

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‘Health management’ in the private sector in the context of HIV/AIDS: progress and challenges faced by company programmes in South Africa

George

Quinlan

2008

Sustainable Development

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'Health management' of employees is becoming a common imperative for companies that do business in regions where there is an HIV epidemic. Private sector initiatives in South Africa have evolved considerably. However, core components of HIV/AIDS-oriented workplace programmes, voluntary counselling and testing and anti-retroviral treatment, are not as effective as expected, despite considerable investment in them. There is some evidence to suggest gradual improvement in employee participation, yet this is coupled with employees defaulting from treatment programmes. This article explores reasons for these developments, the focus being on the economic and fi nancial challenges facing private sector workplace health programmes.

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Cited by 28 publications

References 16 publications

Facility and home based HIV Counseling and Testing: a comparative analysis of uptake of services by rural communities in southwestern Uganda

Facility and home based HIV Counseling and Testing: a comparative analysis of uptake of services by rural communities in southwestern Uganda

An assessment of HIV testing in Tanzania to inform future strategies and interventions

‘Health management’ in the private sector in the context of HIV/AIDS: progress and challenges faced by company programmes in South Africa

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