The impacts of community-based HIV testing and counselling on testing uptake

Sulat, Jaelan Sumo; Prabandari, Yayi Suryo; Sanusi, Rossi; Hapsari, Elsi Dwi; Santoso, Budiono

doi:10.1108/jhr-01-2018-015

Cited by 31 publications

(19 citation statements)

References 18 publications

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“…A systematic review found that the use of HIV point-of-care tests (POCT) as part of CBVCT interventions, combined with behavioural interventions either at individual or community level, has the potential for enormous impact on the HIV epidemic [ 11 ]. Scaling up the CBVCT service model was thought to increase the likelihood of achieving the 90–90–90 target by 2020 [ 12 ], but the scale up in Europe has been impacted by limited funding, poor integration with national HIV programmes and regulatory barriers.…”

Section: Introductionmentioning

confidence: 99%

The contribution of HIV point-of-care tests in early HIV diagnosis: community-based HIV testing monitoring in Catalonia, 1995 to 2018

et al. 2020

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Background Community-based HIV testing services combined with the use of point-of-care tests (POCT) have the potential to improve early diagnosis through increasing availability, accessibility and uptake of HIV testing. Aim To describe community-based HIV testing activity in Catalonia, Spain, from 1995 to 2018, and to evaluate the impact of HIV POCT on the HIV continuum of care. Methods A community-based network of voluntary counselling and testing services in Catalonia, Spain has been collecting systematic data on activity, process and results since 1995. A descriptive analysis was performed on pooled data, describing the data in terms of people tested and reactive screening test results. Results Between 1995 and 2018, 125,876 HIV tests were performed (2.1% reactive). Since the introduction of HIV POCT in 2007, a large increase in the number of tests performed was observed, reaching 14,537 tests alone in 2018 (1.3% reactive). Men who have sex with men (MSM), as a proportion of all people tested, has increased greatly over time reaching 74.7% in 2018. The highest percentage of reactive tests was found in people who inject drugs followed by MSM. The contribution of community-based HIV testing to the overall total notified cases in the Catalonia HIV registry has gradually increased, reaching 37.9% in 2018, and 70% of all MSM cases. In 2018, the percentage of individuals with a reactive screening test who were linked to care was 89.0%. Conclusion Our study reinforces the important role that community-based HIV POCT has on the diagnosis of HIV in key populations.

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Section: Introductionmentioning

confidence: 99%

The contribution of HIV point-of-care tests in early HIV diagnosis: community-based HIV testing monitoring in Catalonia, 1995 to 2018

et al. 2020

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“…High uptake of VCT services has also been reported in intervention cases such as home-based and community-based testing interventions. 10,11,18,19 Apart from changing the perception of the allied workers on VCT, this study found that the intervention recorded a huge success as more people got tested for HIV during the intervention than at the baseline. The major reasons the workers desired HIV tests in the baseline was to eliminate fear and anxiety.…”

Section: Discussionmentioning

confidence: 80%

“…9 Home-based testing and counselling have been proven as one of the best strategies towards improving HIV testing in rural communities, 10 but this can be made possible through eff ective community-based intervention. Various studies have around the globe piloted the eff ectiveness of community-based interventions on HIV counselling and testing, 11 but information on rural allied workers is very limited. This study sought to evaluate the impact of community-based intervention towards the prevention and control of HIV on the voluntary testing for HIV among allied workers in rural Bonny Kingdom of Rivers, State, Nigeria.…”

Section: International Journal Of Occupational Safety and Health (Ijosh)mentioning

confidence: 99%

Voluntary Counselling and Testing for HIV Among Allied Workers in Rural Area of Nigeria: Evaluation of Community-Based Interventions

Onoja¹,

Sanni²,

Abiodun³

et al. 2020

Int J Occup Safety & Health

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Background: Knowledge of human immunodeficiency virus status is a key tool in the fight against the spread of the human immunodeficiency virus epidemic. Objectives: This study sought to evaluate the impact of community-based intervention towards the prevention and control of human immunodeficiency virus on the voluntary testing for human immunodeficiency virus among allied workers in rural Bonny Kingdom of Rivers, State, Nigeria. Methods: The study comprised two quantitative surveys; the baseline survey conducted before a three years human immunodeficiency virus prevention intervention programs and the post-intervention survey conducted after the interventions. A structured questionnaire was employed to collect information from a representative sample of the allied workers aged 15–49 years. The questionnaire item for this survey is broadly divided into six categories comprising the basic socio-demographic information, the knowledge of HIV testing, desire for HIV testing, self and solution efficacy; access to products and services including voluntary counselling and testing. Data were analyzed using SPSS version 25.0. Results: The study comprised 419 participants in the baseline and 587 in the post-intervention survey. The overall knowledge of voluntary counselling and testing services was 76.8% of which 37.5% have been tested and 88.9% of which 68.0% have been tested at both surveys. Three of every 5(67.0%) had the desire to be tested at baseline while- 4 of every 5(81.1%) were willing to be tested at post-intervention. The major reasons for unwillingness to be screened include poor perception about voluntary counselling and testing and feeling of not being at risk. The prevalence of human immunodeficiency at baseline was 8.5% and 2.0% at the post-intervention survey with a prevalence ratio of 4.3 (p<0.0001]. HIV prevalence was 12.4% among women compared 4.8% in men at baseline. The prevalence among adolescents was12.0% and 10.1% among singles. Conclusions: This study has demonstrated that the struggle to prevent and control human immunodeficiency can be successful if intervention programs are put in place, particularly in rural communities where acquired immunodeficiency syndrome related information is limited.

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“…Considering the yield of new HIV diagnoses, home-based testing may thus not be an efficient approach anymore [32]. However, several studies indicated that the benefit of home-based HTC should not only be seen in numbers newly found HIV positive as a negative HIV test may increase awareness and reduce risk-behavior [33]. Moreover, as indicated by high shares of first-time testers in our study, home-based HTC remains a valid approach to test persons who might not access testing otherwise.…”

Section: Discussionmentioning

confidence: 99%

Effect and cost of two successive home visits to increase HIV testing coverage: a prospective study in Lesotho, Southern Africa

Labhardt

Ringera²,

Lejone³

et al. 2019

BMC Public Health

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BackgroundHome-based HIV testing and counselling (HB-HTC) is frequently used to increase awareness of HIV status in sub-Saharan Africa. Whereas acceptance of HB-HTC is usually high, testing coverage may remain low due to household members being absent during the home visits. This study assessed whether two consecutive visits, one during the week, one on the weekend, increase coverage.MethodsThe study was a predefined nested-study of the CASCADE-trial protocol and conducted in 62 randomly selected villages and 17 urban areas in Butha-Buthe district, Lesotho. HB-HTC teams visited each village/urban area twice: first during a weekday, followed by a weekend visit to catch-up for household members absent during the week. Primary outcome was HTC coverage after first and second visit. Coverage was defined as all individuals who knew their HIV status out of all household members (present and absent).ResultsHB-HTC teams visited 6665 households with 18,286 household members. At first visit, 69.2 and 75.4% of household members were encountered in rural and urban households respectively (p < 0.001) and acceptance for testing was 88.5% in rural and 79.5% in urban areas (p < 0.001), resulting in a coverage of 61.8 and 61.5%, respectively. After catch-up visit, the HTC coverage increased to 71.9% in rural and 69.4% in urban areas. The number of first time testers was higher at the second visit (47% versus 35%, p < 0.001). Direct cost per person tested and per person tested HIV positive were lower during weekdays (10.50 and 335 USD) than during weekends (20 and 1056 USD).ConclusionsA catch-up visit on weekends increased the proportion of persons knowing their HIV status from 62 to 71% and reached more first-time testers. However, cost per person tested during catch-up visits was nearly twice the cost during first visit.Trial registrationNCT02692027 (prospectively registered on February 21, 2016).

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The impacts of community-based HIV testing and counselling on testing uptake

Cited by 31 publications

References 18 publications

The contribution of HIV point-of-care tests in early HIV diagnosis: community-based HIV testing monitoring in Catalonia, 1995 to 2018

The contribution of HIV point-of-care tests in early HIV diagnosis: community-based HIV testing monitoring in Catalonia, 1995 to 2018

Voluntary Counselling and Testing for HIV Among Allied Workers in Rural Area of Nigeria: Evaluation of Community-Based Interventions

Effect and cost of two successive home visits to increase HIV testing coverage: a prospective study in Lesotho, Southern Africa

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