scholarly journals High HIV Testing Uptake and Linkage to Care in a Novel Program of Home-Based HIV Counseling and Testing With Facilitated Referral in KwaZulu-Natal, South Africa

2013 ◽  
Vol 64 (1) ◽  
pp. e1-e8 ◽  
Author(s):  
Heidi van Rooyen ◽  
Ruanne V. Barnabas ◽  
Jared M. Baeten ◽  
Zipho Phakathi ◽  
Philip Joseph ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Testing ◽  
Linkage To Care ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Home Based ◽  
Kwazulu Natal ◽  
Testing Uptake

scholarly journals Shout-It-Now: A Mobile HCT Model Employing Technology and Edutainment in South Africa

2016 ◽  
Vol 16 (5) ◽  
pp. 506-511 ◽  
Author(s):  
Joseph Daniels ◽  
Arnost Komarek ◽  
Bruce Forgreive ◽  
Kathryn Pahl ◽  
Stephen Stafford ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Testing ◽  
Linkage To Care ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Period Data ◽  
Hiv Risk Assessment ◽  
Telephonic Counseling ◽  
High Representation

Background: Mobile HIV counseling and testing (HCT) has been effective in reaching men, women, and adolescents in South Africa. However, there is limited understanding of effective mobile HCT programs utilizing tools like technology and edutainment to increase HIV counseling and testing rates. The authors examine data from the Shout-It-Now (S-N) program that uses such tools in South Africa. Methods: The S-N program utilizes various forms of technology and ongoing telephonic counseling within a 6-step program of HIV testing and linkage-to-care support, and program data were analyzed over an 18-month period. Data were analyzed from women, men, and adolescent program participants. Summative statistics was conducted on participant registration, HIV risk assessment, and HIV testing profiles. HIV prevalence were estimated along with the related 95% confidence intervals using the Clopper-Pearson method. Results: Over an 18-month period, there were 72 220 program participants with high representation of men, women, and adolescents and 40% of the participants being men at each site. There were 3343 participants who tested HIV positive, and a higher proportion of women tested positive. Discussion: Integrating technology, quality assurance measures, and edutainment with mobile HCT has the potential to increase the number of those who test within communities. Research is needed to understand the effectiveness of this model in facilitating regular testing and linkage to care.

scholarly journals What Influences Linkage to Care After Home-Based HIV Counseling and Testing?

2017 ◽  
Vol 22 (3) ◽  
pp. 722-732 ◽  
Author(s):  
Reshma Naik ◽  
Wanga Zembe ◽  
Fatima Adigun ◽  
Elizabeth Jackson ◽  
Hanani Tabana ◽  
...  
Keyword(s):  
Linkage To Care ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Home Based

scholarly journals High Uptake of Systematic HIV Counseling and Testing and TB Symptom Screening at a Primary Care Clinic in South Africa

PLoS ONE ◽  
2014 ◽  
Vol 9 (9) ◽  
pp. e105428 ◽  
Author(s):  
Annelies Van Rie ◽  
Kate Clouse ◽  
Colleen Hanrahan ◽  
Katerina Selibas ◽  
Ian Sanne ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Primary Care Clinic ◽  
High Uptake ◽  
Care Clinic ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Symptom Screening ◽  
Counseling And Testing

scholarly journals Correlates of previous couples’ HIV counseling and testing uptake among married individuals in three HIV prevalence strata in Rakai, Uganda

2015 ◽  
Vol 8 (1) ◽  
pp. 27935 ◽  
Author(s):  
Joseph K. B. Matovu ◽  
Jim Todd ◽  
Rhoda K. Wanyenze ◽  
Fred Wabwire-Mangen ◽  
David Serwadda
Keyword(s):  
Hiv Prevalence ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Testing Uptake ◽  
Married Individuals

scholarly journals Linkage to primary care after home-based blood pressure screening in rural KwaZulu-Natal, South Africa: a population-based cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023369 ◽  
Author(s):  
Mark J Siedner ◽  
Kathy Baisley ◽  
Joanna Orne-Gliemann ◽  
Deenan Pillay ◽  
Olivier Koole ◽  
...  
Keyword(s):  
South Africa ◽  
Blood Pressure ◽  
Linkage To Care ◽  
Sampling Weights ◽  
Rural South ◽  
Home Based ◽  
Kwazulu Natal ◽  
Blood Pressure Screening ◽  
The Impact ◽  
Rural South Africa

ObjectivesThe expanding burden of non-communicable diseases (NCDs) globally will require novel public health strategies. Community-based screening has been promoted to augment efficiency of diagnostic services, but few data are available on the downstream impact of such programmes. We sought to assess the impact of a home-based blood pressure screening programme on linkage to hypertension care in rural South Africa.SettingWe conducted home-based blood pressure screening withinin a population cohort in rural KwaZulu-Natal, using the WHO Stepwise Approach to Surveillance (STEPS) protocol.ParticipantsIndividuals meeting criteria for raised blood pressure (≥140 systolic or ≥90 diastolic averaged over two readings) were referred to local health clinics and included in this analysis. We defined linkage to care based on self-report of presentation to clinic for hypertension during the next 2 years of cohort observation. We estimated the population proportion of successful linkage to care with inverse probability sampling weights, and fit multivariable logistic regression models to identify predictors of linkage following a positive hypertension screen.ResultsOf 11 694 individuals screened, 14.6% (n=1706) were newly diagnosed with elevated pressure. 26.9% (95% CI 24.5% to 29.4%) of those sought hypertension care in the following 2 years, and 38.1% (95% CI 35.6% to 40.7%) did so within 5 years. Women (adjusted OR (aOR) 2.41, 95% CI 1.68 to 3.45), those of older age (aOR 11.49, 95% CI 5.87 to 22.46, for 45–59 years vs <30) and those unemployed (aOR 1.71, 95% CI 1.10 to 2.65) were more likely to have linked to care.ConclusionsLinkage to care after home-based identification of elevated blood pressure was rare in rural South Africa, particularly among younger individuals, men and the employed. Improved understanding of barriers and facilitators to NCD care is needed to enhance the effectiveness of blood pressure screening in the region.

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