OBJECTIVE: To compare users of a home and mobile HIV counseling and testing service implemented in rural KwaZulu-Natal, South Africa. METHODS: Communities of similar population size and density were allocated HIV counseling and testing provision be either home or mobile services. Uptake of services was compared, including results from a brief questionnaire. RESULTS: Majority of individuals proceeded to test. Mobile services reported a higher proportion of clients who were male (41% vs. 31%; P < 0.001), younger than 25 years (53% vs. 28%; P < 0.001), single (66% vs. 40%; P < 0.001), and never previously tested (62% vs. 56%; P = 0.003). Home services reported a higher proportion of clients older than of 35 years (56% vs. 35%; P < 0.001) and married/partner (43% vs. 30%; P < 0.001). HIV prevalence amongst clients of the 2 services was comparable, with both services testing more clients daily than the local primary health care clinics, but similar to the local hospital. CONCLUSIONS: The numbers tested, different populations reached, and high detection rates suggest both modalities have an important role to play, especially in rural communities where cost of transport may be a deterrent.
OBJECTIVE: To compare users of a home and mobile HIV counseling and testing service implemented in rural KwaZulu-Natal, South Africa. METHODS: Communities of similar population size and density were allocated HIV counseling and testing provision be either home or mobile services. Uptake of services was compared, including results from a brief questionnaire. RESULTS: Majority of individuals proceeded to test. Mobile services reported a higher proportion of clients who were male (41% vs. 31%; P < 0.001), younger than 25 years (53% vs. 28%; P < 0.001), single (66% vs. 40%; P < 0.001), and never previously tested (62% vs. 56%; P = 0.003). Home services reported a higher proportion of clients older than of 35 years (56% vs. 35%; P < 0.001) and married/partner (43% vs. 30%; P < 0.001). HIV prevalence amongst clients of the 2 services was comparable, with both services testing more clients daily than the local primary health care clinics, but similar to the local hospital. CONCLUSIONS: The numbers tested, different populations reached, and high detection rates suggest both modalities have an important role to play, especially in rural communities where cost of transport may be a deterrent.
Authors: Nick Menzies; Betty Abang; Rhoda Wanyenze; Fred Nuwaha; Balaam Mugisha; Alex Coutinho; Rebecca Bunnell; Jonathan Mermin; John M Blandford Journal: AIDS Date: 2009-01-28 Impact factor: 4.177
Authors: Myron S Cohen; Ying Q Chen; Marybeth McCauley; Theresa Gamble; Mina C Hosseinipour; Nagalingeswaran Kumarasamy; James G Hakim; Johnstone Kumwenda; Beatriz Grinsztejn; Jose H S Pilotto; Sheela V Godbole; Sanjay Mehendale; Suwat Chariyalertsak; Breno R Santos; Kenneth H Mayer; Irving F Hoffman; Susan H Eshleman; Estelle Piwowar-Manning; Lei Wang; Joseph Makhema; Lisa A Mills; Guy de Bruyn; Ian Sanne; Joseph Eron; Joel Gallant; Diane Havlir; Susan Swindells; Heather Ribaudo; Vanessa Elharrar; David Burns; Taha E Taha; Karin Nielsen-Saines; David Celentano; Max Essex; Thomas R Fleming Journal: N Engl J Med Date: 2011-07-18 Impact factor: 91.245
Authors: Gregg S Gonsalves; Forrest W Crawford; Paul D Cleary; Edward H Kaplan; A David Paltiel Journal: Med Decis Making Date: 2017-07-12 Impact factor: 2.583
Authors: Nora E Rosenberg; Daniel Westreich; Till Bärnighausen; William C Miller; Frieda Behets; Suzanne Maman; Marie-Louise Newell; Audrey Pettifor Journal: AIDS Date: 2013-11-13 Impact factor: 4.177
Authors: N Naidoo; N Matlakala; J Railton; S Khosa; G Marincowitz; J O Igumbor; J A McIntyre; H E Struthers; R P H Peters Journal: Trop Med Int Health Date: 2019-02-03 Impact factor: 2.622
Authors: Jamie P Morano; Alexei Zelenev; Andrea Lombard; Ruthanne Marcus; Britton A Gibson; Frederick L Altice Journal: J Community Health Date: 2014-10
Authors: Larry W Chang; David Serwadda; Thomas C Quinn; Maria J Wawer; Ronald H Gray; Steven J Reynolds Journal: Lancet Infect Dis Date: 2013-01 Impact factor: 25.071
Authors: J E Mantell; A L DiCarlo; R H Remien; A Zerbe; D Morris; B Pitt; J P Nkonyana; E J Abrams; W El-Sadr Journal: Health Educ Res Date: 2014-03-05