SidaSubSaharaV1, Main, Exploration, bibRecord, 005296

Increasing Uptake of HIV Testing and Counseling Among the Poorest in Sub-Saharan Countries Through Home-based service provision

Identifieur interne : 005296 ( Main/Exploration ); précédent : 005295; suivant : 005297

Increasing Uptake of HIV Testing and Counseling Among the Poorest in Sub-Saharan Countries Through Home-based service provision

Auteurs : Stéphane Helleringer

Source :

Journal of acquired immune deficiency syndromes (1999) [ 1525-4135 ] ; 2009.

RBID : PMC:3068048

Descripteurs français

KwdFr :
- Adulte, Afrique subsaharienne (épidémiologie), Assistance, Femelle, Humains, Infections à VIH (diagnostic), Infections à VIH (épidémiologie), Jeune adulte, Mâle, Pauvreté, Prévalence, Services de santé communautaires (), Services de santé communautaires (économie), Services de soins à domicile, Établissements de santé.
MESH :
- diagnostic : Infections à VIH.
- économie : Services de santé communautaires.
- épidémiologie : Afrique subsaharienne, Infections à VIH.
- Adulte, Assistance, Femelle, Humains, Jeune adulte, Mâle, Pauvreté, Prévalence, Services de santé communautaires, Services de soins à domicile, Établissements de santé.

English descriptors

KwdEn :
- Adult, Africa South of the Sahara (epidemiology), Community Health Services (economics), Community Health Services (methods), Counseling, Female, HIV Infections (diagnosis), HIV Infections (epidemiology), Health Facilities, Home Care Services, Humans, Male, Poverty, Prevalence, Young Adult.
MESH :
- geographic , epidemiology : Africa South of the Sahara.
- diagnosis : HIV Infections.
- economics : Community Health Services.
- epidemiology : HIV Infections.
- methods : Community Health Services.
- Adult, Counseling, Female, Health Facilities, Home Care Services, Humans, Male, Poverty, Prevalence, Young Adult.

Abstract

Background

Uptake of HIV testing and counseling (HTC) is lower among members of the poorest households in sub-Saharan countries, thereby creating significant inequalities in access to HTC and possibly ARV treatment.

Objectives

To measure uptake of home-based HTC and estimate HIV prevalence among members of the poorest households in a sub-Saharan population.

Methods

Residents of 6 villages of Likoma Island (Malawi) aged 18–35 and their spouses were offered home-based HTC services. Socioeconomic status, HIV testing history and HIV risk factors were assessed. Differences in HTC uptake and HIV infection rates between members of households in the lowest income quartile and the rest of the population were estimated using logistic regression.

Results

Members of households in the lowest income quartile were significantly less likely to have ever used facility-based HTC services than the rest of the population (OR = 0.60, 95% CI: 0.36–0.97). In contrast, they were significantly more likely to use home-based HTC services provided during the study (aOR = 1.70, 95% CI: 1.04–2.79). Socioeconomic differences in uptake of home-based HTC were not due to underlying differences in socioeconomic characteristics or HIV risk factors. The prevalence of HIV was significantly lower among members of the poorest households tested during home-based HTC than among the rest of the population (aOR=0.37, 95% CI: 0.14–0.96).

Conclusions

HTC uptake was high during a home-based HTC campaign on Likoma Island, particularly among the poorest. Home-based HTC has the potential to significantly reduce existing socioeconomic gradients in HTC uptake, and help mitigate the impact of AIDS on the most vulnerable households.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3068048

DOI: 10.1097/QAI.0b013e31819c1726
PubMed: 19352202
PubMed Central: 3068048

Affiliations:

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Uptake of HIV testing and counseling (HTC) is lower among members of the poorest households in sub-Saharan countries, thereby creating significant inequalities in access to HTC and possibly ARV treatment.</p>
</sec>
<sec id="S2"><title>Objectives</title>
<p id="P2">To measure uptake of home-based HTC and estimate HIV prevalence among members of the poorest households in a sub-Saharan population.</p>
</sec>
<sec sec-type="methods" id="S3"><title>Methods</title>
<p id="P3">Residents of 6 villages of Likoma Island (Malawi) aged 18–35 and their spouses were offered home-based HTC services. Socioeconomic status, HIV testing history and HIV risk factors were assessed. Differences in HTC uptake and HIV infection rates between members of households in the lowest income quartile and the rest of the population were estimated using logistic regression.</p>
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<p id="P4">Members of households in the lowest income quartile were significantly less likely to have ever used facility-based HTC services than the rest of the population (OR = 0.60, 95% CI: 0.36–0.97). In contrast, they were significantly <italic>more likely</italic>
 to use home-based HTC services provided during the study (aOR = 1.70, 95% CI: 1.04–2.79). Socioeconomic differences in uptake of home-based HTC were not due to underlying differences in socioeconomic characteristics or HIV risk factors. The prevalence of HIV was significantly lower among members of the poorest households tested during home-based HTC than among the rest of the population (aOR=0.37, 95% CI: 0.14–0.96).</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">HTC uptake was high during a home-based HTC campaign on Likoma Island, particularly among the poorest. Home-based HTC has the potential to significantly reduce existing socioeconomic gradients in HTC uptake, and help mitigate the impact of AIDS on the most vulnerable households.</p>
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Increasing Uptake of HIV Testing and Counseling Among the Poorest in Sub-Saharan Countries Through Home-based service provision

Increasing Uptake of HIV Testing and Counseling Among the Poorest in Sub-Saharan Countries Through Home-based service provision

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

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