SidaSubSaharaV1, Main, Exploration, bibRecordById, PMC:2664736

Project Accept (HPTN 043) : A Community-Based Intervention to Reduce HIV Incidence in Populations at Risk for HIV in Sub-Saharan Africa and Thailand

Identifieur interne : 006338 ( Main/Exploration ); précédent : 006337; suivant : 006339

Project Accept (HPTN 043) : A Community-Based Intervention to Reduce HIV Incidence in Populations at Risk for HIV in Sub-Saharan Africa and Thailand

Auteurs : Gertrude Khumalo-Sakutukwa [États-Unis] ; Stephen F. Morin [États-Unis] ; Katherine Fritz [États-Unis] ; Edwin D. Charlebois [États-Unis] ; Heidi Van Rooyen [Afrique du Sud] ; Alfred Chingono [Zimbabwe] ; Precious Modiba [Afrique du Sud] ; Khalifa Mrumbi [Tanzanie] ; Surasing Visrutaratna [Thaïlande] ; Basant Singh [États-Unis] ; Michael Sweat [États-Unis] ; David D. Celentano [États-Unis] ; Thomas J. Coates [États-Unis]

Source :

Journal of acquired immune deficiency syndromes : (1999) [ 1525-4135 ] ; 2008.

RBID : Pascal:09-0011595

Descripteurs français

Pascal (Inist)
- Virus immunodéficience humaine, Incidence, Epidémiologie, Afrique subsaharienne, Thaïlande, Prévention, Microbiologie, Virologie, SIDA, Comportement à risque.
Wicri :
- geographic : Thaïlande.

English descriptors

KwdEn :
- AIDS, Epidemiology, Human immunodeficiency virus, Incidence, Microbiology, Prevention, Sub-Saharan Africa, Thailand, Virology.

Abstract

Background: Changing community norms to increase awareness of HIV status and reduce HIV-related stigma has the potential to reduce the incidence of HIV-1 infection in the developing world. Methods: We developed and implemented a multilevel intervention providing community-based HIV mobile voluntary counseling and testing, community mobilization, and posttest support services. Forty-eight communities in Tanzania, Zimbabwe, South Africa, and Thailand were randomized to receive the intervention or clinic-based standard voluntary counseling and testing (VCT), the comparison condition. We monitored utilization of community-based HIV mobile voluntary counseling and testing and clinic-based standard VCT by community of residence at 3 sites, which was used to assess differential uptake. We also developed quality assurance procedures to evaluate staff fidelity to the intervention. Findings: In the first year of the study, a 4-fold increase in testing was observed in the intervention versus comparison communities. We also found an overall 95% adherence to intervention components. Study outcomes, including prevalence of recent HIV infection and community-level HIV stigma, will be assessed after 3 years of intervention. Conclusions: The provision of mobile services, combined with appropriate support activities, may have significant effects on utilization of voluntary counseling and testing. These findings also provide early support for community mobilization as a strategy for increasing testing rates.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664736

Affiliations:

Le document en format XML

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<series><title level="j" type="main">Journal of acquired immune deficiency syndromes : (1999)</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term>
<term>Epidemiology</term>
<term>Human immunodeficiency virus</term>
<term>Incidence</term>
<term>Microbiology</term>
<term>Prevention</term>
<term>Sub-Saharan Africa</term>
<term>Thailand</term>
<term>Virology</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Virus immunodéficience humaine</term>
<term>Incidence</term>
<term>Epidémiologie</term>
<term>Afrique subsaharienne</term>
<term>Thaïlande</term>
<term>Prévention</term>
<term>Microbiologie</term>
<term>Virologie</term>
<term>SIDA</term>
<term>Comportement à risque</term>
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<front><div type="abstract" xml:lang="en">Background: Changing community norms to increase awareness of HIV status and reduce HIV-related stigma has the potential to reduce the incidence of HIV-1 infection in the developing world. Methods: We developed and implemented a multilevel intervention providing community-based HIV mobile voluntary counseling and testing, community mobilization, and posttest support services. Forty-eight communities in Tanzania, Zimbabwe, South Africa, and Thailand were randomized to receive the intervention or clinic-based standard voluntary counseling and testing (VCT), the comparison condition. We monitored utilization of community-based HIV mobile voluntary counseling and testing and clinic-based standard VCT by community of residence at 3 sites, which was used to assess differential uptake. We also developed quality assurance procedures to evaluate staff fidelity to the intervention. Findings: In the first year of the study, a 4-fold increase in testing was observed in the intervention versus comparison communities. We also found an overall 95% adherence to intervention components. Study outcomes, including prevalence of recent HIV infection and community-level HIV stigma, will be assessed after 3 years of intervention. Conclusions: The provision of mobile services, combined with appropriate support activities, may have significant effects on utilization of voluntary counseling and testing. These findings also provide early support for community mobilization as a strategy for increasing testing rates.</div>
</front>
</TEI>
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<name sortKey="Coates, Thomas J" sort="Coates, Thomas J" uniqKey="Coates T" first="Thomas J." last="Coates">Thomas J. Coates</name>
<name sortKey="Fritz, Katherine" sort="Fritz, Katherine" uniqKey="Fritz K" first="Katherine" last="Fritz">Katherine Fritz</name>
<name sortKey="Morin, Stephen F" sort="Morin, Stephen F" uniqKey="Morin S" first="Stephen F." last="Morin">Stephen F. Morin</name>
<name sortKey="Singh, Basant" sort="Singh, Basant" uniqKey="Singh B" first="Basant" last="Singh">Basant Singh</name>
<name sortKey="Sweat, Michael" sort="Sweat, Michael" uniqKey="Sweat M" first="Michael" last="Sweat">Michael Sweat</name>
</country>
<country name="Afrique du Sud"><noRegion><name sortKey="Van Rooyen, Heidi" sort="Van Rooyen, Heidi" uniqKey="Van Rooyen H" first="Heidi" last="Van Rooyen">Heidi Van Rooyen</name>
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<name sortKey="Modiba, Precious" sort="Modiba, Precious" uniqKey="Modiba P" first="Precious" last="Modiba">Precious Modiba</name>
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<country name="Zimbabwe"><noRegion><name sortKey="Chingono, Alfred" sort="Chingono, Alfred" uniqKey="Chingono A" first="Alfred" last="Chingono">Alfred Chingono</name>
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</country>
<country name="Tanzanie"><noRegion><name sortKey="Mrumbi, Khalifa" sort="Mrumbi, Khalifa" uniqKey="Mrumbi K" first="Khalifa" last="Mrumbi">Khalifa Mrumbi</name>
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</country>
<country name="Thaïlande"><noRegion><name sortKey="Visrutaratna, Surasing" sort="Visrutaratna, Surasing" uniqKey="Visrutaratna S" first="Surasing" last="Visrutaratna">Surasing Visrutaratna</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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   |wiki=    Wicri/Sante
   |area=    SidaSubSaharaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     Pascal:09-0011595
   |texte=   Project Accept (HPTN 043) : A Community-Based Intervention to Reduce HIV Incidence in Populations at Risk for HIV in Sub-Saharan Africa and Thailand
}}

This area was generated with Dilib version V0.6.32.
Data generation: Mon Nov 13 19:31:10 2017. Site generation: Wed Mar 6 19:14:32 2024

Le SIDA en Afrique subsaharienne (serveur d'exploration)

Project Accept (HPTN 043) : A Community-Based Intervention to Reduce HIV Incidence in Populations at Risk for HIV in Sub-Saharan Africa and Thailand

Project Accept (HPTN 043) : A Community-Based Intervention to Reduce HIV Incidence in Populations at Risk for HIV in Sub-Saharan Africa and Thailand

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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.