Promoting uptake of child HIV testing: an evaluation of the role of a home visiting program for orphans and vulnerable children in South Africa
Identifieur interne : 000E50 ( Main/Exploration ); précédent : 000E49; suivant : 000E51Promoting uptake of child HIV testing: an evaluation of the role of a home visiting program for orphans and vulnerable children in South Africa
Auteurs : Tonya R. Thurman ; Brian Luckett ; Tory Taylor ; Melissa CarnaySource :
- AIDS Care [ 0954-0121 ] ; 2016.
Abstract
HIV counseling and testing (HCT) is critical for children in generalized epidemic settings, but significant shortfalls in coverage persist, notably among orphans and others at disproportionate risk of infection. This study investigates the impact of a home visiting program in South Africa on orphaned and vulnerable children’s uptake of HCT. Using propensity score matching, survey data for children receiving home visits from trained community-based care workers were compared to data from children living in similar households that had not yet received home visits (
Url:
DOI: 10.1080/09540121.2016.1176679
PubMed: 27306743
PubMed Central: 4991227
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Promoting uptake of child HIV testing: an evaluation of the role of a home visiting program for orphans and vulnerable children in South Africa</title><author><name sortKey="Thurman, Tonya R" sort="Thurman, Tonya R" uniqKey="Thurman T" first="Tonya R." last="Thurman">Tonya R. Thurman</name><affiliation><nlm:aff id="AF1"></nlm:aff></affiliation></author><author><name sortKey="Luckett, Brian" sort="Luckett, Brian" uniqKey="Luckett B" first="Brian" last="Luckett">Brian Luckett</name><affiliation><nlm:aff id="AF1"></nlm:aff></affiliation></author><author><name sortKey="Taylor, Tory" sort="Taylor, Tory" uniqKey="Taylor T" first="Tory" last="Taylor">Tory Taylor</name><affiliation><nlm:aff id="AF1"></nlm:aff></affiliation><affiliation><nlm:aff id="AF2"></nlm:aff></affiliation></author><author><name sortKey="Carnay, Melissa" sort="Carnay, Melissa" uniqKey="Carnay M" first="Melissa" last="Carnay">Melissa Carnay</name><affiliation><nlm:aff id="AF1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27306743</idno><idno type="pmc">4991227</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991227</idno><idno type="RBID">PMC:4991227</idno><idno type="doi">10.1080/09540121.2016.1176679</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002059</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002059</idno><idno type="wicri:Area/Pmc/Curation">002058</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002058</idno><idno type="wicri:Area/Pmc/Checkpoint">000529</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000529</idno><idno type="wicri:Area/Ncbi/Merge">003833</idno><idno type="wicri:Area/Ncbi/Curation">003833</idno><idno type="wicri:Area/Ncbi/Checkpoint">003833</idno><idno type="wicri:doubleKey">0954-0121:2016:Thurman T:promoting:uptake:of</idno><idno type="wicri:Area/Main/Merge">000E50</idno><idno type="wicri:Area/Main/Curation">000E50</idno><idno type="wicri:Area/Main/Exploration">000E50</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Promoting uptake of child HIV testing: an evaluation of the role of a home visiting program for orphans and vulnerable children in South Africa</title><author><name sortKey="Thurman, Tonya R" sort="Thurman, Tonya R" uniqKey="Thurman T" first="Tonya R." last="Thurman">Tonya R. Thurman</name><affiliation><nlm:aff id="AF1"></nlm:aff></affiliation></author><author><name sortKey="Luckett, Brian" sort="Luckett, Brian" uniqKey="Luckett B" first="Brian" last="Luckett">Brian Luckett</name><affiliation><nlm:aff id="AF1"></nlm:aff></affiliation></author><author><name sortKey="Taylor, Tory" sort="Taylor, Tory" uniqKey="Taylor T" first="Tory" last="Taylor">Tory Taylor</name><affiliation><nlm:aff id="AF1"></nlm:aff></affiliation><affiliation><nlm:aff id="AF2"></nlm:aff></affiliation></author><author><name sortKey="Carnay, Melissa" sort="Carnay, Melissa" uniqKey="Carnay M" first="Melissa" last="Carnay">Melissa Carnay</name><affiliation><nlm:aff id="AF1"></nlm:aff></affiliation></author></analytic><series><title level="j">AIDS Care</title><idno type="ISSN">0954-0121</idno><idno type="eISSN">1360-0451</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>ABSTRACT</title><p>HIV counseling and testing (HCT) is critical for children in generalized epidemic settings, but significant shortfalls in coverage persist, notably among orphans and others at disproportionate risk of infection. This study investigates the impact of a home visiting program in South Africa on orphaned and vulnerable children’s uptake of HCT. Using propensity score matching, survey data for children receiving home visits from trained community-based care workers were compared to data from children living in similar households that had not yet received home visits (<italic>n</italic> = 1324). Home visits by community-based care workers increased the odds of a child being tested by 97% (OR = 1.97, 95% CI = 1.34–2.92). The home visitation program had an especially pronounced effect on orphans, more than doubling their odds of being tested (OR = 2.12, 95% CI = 1.00–4.47) compared to orphans living in similar households that did not receive home visits. Orphan status alone had no effect on HCT independent of program exposure, suggesting that the program was uniquely able to increase testing in this subgroup. Results highlight the potential for increasing HCT access among children at high risk through targeted community-based initiatives.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Apicella, L" uniqKey="Apicella L">L. Apicella</name></author><author><name sortKey="Schenk, K" uniqKey="Schenk K">K. Schenk</name></author><author><name sortKey="Khan, H" uniqKey="Khan H">H. Khan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chhagan, M K" uniqKey="Chhagan M">M. K. Chhagan</name></author><author><name sortKey="Shuaib, K" uniqKey="Shuaib K">K. Shuaib</name></author><author><name sortKey="Arpadi, S M" uniqKey="Arpadi S">S. M. Arpadi</name></author><author><name sortKey="Craib, M H" uniqKey="Craib M">M. H. Craib</name></author><author><name sortKey="Bah, F" uniqKey="Bah F">F. Bah</name></author><author><name sortKey="Stein, Z" uniqKey="Stein Z">Z. 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Gibb</name></author><author><name sortKey="Babiker, A G" uniqKey="Babiker A">A. G. Babiker</name></author><author><name sortKey="Steyn, J" uniqKey="Steyn J">J. Steyn</name></author><author><name sortKey="Madhi, S A" uniqKey="Madhi S">S. A. Madhi</name></author><author><name sortKey="Mcintyre, J A" uniqKey="Mcintyre J">J. A. McIntyre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Woldesenbet, S A" uniqKey="Woldesenbet S">S. A. Woldesenbet</name></author><author><name sortKey="Jackson, D" uniqKey="Jackson D">D. Jackson</name></author><author><name sortKey="Goga, A E" uniqKey="Goga A">A. E. Goga</name></author><author><name sortKey="Crowley, S" uniqKey="Crowley S">S. Crowley</name></author><author><name sortKey="Doherty, T" uniqKey="Doherty T">T. Doherty</name></author><author><name sortKey="Mogashoa, M M" uniqKey="Mogashoa M">M. M. Mogashoa</name></author><author><name sortKey="Sherman, G G" uniqKey="Sherman G">G. G. Sherman</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Carnay, Melissa" sort="Carnay, Melissa" uniqKey="Carnay M" first="Melissa" last="Carnay">Melissa Carnay</name><name sortKey="Luckett, Brian" sort="Luckett, Brian" uniqKey="Luckett B" first="Brian" last="Luckett">Brian Luckett</name><name sortKey="Taylor, Tory" sort="Taylor, Tory" uniqKey="Taylor T" first="Tory" last="Taylor">Tory Taylor</name><name sortKey="Thurman, Tonya R" sort="Thurman, Tonya R" uniqKey="Thurman T" first="Tonya R." last="Thurman">Tonya R. Thurman</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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