Le SIDA en Afrique subsaharienne (serveur d'exploration)

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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.

Identifieur interne : 001F71 ( Ncbi/Merge ); précédent : 001F70; suivant : 001F72

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.

Auteurs : Heidi Van Rooyen [Afrique du Sud] ; Ruanne V. Barnabas ; Jared M. Baeten ; Zipho Phakathi ; Philip Joseph ; Meighan Krows ; Ting Hong ; Pamela M. Murnane ; James Hughes ; Connie Celum

Source :

RBID : pubmed:23714740

Descripteurs français

English descriptors

Abstract

For antiretroviral therapy (ART) to have a population-level HIV prevention impact, high levels of HIV testing and effective linkages to HIV care among HIV-infected persons are required.

DOI: 10.1097/QAI.0b013e31829b567d
PubMed: 23714740

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pubmed:23714740

Le document en format XML

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<front>
<div type="abstract" xml:lang="en">For antiretroviral therapy (ART) to have a population-level HIV prevention impact, high levels of HIV testing and effective linkages to HIV care among HIV-infected persons are required.</div>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">For antiretroviral therapy (ART) to have a population-level HIV prevention impact, high levels of HIV testing and effective linkages to HIV care among HIV-infected persons are required.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We piloted home-based counseling and testing (HBCT) with point-of-care CD4 count testing and follow-up visits to facilitate linkage of HIV-infected persons to local HIV clinics and uptake of ART in rural KwaZulu-Natal, South Africa. Lay counselor follow-up visits at months one, three and six evaluated the primary outcome of linkage to care. Plasma viral load was measured at baseline and month six.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">671 adults were tested for HIV (91% coverage) and 201 (30%) were HIV-infected, of which 73 (36%) were new diagnoses. By month three, 90% of HIV-infected persons not on ART at baseline had visited an HIV clinic and 80% of those eligible for ART at baseline by South African guidelines (CD4≤200 cells/μL at the time of the study) had initiated ART. Among HIV-infected participants who were eligible for ART at baseline, mean viral load decreased by 3.23 log10 copies/mL (p<0.001) and the proportion with viral load suppression increased from 20% to 80% between baseline and month six.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this pilot of HBCT and linkages to care in KwaZulu-Natal, 91% of adults were tested for HIV. Linkage to care was ∼90% both among newly-identified HIV-infected persons as well as known HIVinfected persons who were not engaged in care. Among those eligible for ART, a high proportion initiated ART and achieved viral suppression, indicating high adherence and reduced infectiousness.</AbstractText>
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