Implementation of couples’ voluntary HIV counseling and testing services in Durban, South Africa View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-07-02

AUTHORS

William Kilembe, Kristin M. Wall, Mammekwa Mokgoro, Annie Mwaanga, Elisabeth Dissen, Miriam Kamusoko, Hilda Phiri, Jean Sakulanda, Jonathan Davitte, Tarylee Reddy, Mark Brockman, Thumbi Ndung’u, Susan Allen

ABSTRACT

BackgroundCouples’ voluntary HIV counseling and testing (CVCT) is an evidence-based intervention that significantly reduces HIV incidence in couples. Despite the high prevalence of HIV and HIV couple serodiscordance in South Africa, there are few CVCT services.MethodsFrom February-June 2013, The Rwanda Zambia HIV Research Group provided support, training, and technical assistance for local counselors and promoters to pilot CVCT services in five hospital-based clinics in Durban, South Africa. Client-level data (age, gender, years cohabiting, pregnancy status, previous testing, antiretroviral treatment (ART) status, neighborhood, and test site) collected as a component of routine CVCT service operation is presented stratified by couple serostatus.ResultsTwenty counselors and 28 promoters completed training. Of 907 couples (1,814 individuals) that underwent CVCT, prevalence of HIV was 41.8 % and prevalence of HIV serodiscordance was 29.5 % (19.3 % M-F+, 10.3 % M + F-). Most participants were 25–34 years of age, and this group had the highest prevalence. Previous individual HIV testing was low (50 % for men, 63 % for women). Only 4 % of couples reported previous CVCT. Most (75 %) HIV+ partners were not on ART, and HIV+ individuals in discordant couples were more likely to be on ART than those in concordant positive couples. Pregnancy among HIV+ women was not associated with previous HIV testing or ART use.ConclusionsImplementation of standard CVCT services was found to be feasible in Durban. The burden of HIV and couple serodiscordance in Durban was extremely high. CVCT would greatly benefit couples in Durban as an HIV prevention strategy. More... »

PAGES

601

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12889-015-1959-z

DOI

http://dx.doi.org/10.1186/s12889-015-1959-z

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https://app.dimensions.ai/details/publication/pub.1018093336

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26136116


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24 schema:description BackgroundCouples’ voluntary HIV counseling and testing (CVCT) is an evidence-based intervention that significantly reduces HIV incidence in couples. Despite the high prevalence of HIV and HIV couple serodiscordance in South Africa, there are few CVCT services.MethodsFrom February-June 2013, The Rwanda Zambia HIV Research Group provided support, training, and technical assistance for local counselors and promoters to pilot CVCT services in five hospital-based clinics in Durban, South Africa. Client-level data (age, gender, years cohabiting, pregnancy status, previous testing, antiretroviral treatment (ART) status, neighborhood, and test site) collected as a component of routine CVCT service operation is presented stratified by couple serostatus.ResultsTwenty counselors and 28 promoters completed training. Of 907 couples (1,814 individuals) that underwent CVCT, prevalence of HIV was 41.8 % and prevalence of HIV serodiscordance was 29.5 % (19.3 % M-F+, 10.3 % M + F-). Most participants were 25–34 years of age, and this group had the highest prevalence. Previous individual HIV testing was low (50 % for men, 63 % for women). Only 4 % of couples reported previous CVCT. Most (75 %) HIV+ partners were not on ART, and HIV+ individuals in discordant couples were more likely to be on ART than those in concordant positive couples. Pregnancy among HIV+ women was not associated with previous HIV testing or ART use.ConclusionsImplementation of standard CVCT services was found to be feasible in Durban. The burden of HIV and couple serodiscordance in Durban was extremely high. CVCT would greatly benefit couples in Durban as an HIV prevention strategy.
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31 schema:keywords ART use
32 Africa
33 CVCT
34 CVCT services
35 ConclusionsImplementation
36 Durban
37 HIV
38 HIV counseling
39 HIV incidence
40 HIV prevention strategies
41 HIV serodiscordance
42 HIV testing
43 Most participants
44 South Africa
45 age
46 art
47 assistance
48 burden
49 burden of HIV
50 client-level data
51 clinic
52 components
53 counseling
54 counselors
55 couple serostatus
56 couples
57 data
58 discordant couples
59 evidence-based interventions
60 group
61 high prevalence
62 hospital-based clinics
63 implementation
64 implementation of couple
65 incidence
66 individuals
67 intervention
68 local counselors
69 operation
70 participants
71 partners
72 positive couples
73 pregnancy
74 prevalence
75 prevalence of HIV
76 prevention strategies
77 previous HIV testing
78 promoter
79 research groups
80 serodiscordance
81 serostatus
82 service operations
83 services
84 strategies
85 support
86 technical assistance
87 testing
88 testing services
89 training
90 use
91 voluntary HIV counseling
92 women
93 years
94 years of age
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