The Tingathe Surge: a multi-strategy approach to accelerate HIV case finding in Malawi.

Autor:	Simon KR; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.; Baylor College of Medicine International Pediatric AIDS Initiative, Houston, TX, USA., Hartig M; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi., Abrams EJ; ICAP at Columbia University, Mailman School of Public Health, and Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA., Wetzel E; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.; Baylor College of Medicine International Pediatric AIDS Initiative, Houston, TX, USA., Ahmed S; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.; Baylor College of Medicine International Pediatric AIDS Initiative, Houston, TX, USA., Chester E; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.; Baylor College of Medicine International Pediatric AIDS Initiative, Houston, TX, USA., Chembezi C; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi., Chavula B; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi., Zinkanda S; Malawi Ministry of Health, Lilongwe, Malawi., Kavuta E; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi., Chikoti C; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi., Beyene T; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.; Baylor College of Medicine International Pediatric AIDS Initiative, Houston, TX, USA., Nkhono Z; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi., Kabwinja A; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi., Nyirenda R; Malawi Ministry of Health, Lilongwe, Malawi., Kazembe PN; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.; Baylor College of Medicine International Pediatric AIDS Initiative, Houston, TX, USA., Kim MH; Baylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.; Baylor College of Medicine International Pediatric AIDS Initiative, Houston, TX, USA.
Jazyk:	angličtina
Zdroj:	Public health action [Public Health Action] 2019 Sep 21; Vol. 9 (3), pp. 128-134.
DOI:	10.5588/pha.18.0099
Abstrakt:	Setting: Nineteen health facilities in rural, southeastern Malawi. Objective: To describe the implementation and results of a 6-week intervention to accelerate human immunodeficiency virus (HIV) case finding. Design: Six HIV testing strategies were simultaneously implemented. Routinely collected data from Ministry of Health registers were used to determine the number of HIV tests performed and of new cases identified. The weekly averages of the total number of tests and new cases before and during the intervention were compared. Testing by age group and sex was described. The percentage yield of new cases was compared by testing strategy. Results: Of 29 703 HIV tests conducted, 1106 (3.7%) were positive. Of the total number of persons tested, 69.5% were women and 75.5% were aged >15 years. The yield of positive test results was 3.5% among women, 4.3% among men, 4.4% among those aged >15 years and 1.5% among those aged ⩽15 years. The average weekly number of tests increased 106.7% from 3337 to 6896 ( P = 0.002). The average weekly number of positive cases identified increased 51.9% from 158 to 240 ( P = 0.017). The testing strategy with the highest yield resulted in a 6.0% yield; the lowest was 1.3%. The yield for all strategies, except one, was highest in adult men. Conclusion: A multi-strategy approach to HIV testing and counseling can be an effective means of accelerating HIV case finding. Competing Interests: Conflicts of interest: none declared. (© 2019 The Union.)
Databáze:	MEDLINE
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