Early Uptake of HIV Clinical Care After Testing HIV-Positive During Home-Based Testing and Counseling in Western Kenya
| Autor: | Manquins Sewe, Patrick Owuor, Marta Ackers, Helen Muttai, Manase Amolloh, Beryl Audi, Kayla F. Laserson, Amy Medley |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Rural Population Program evaluation medicine.medical_specialty Time Factors Social Psychology Voluntary counseling and testing Population Directive Counseling HIV Infections Health Services Accessibility Peer Group Young Adult Acquired immunodeficiency syndrome (AIDS) Prevalence House call Humans Mass Screening Medicine education Mass screening education.field_of_study business.industry Public health Public Health Environmental and Occupational Health Attendance AIDS Serodiagnosis virus diseases Middle Aged Patient Acceptance of Health Care medicine.disease Home Care Services Kenya House Calls Infectious Diseases Socioeconomic Factors Population Surveillance Family medicine Female Rural Health Services business Follow-Up Studies |
| Zdroj: | AIDS and Behavior. 17:224-234 |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-012-0344-5 |
| Popis: | Home-based HIV testing and counseling (HBTC) has the potential to increase access to HIV testing. However, the extent to which HBTC programs successfully link HIV-positive individuals into clinical care remains unclear. To determine factors associated with early enrollment in HIV clinical care, adult residents (aged ≥13 years) in the Health and Demographic Surveillance System in Kisumu, Kenya were offered HBTC. All HIV-positive residents were referred to nearby HIV clinical care centers. Two to four months after HBTC, peer educators conducted home visits to consenting HIV-positive residents. Overall, 9,895 (82 %) of 12,035 residents accepted HBTC; 1,087 (11 %) were HIV-positive; and 737 (68 %) received home visits. Of those receiving home visits, 42 % reported HIV care attendance. Factors associated with care attendance included: having disclosed, living with someone attending HIV care, and wanting to seek care after diagnosis. Residents who reported their current health as excellent or who doubted their HBTC result were less likely to report care attendance. While findings indicate that HBTC was well-received in this setting, less than half of HIV-positive individuals reported current care attendance. Identification of effective strategies to increase early enrollment and retention in HIV clinical care is critical and will require coordination between testing and treatment program staff and systems. |
| Databáze: | OpenAIRE |
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