The costs and effectiveness of four HIV counseling and testing strategies in Uganda
| Autor: | Betty Abang, Nick Menzies, Fred Nuwaha, Jonathan Mermin, John M. Blandford, Rhoda K. Wanyenze, Balaam Mugisha, Alex Coutinho, Rebecca Bunnell |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Counseling Male medicine.medical_specialty Adolescent Cost-Benefit Analysis Voluntary counseling and testing Immunology Population Developing country HIV Infections Young Adult Age Distribution Acquired immunodeficiency syndrome (AIDS) immune system diseases hemic and lymphatic diseases Humans Immunology and Allergy Medicine Uganda Child Sida education Developing Countries Retrospective Studies education.field_of_study biology business.industry Public health Infant Newborn AIDS Serodiagnosis Infant Retrospective cohort study Health Care Costs Cost-effectiveness analysis Middle Aged biology.organism_classification medicine.disease Surgery surgical procedures operative Infectious Diseases Child Preschool Female Health Services Research business Delivery of Health Care Demography |
| Zdroj: | AIDS. 23:395-401 |
| ISSN: | 0269-9370 |
| DOI: | 10.1097/qad.0b013e328321e40b |
| Popis: | OBJECTIVE: HIV counseling and testing (HCT) is a key intervention for HIV/AIDS control and new strategies have been developed for expanding coverage in developing countries. We compared costs and outcomes of four HCT strategies in Uganda. DESIGN: A retrospective cohort of 84 323 individuals received HCT at one of four Ugandan HCT programs between June 2003 and September 2005. HCT strategies assessed were stand-alone HCT; hospital-based HCT; household-member HCT; and door-to-door HCT. METHODS: We collected data on client volume demographics prior testing and HIV diagnosis from project monitoring systems and cost data from project accounts and personnel interviews. Strategies were compared in terms of costs and effectiveness at reaching key population groups. RESULTS: Household-member and door-to-door HCT strategies reached the largest proportion of previously untested individuals (>90% of all clients). Hospital-based HCT diagnosed the greatest proportion of HIV-infected individuals (27% prevalence) followed by stand-alone HCT (19%). Household-member HCT identified the highest percentage of discordant couples; however this was a small fraction of total clients ( |
| Databáze: | OpenAIRE |
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