The use of home-based HIV testing and counseling in low-and-middle income countries: a scoping review
| Autor: | Nonjabulo Gwala, Tivani P. Mashamba-Thompson, Moshoeu Prisca Moshoeu, Desmond Kuupiel |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Counseling
medicine.medical_specialty Population Psychological intervention HIV Infections 030209 endocrinology & metabolism Hiv testing 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Epidemiology medicine Humans Mass Screening 030212 general & internal medicine Use education Developing Countries Randomized Controlled Trials as Topic education.field_of_study business.industry Public health Home-based HIV testing and counselling lcsh:Public aspects of medicine Public Health Environmental and Occupational Health lcsh:RA1-1270 medicine.disease Home Care Services digestive system diseases Low-and-middle income countries Low and middle income countries Family medicine Biostatistics business Research Article |
| Zdroj: | BMC Public Health, Vol 19, Iss 1, Pp 1-12 (2019) BMC Public Health |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-019-6471-4 |
| Popis: | Background Knowledge of HIV status is crucial for both prevention and treatment of HIV infection. However, according to the Joint United Nations Programme on HIV/AIDS in low-and-middle-income countries (LMICs), only 10% of the population has access to HIV testing services. Home-based HIV testing and counseling (HTC) is one of the approaches which have been shown to be effective in improving access to HIV testing in LMICs. The objective of this review was to map evidence on the use of home-based HTC in LMICs. Methods We searched PubMed, EBSCOhost, Google Scholar, Science Direct, World Health Organization library database and UNAIDS databases from January 2013 to October 2017. Eligibility criteria included articles pertaining to the use of home-based HTC in LMICs. Two reviewers independently reviewed the articles for eligibility. The following themes were extracted from the included studies: use, feasibility and effectiveness of home-based HTC on patient-centered outcomes in LMICs. The risk of bias for the included studies was assessed using mixed methods appraisal tool -version 2011. Results A total of 855,117 articles were identified from all the databases searched. Of this, only 17 studies met the inclusion criteria after full article screening and were included for data extraction. All included studies presented evidence on the use of Home-based HTC by most age groups (18 months to 70 years) comprising of both males and females. The included studies were conducted in the following countries: Zambia, Uganda, South Africa, Kenya, Ethiopia, Malawi, Swaziland, Pakistan, and Botswana. This study demonstrated that home-based HTC was used in LMICs alongside supervised HTC intervention using different types of HTC tests kits produced by different manufacturers. This study also showed that home-based HTC was feasible, highly effective, and increased uptake of HIV testing and counseling. This study further demonstrated a highly successful usage of supervised home-based HTC by most age groups in LMICs, with majority of users being females (89.1%). Conclusion We therefore recommend primary studies in other LMICs to determine the feasibility and use of HTC to help achieve the UNAIDS 90:90:90 targets. Interventions to improve the use of home-based HTC by males are also recommended. Trial registration PROSPERO registration number: CRD42017056478. Electronic supplementary material The online version of this article (10.1186/s12889-019-6471-4) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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