Evidence map›Paper›PMID 16796402›Full record

Trial reportPLoS medicine2006

Uptake of workplace HIV counselling and testing: a cluster-randomised trial in Zimbabwe.

Elizabeth L Corbett, Ethel Dauya, Ronnie Matambo, Yin Bun Cheung, Beauty Makamure, Mary T Bassett, Steven Chandiwana, Shungu Munyati, Peter R Mason, Anthony E Butterworth and 2 more

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PLoS medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 10 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 10 syntheses or guidelines pooled it, 147 citations in OpenAlex.

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  16. Voluntary HIV Testing and Counselling Initiatives in Occupational Settings: A Scoping Review.International journal of environmental research and public health · 2025
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Elizabeth L CorbettDepartment of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom. elc1@mweb.co.zw
Ethel Dauya
Ronnie Matambo
Yin Bun Cheung
Beauty Makamure
Mary T Bassett
Steven Chandiwana
Shungu Munyati
Peter R Mason
Anthony E Butterworth
Peter Godfrey-Faussett
Richard J Hayes
Biomedical Research and Training Institute · ZWLondon School of Hygiene & Tropical Medicine · GBUniversity of the Witwatersrand · ZAUniversity of Zimbabwe · ZW

Funding

Medical Research Council G0700837Wellcome Trust
6 · The paper itself

Abstract

backgroundHIV counselling and testing is a key component of both HIV care and HIV prevention, but uptake is currently low. We investigated the impact of rapid HIV testing at the workplace on uptake of voluntary counselling and testing (VCT). METHODS AND

findingsThe study was a cluster-randomised trial of two VCT strategies, with business occupational health clinics as the unit of randomisation. VCT was directly offered to all employees, followed by 2 y of open access to VCT and basic HIV care. Businesses were randomised to either on-site rapid HIV testing at their occupational clinic (11 businesses) or to vouchers for off-site VCT at a chain of free-standing centres also using rapid tests (11 businesses). Baseline anonymised HIV serology was requested from all employees. HIV prevalence was 19.8% and 18.4%, respectively, at businesses randomised to on-site and off-site VCT. In total, 1,957 of 3,950 employees at clinics randomised to on-site testing had VCT (mean uptake by site 51.1%) compared to 586 of 3,532 employees taking vouchers at clinics randomised to off-site testing (mean uptake by site 19.2%). The risk ratio for on-site VCT compared to voucher uptake was 2.8 (95% confidence interval 1.8 to 3.8) after adjustment for potential confounders. Only 125 employees (mean uptake by site 4.3%) reported using their voucher, so that the true adjusted risk ratio for on-site compared to off-site VCT may have been as high as 12.5 (95% confidence interval 8.2 to 16.8).

conclusionsHigh-impact VCT strategies are urgently needed to maximise HIV prevention and access to care in Africa. VCT at the workplace offers the potential for high uptake when offered on-site and linked to basic HIV care. Convenience and accessibility appear to have critical roles in the acceptability of community-based VCT.

Indexed as

AIDS SerodiagnosisWorkplaceAbsenteeismAdultAnonymous TestingAttitude to HealthDirective CounselingFemaleHealth EducationHealth Services AccessibilityHIV InfectionsHIV SeroprevalenceHumansMaleMarriageMiddle Aged

Identifiers

PMID16796402
PMCPMC1483908
OpenAlexW2098930914

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.