ArticleBMC public health2010
Home-based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities.
Article in BMC public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 8 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 8 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- A systematic review and meta-analysis of the evidence for community-based HIV testing on men's engagement in the HIV care cascade.International journal of STD & AIDS · 2022Pooled it
- Pooled it
- How equitable are community health worker programmes and which programme features influence equity of community health worker services? A systematic review.BMC public health · 2016Pooled it
- Pooled it
- Towards universal voluntary HIV testing and counselling: a systematic review and meta-analysis of community-based approaches.PLoS medicine · 2013Pooled it
- A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa.BMC public health · 2013Pooled it
- Quantifying and addressing losses along the continuum of care for people living with HIV infection in sub-Saharan Africa: a systematic review.Journal of the International AIDS Society · 2012Pooled it
- Uptake of home-based voluntary HIV testing in sub-Saharan Africa: a systematic review and meta-analysis.PLoS medicine · 2012Pooled it
- Distance to clinic is a barrier to PrEP uptake and visit attendance in a community in rural Uganda.Journal of the International AIDS Society · 2019Trial
- A Pilot, Randomized Controlled Trial of HIV Self-Testing and Real-Time Post-Test Counseling/Referral on Screening and Preventative Care Among Men Who Have Sex with Men.AIDS patient care and STDs · 2018Trial
- Frequency of HIV-testing and factors associated with multiple lifetime HIV-testing among a rural population of Zambian men.BMC public health · 2015Trial
- Home-based versus mobile clinic HIV testing and counseling in rural Lesotho: a cluster-randomized trial.PLoS medicine · 2014Trial
- Short Communication: Communication Between Pregnant Women and Male Partners About HIV Testing in the United States.AIDS research and human retroviruses · 2021Article
- Article
- Article
- Mapping evidence of intervention strategies to improving men's uptake to HIV testing services in sub-Saharan Africa: A systematic scoping review.BMC infectious diseases · 2019Article
- Provision of HIV services by community health workers should be strengthened to achieve full programme potential: a cross-sectional analysis in rural South Africa.Tropical medicine & international health : TM & IH · 2019Article
- Implementation of eHealth Interventions Across the HIV Care Cascade: a Review of Recent Research.Current HIV/AIDS reports · 2018Review
- Point of Diagnosis and Patient Retention in HIV Care in Western Kenya.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Feasibility and acceptability of home-based HIV testing among refugees: a pilot study in Nakivale refugee settlement in southwestern Uganda.BMC infectious diseases · 2018Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLow uptake of voluntary HIV counselling and testing (VCT) in sub-Saharan Africa is raising acceptability concerns which might be associated with ways by which it is offered. We investigated the acceptability of home-based delivery of counselling and HIV testing in urban and rural populations in Zambia where VCT has been offered mostly from local clinics.
methodsA population-based HIV survey was conducted in selected communities in 2003 (n = 5035). All participants stating willingness to be HIV tested were offered VCT at home and all counselling was conducted in the participants' homes. In the urban area post-test counselling and giving of results were done the following day whereas in rural areas this could take 1-3 weeks.
resultsOf those who indicated willingness to be HIV tested, 76.1% (95%CI 74.9-77.2) were counselled and received the test result. Overall, there was an increase in the proportion ever HIV tested from 18% before provision of home-based VCT to 38% after. The highest increase was in rural areas; among young rural men aged 15-24 years up from 14% to 42% vs. for urban men from 17% to 37%. Test rates by educational attainment changed from being positively associated to be evenly distributed after home-based VCT.
conclusionsA high uptake was achieved by delivering HIV counselling and testing at home. The highest uptakes were seen in rural areas, in young people and groups with low educational attainment, resulting in substantial reductions in existing inequalities in accessing VCT services.
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