Uptake of Community-Based HIV Testing during a Multi-Disease Health Campaign in Rural Uganda

Gabriel Chamie, Dalsone Kwarisiima, Tamara D Clark, Jane Kabami, Vivek Jain, Elvin Geng, Laura B Balzer, Maya L Petersen, Harsha Thirumurthy, Edwin D Charlebois, Moses R Kamya and Diane V Havlir

PLOS ONE, 2014, vol. 9, issue 1, 1-7

Abstract: Background: The high burden of undiagnosed HIV in sub-Saharan Africa is a major obstacle for HIV prevention and treatment. Multi-disease, community health campaigns (CHCs) offering HIV testing are a successful approach to rapidly increase HIV testing rates and identify undiagnosed HIV. However, a greater understanding of population-level uptake is needed to maximize effectiveness of this approach. Methods: After community sensitization and a census, a five-day campaign was performed in May 2012 in a rural Ugandan community. The census enumerated all residents, capturing demographics, household location, and fingerprint biometrics. The CHC included point-of-care screening for HIV, malaria, TB, hypertension and diabetes. Residents who attended vs. did not attend the CHC were compared to determine predictors of participation. Results: Over 12 days, 18 census workers enumerated 6,343 residents. 501 additional residents were identified at the campaign, for a total community population of 6,844. 4,323 (63%) residents and 556 non-residents attended the campaign. HIV tests were performed in 4,795/4,879 (98.3%) participants; 1,836 (38%) reported no prior HIV testing. Of 2674 adults tested, 257 (10%) were HIV-infected; 125/257 (49%) reported newly diagnosed HIV. In unadjusted analyses, adult resident campaign non-participation was associated with male sex (62% male vs. 67% female participation, p = 0.003), younger median age (27 years in non-participants vs. 32 in participants; p

Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0084317

DOI: 10.1371/journal.pone.0084317

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