scholarly journals Annual home‐based HIV testing in the Chókwè Health Demographic Surveillance System, Mozambique, 2014 to 2019: serial population‐based survey evaluation

2021 ◽  
Vol 24 (7) ◽  
Author(s):  
Duncan MacKellar ◽  
Ricardo Thompson ◽  
Robert Nelson ◽  
Isabelle Casavant ◽  
Sherri Pals ◽  
...  
PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242281
Author(s):  
Carol Lin ◽  
Isabelle Casavant ◽  
Alicia Jaramillo ◽  
Timothy Green

Background HIV prevalence in Mozambique (12.6%) is one of the highest in the world, yet ~40% of people living with HIV (PLHIV) do not know their HIV status. Strategies to increase HIV testing uptake and diagnosis among PLHIV are urgently needed. Home-based HIV testing services (HBHTS) have been evaluated primarily as a 1-time campaign strategy. Little is known about the potential of repeating HBHTS to diagnose HIV infection among persons who have never been tested (NTs), nor about factors/reasons associated with never testing in a generalized epidemic setting. Methods During 2014–2017, counselors visited all households annually in the Chókwè Health and Demographic Surveillance System (CHDSS) and offered HBHTS. Cross-sectional surveys were administered to randomly selected 10% or 20% samples of CHDSS households with participants aged 15–59 years before HBHTS were conducted during the visit. Descriptive statistics and logistic regression were used to assess the proportion of NTs, factors/reasons associated with never having been tested, HBHTS acceptance, and HIV-positive diagnosis among NTs. Results The proportion of NTs decreased from 25% (95% confidence interval [CI]:23%–26%) during 2014 to 12% (95% CI:11% –13%), 7% (95% CI:6%–8%), and 7% (95% CI:6%–8%) during 2015, 2016, and 2017, respectively. Adolescent boys and girls and adult men were more likely than adult women to be NTs. In each of the four years, the majority of NTs (87%–90%) accepted HBHTS. HIV-positive yield among NTs subsequently accepting HBHTS was highest (13%, 95% CI:10%–15%) during 2014 and gradually reduced to 11% (95% CI:8%–15%), 9% (95% CI:6%–12%), and 2% (95% CI:0%–4%) during 2015, 2016, and 2017, respectively. Conclusions Repeated HBHTS was helpful in increasing HIV testing coverage and identifying PLHIV in Chókwè. In high HIV-prevalence settings with low testing coverage, repeated HBHTS can be considered to increase HIV testing uptake and diagnosis among NTs.


2020 ◽  
Vol 7 (10) ◽  
pp. e699-e710 ◽  
Author(s):  
Claire Steiner ◽  
Duncan MacKellar ◽  
Haddi Jatou Cham ◽  
Oscar Ernest Rwabiyago ◽  
Haruka Maruyama ◽  
...  

2016 ◽  
Vol 73 (4) ◽  
pp. 411-418 ◽  
Author(s):  
Helena Huerga ◽  
Gilles Van Cutsem ◽  
Jihane Ben Farhat ◽  
Matthew Reid ◽  
Malika Bouhenia ◽  
...  

PLoS ONE ◽  
2011 ◽  
Vol 6 (1) ◽  
pp. e16017 ◽  
Author(s):  
Anastasia Pharris ◽  
Nguyen Thi Kim Chuc ◽  
Carol Tishelman ◽  
Ruairí Brugha ◽  
Nguyen Phuong Hoa ◽  
...  

2018 ◽  
Vol 29 (6) ◽  
pp. 866-875 ◽  
Author(s):  
Mehran Nakhaei Zadeh ◽  
Yunes Jahani ◽  
Moghaddameh Mirzaee ◽  
Hamid Sharifi ◽  
Mohammad Karamouzian

2015 ◽  
Vol 91 (Suppl 2) ◽  
pp. A44.2-A44
Author(s):  
A Stangl ◽  
E Efronson ◽  
K Sievwright ◽  
S Krishnaratne ◽  
J Hargreaves

1998 ◽  
Vol 9 (6) ◽  
pp. 341-346 ◽  
Author(s):  
Sandra Houston ◽  
Chris P Archibald ◽  
Carol Strike ◽  
Donald Sutherland

Summary: The purpose of this study was to examine the HIV-testing behaviour of Canadians aged 15 years and older. Questions on HIV testing were asked as part of a Canada-wide random digit dialling telephone survey conducted in December 1995 to January 1996 on health practices and attitudes toward health care in Canada ( n =3123). Including blood donation and insurance testing, 40.4% of men and 30.4% of women had been tested for HIV. Excluding blood donation and life-insurance testing (voluntary testing), 17.8% of men and 15.6% of women had been tested. In multivariate analyses, factors independently associated with voluntary testing among men were: having had sex with a man (OR=16.8), injection drug use (OR=5.8), having had a partner at high risk (OR=2.5), having received blood or clotting factor (OR=2.3), being younger than 45 years of age (OR=1.8), living in a city of over one million (OR=1.7), and making less than $30,000 a year (OR=1.6). For women, factors independently associated with voluntary testing were having received blood or clotting factor (OR=3.9), having had a high-risk partner (OR= 3.5), being younger than 45 years of age (OR=2.4), having had sex with a man (OR=2.3), and being unattached (OR=2.0). Results indicated that those at risk are more likely to be tested. It is of concern, however, that many of those reporting risk factors have not been tested. A better understanding of HIV testing behaviour is needed to improve the planning and evaluation of prevention and counselling services.


2015 ◽  
Vol 43 (4) ◽  
pp. 393-398 ◽  
Author(s):  
Paula J Tiittala ◽  
Pia S Kivelä ◽  
Matti A Ristola ◽  
Heljä-Marja Surcel ◽  
Päivikki MS Koponen ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e015496 ◽  
Author(s):  
Solomon Mekonnen Abebe ◽  
Gashaw Andargie ◽  
Alemayehu Shimeka ◽  
Kassahun Alemu ◽  
Yigzaw Kebede ◽  
...  

ObjectiveThe main objective of this study was to investigate the magnitude and associated factors of non-communicable chronic diseases (NCDs) at the Dabat Health and Demographic Surveillance System (DHDSS) site in the northwestern part of Ethiopia.DesignA population-based cross-sectional study was conducted from October to December 2014.SettingHDSS site, Ethiopia.ParticipantsA total population of 67 397 living in 16 053 households was included in the study.MeasuresStructured interviewer-administered questionnaire was used to collect data. Self-reported morbidity was used to ascertain NCD. A binary logistic regression model was employed to identify the determinants of NCDs.ResultOne thousand one hundred sixty (1.7%) (95% CI 1.62 to 1.82) participants were found with at least one type of NCD. Heart disease and hypertension which accounted for 404 (32.2%) and 401 (31.9%), of the burden, respectively, were the most commonly reported NCDs, followed by 347 (27.7%) asthma, 62 (4.9%) diabetes mellitus and 40 (3.2%) cancer cases. Advanced age (≥65 year) (adjusted OR (AOR)=19.6; 95% CI 5.83 65.70), urban residence (AOR=2.20; 95% CI 1.83 to 2.65), household food insecurity (AOR=1.71; 95% CI 1.37 to 2.12) and high income (AOR=1.28; 95% CI 1.02 to 1.59) were significantly associated with the reported history of NCDs, whereas low (AOR=0.36; 95% CI 0.31 to 0.42) and moderate (AOR=0.33; 95% CI 0.22 to 0.48) alcohol consumption, farming occupation (AOR=0.72; 95% CI 0.57 to 0.91), and work-related physical activities (AOR=0.66; 95% CI 0.50 to 0.88) were inversely associated with NCDs.ConclusionThere is a high burden of NCDs at the Dabat HDSS site. Promotion of regular physical exercise and reducing alcohol consumption are essential to mitigate the burden of NCDs. In addition, preventive interventions of NCDs should be strengthened among urban dwellers, older age people and people of higher economic status.


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