scholarly journals Shout-It-Now: A Mobile HCT Model Employing Technology and Edutainment in South Africa

2016 ◽  
Vol 16 (5) ◽  
pp. 506-511 ◽  
Author(s):  
Joseph Daniels ◽  
Arnost Komarek ◽  
Bruce Forgreive ◽  
Kathryn Pahl ◽  
Stephen Stafford ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Testing ◽  
Linkage To Care ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Period Data ◽  
Hiv Risk Assessment ◽  
Telephonic Counseling ◽  
High Representation

Background: Mobile HIV counseling and testing (HCT) has been effective in reaching men, women, and adolescents in South Africa. However, there is limited understanding of effective mobile HCT programs utilizing tools like technology and edutainment to increase HIV counseling and testing rates. The authors examine data from the Shout-It-Now (S-N) program that uses such tools in South Africa. Methods: The S-N program utilizes various forms of technology and ongoing telephonic counseling within a 6-step program of HIV testing and linkage-to-care support, and program data were analyzed over an 18-month period. Data were analyzed from women, men, and adolescent program participants. Summative statistics was conducted on participant registration, HIV risk assessment, and HIV testing profiles. HIV prevalence were estimated along with the related 95% confidence intervals using the Clopper-Pearson method. Results: Over an 18-month period, there were 72 220 program participants with high representation of men, women, and adolescents and 40% of the participants being men at each site. There were 3343 participants who tested HIV positive, and a higher proportion of women tested positive. Discussion: Integrating technology, quality assurance measures, and edutainment with mobile HCT has the potential to increase the number of those who test within communities. Research is needed to understand the effectiveness of this model in facilitating regular testing and linkage to care.

scholarly journals High Uptake of Systematic HIV Counseling and Testing and TB Symptom Screening at a Primary Care Clinic in South Africa

PLoS ONE ◽  
2014 ◽  
Vol 9 (9) ◽  
pp. e105428 ◽  
Author(s):  
Annelies Van Rie ◽  
Kate Clouse ◽  
Colleen Hanrahan ◽  
Katerina Selibas ◽  
Ian Sanne ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Primary Care Clinic ◽  
High Uptake ◽  
Care Clinic ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Symptom Screening ◽  
Counseling And Testing

scholarly journals Four Models of HIV Counseling and Testing: Utilization and Test Results in South Africa

PLoS ONE ◽  
2014 ◽  
Vol 9 (7) ◽  
pp. e102267 ◽  
Author(s):  
Tonderai Mabuto ◽  
Mary H. Latka ◽  
Bulelani Kuwane ◽  
Gavin J. Churchyard ◽  
Salome Charalambous ◽  
...  
Keyword(s):  
South Africa ◽  
Test Results ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing

Perseverance Pays Off: Health Care Providers' Impact on HIV Testing Decisions by Adolescent Females

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 878-882 ◽  
Author(s):  
Elizabeth Goodman ◽  
Ann C. Tipton ◽  
Liza Hecht ◽  
Margaret A. Chesney
Keyword(s):  
Health Care ◽  
Hiv Testing ◽  
Adolescent Girls ◽  
Health Care Providers ◽  
Care Providers ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Hiv Test ◽  
Hiv Testing Services

Background and objective. Although HIV counseling and testing of adolescents has increased rapidly in recent years due to increasing HIV seroprevalence rates, little is known about adolescents' use of HIV testing services. The aims of this study were to determine what proportion of high risk adolescent girls would use confidential HIV testing services linked to primary care and to explore the characteristics, beliefs, and experiences that distinguish those teenage girls who obtain HIV testing in this setting from those who do not. Design. Prospective cohort study. Setting. General pediatrics clinic with adolescent-specific appointments at a large urban HMO. Participants. Convenience sample of 124 adolescent girls engaging in risky behaviors identified by chart review before regularly scheduled clinic appointments. Intervention. Subjects completed a self-report questionnaire assessing HIV-related knowledge, attitudes, beliefs, and behaviors before the medical visit. During their provider visit, teens were counseled about their risk behaviors and the availability of HIV testing services at the clinic. Subjects were also given the opportunity to view an educational video about HIV testing designed for adolescents. Main outcome measures. Use of HIV counseling and testing services at the clinic and HIV test results. Results. Forty-one percent of these adolescent girls obtained HIV testing at the clinic on the day of their scheduled appointment. Univariate analysis revealed that adolescents who obtained testing had initiated sexual intercourse at a younger age (mean age 13.8 vs 14.4 years, P = .02) and were more likely to have had a prior discussion about HIV testing with a health care provider [RR = 2.02, 95% CIs (1.22, 3.36)]. Those who did not view the video were less likely to test [RR = 0.20, 95% CIs (0.07, 0.58)]. Multiple logistic regression modeling revealed that a prior discussion with a health care provider was the only independent predictor of obtaining an HIV test [OR = 3.47 95% CIs (1.26, 9.52)]. Conclusions. A significant proportion of adolescent girls engaging in risky behaviors will use confidential HIV counseling and testing services that are linked to primary care. Health care providers play an important role in helping teens address their risk for and concerns about HIV infection by engaging adolescents in repeated discussions about HIV testing.

scholarly journals “To know or not to know”: Service-related barriers to Voiuntary HIV Counseling and Testing (VCT) in South Africa

Curationis ◽  
2003 ◽  
Vol 26 (1) ◽  
Author(s):  
A. C. Van Dyk ◽  
P. J. Van Dyk
Keyword(s):  
South Africa ◽  
Attitudes And Beliefs ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
South Africans ◽  
Counseling And Testing ◽  
Hiv Counselling And Testing ◽  
Fear Of Rejection ◽  
Structured Questionnaire

Voluntary HIV Counselling and Testing (VCT) is still in its infancy in South Africa, and although the necessary infrastructure in terms of clinics and hospitals exists, a VCT culture is not yet established in the country. The purpose of this study was to determine the needs, attitudes and beliefs of a sample of South Africans towards VCT, and to investigate possible barriers affecting participation in VCT programs in South Africa. A semi-structured questionnaire was used to survey the views of 1422 people. Results indicate that while subjects were not opposed to VCT in principle, 33% would go to clinics where nobody would know them. The following problems with VCT services were mentioned: Logistical problems (not enough counsellors, long lines, lack of privacy); no trust in the health care system or fearing a breach of confidentiality; fear of rejection; and a lack of follow-up support after diagnosis. Suggestions are made on how to improve VCT services in South Africa.

Uptake of HIV testing during antenatal care in Honduras

2017 ◽  
Vol 29 (6) ◽  
pp. 526-530
Author(s):  
Anne Sebert Kuhlmann ◽  
Eleanor P Bergquist ◽  
Qiang Fu ◽  
Enbal Shacham ◽  
Janine Foggia ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Hiv Testing ◽  
Standard Of Care ◽  
Married Women ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Vertical Transmission Of Hiv ◽  
Testing Practices ◽  
Mother To Child

In order to interrupt vertical transmission of HIV, the WHO recommends universal HIV testing during antenatal care (ANC), a policy that has been adopted by the Ministry of Health in Honduras. We examined HIV counseling and testing practices during ANC in the Honduras Demographic and Health Survey to understand compliance with this established standard of care. Among currently married women with a child aged five years or younger who attended ANC, only 66% recalled being offered HIV testing during ANC, yet 95% of those got tested. Older, less literate women who lived in a rural area, a small household, or had an older husband were significantly less likely to recall being offered HIV testing. These findings highlight necessary revisions to ANC protocols to ensure that all women in Honduras get HIV testing to interrupt mother-to-child transmission.

scholarly journals Predictors of Linkage to Care Following Community-Based HIV Counseling and Testing in Rural Kenya

2011 ◽  
Vol 16 (5) ◽  
pp. 1295-1307 ◽  
Author(s):  
Abigail M. Hatcher ◽  
Janet M. Turan ◽  
Hannah H. Leslie ◽  
Lucy W. Kanya ◽  
Zachary Kwena ◽  
...  
Keyword(s):  
Linkage To Care ◽  
Community Based ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Rural Kenya

scholarly journals Social support and mental health among adults prior to HIV counseling and testing in Durban, South Africa

AIDS Care ◽  
2015 ◽  
Vol 27 (10) ◽  
pp. 1231-1240 ◽  
Author(s):  
Paul K. Drain ◽  
Elena Losina ◽  
Sharon M. Coleman ◽  
Laura Bogart ◽  
Janet Giddy ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
South Africa ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing
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