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Home-based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities

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dc.contributor.author Mutale, Wilbroad eng
dc.contributor.author Michelo, Charles Cheembo eng
dc.contributor.author Jürgensen, Marte eng
dc.contributor.author Fylkesnes, Knut eng
dc.date.accessioned 2011-04-19T09:19:15Z
dc.date.available 2011-04-19T09:19:15Z
dc.date.issued 2010-06-17
dc.identifier.citation BMC Public Health 10:347 en_US
dc.identifier.issn 1471-2458
dc.identifier.uri http://hdl.handle.net/1956/4679
dc.description.abstract Background Low 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. Methods A 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. Results Of 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. Conclusions A 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. en_US
dc.language.iso eng eng
dc.publisher BioMed Central en
dc.rights Copyright 2010 Mutale et al; licensee BioMed Central Ltd. eng
dc.rights.uri http://creativecommons.org/licenses/by/2.0 eng
dc.title Home-based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities en_US
dc.type Peer reviewed eng
dc.type Journal article eng
dc.subject.nsi VDP::Medical disciplines: 700 eng
dc.rightsHolder Mutale et al. en_US
dc.type.version publishedVersion eng
bora.peerreviewed Peer reviewed eng
bora.cristinID 511364
bibo.doi http://dx.doi.org/10.1186/1471-2458-10-347 eng
dc.identifier.doi http://dx.doi.org/10.1186/1471-2458-10-347


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Copyright 2010 Mutale et al; licensee BioMed Central Ltd. Except where otherwise noted, this item's license is described as Copyright 2010 Mutale et al; licensee BioMed Central Ltd.

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