Expanding access to voluntary HIV counselling and testing in sub-Saharan Africa: alternative approaches for improving uptake, 2001-2007
Expanding access to voluntary HIV counselling and testing in sub-Saharan Africa: alternative approaches for improving uptake, 2001-2007
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DOI：
10.1111/j.1365-3156.2007.01923.x
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发表时间：
2007-11-01
影响因子：
3.3
通讯作者：
Makumbi, Fredrick E.
中科院分区：
文献类型：
--
作者：
Matovu, Joseph K. B.;Makumbi, Fredrick E.
艾滋病毒/艾滋病流行情况的变化为增加艾滋病毒自愿咨询和检测提供了新的机会，特别是在过去7年（2001-2007年）。随着在撒哈拉以南非洲更广泛地提供艾滋病毒治疗，更需要增加获得自愿咨询和检测的机会。如果有机会，撒哈拉以南非洲更多的成年人将接受自愿咨询和检验，许多人明确表示希望了解他们的艾滋病毒血清状况。然而，在撒哈拉以南非洲的大部分地区，只有不到十分之一的人知道自己的艾滋病毒状况。耻辱感、害怕艾滋病毒呈阳性、缺乏保密性、距离自愿咨询和检测地点很远以及长期拖延退回艾滋病毒检测结果，限制了人们利用传统的自愿咨询和检测系统。其他自愿咨询和检测服务模式，如移动的自愿咨询和检测、常规自愿咨询和检测服务以及家庭自愿咨询和检测服务，增加了自愿咨询和检测服务的获得和使用。我们建议在撒哈拉以南非洲更多的环境和更大的规模实施这些替代模式，那里的VCT接受率仍然很低。
The changing face of the HIV/AIDS epidemic has resulted in new opportunities to increase access to voluntary HIV counselling and testing (VCT), especially during the past 7 years (2001-2007). As access to HIV treatment becomes more widely available in sub-Saharan Africa, the need for enhanced access to VCT would become even greater. When given the opportunity, many more adults in sub-Saharan African would accept VCT, and many clearly express the desire to learn their HIV sero-status. However, in most parts of sub-Saharan Africa, fewer than one in 10 people know their HIV status. Stigma, fear of receiving an HIV-positive status, lack of confidentiality, long distances to VCT sites, and long delays in returning HIV test results limit people's access to traditional VCT systems. Alternative VCT delivery models, such as mobile VCT, routine offer of VCT and home-based VCT increase access to and uptake of VCT. We recommend that these alternative models be implemented in more settings and on a much larger scale in sub-Saharan Africa, where VCT uptake rates remain low.