Outcomes from a multimodal, at-scale community-based HIV counselling and testing programme in twelve high HIV burden districts in South Africa.
Outcomes from a multimodal, at-scale community-based HIV counselling and testing programme in twelve high HIV burden districts in South Africa.
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在南非12个艾滋病毒高负担地区开展的多模式、大规模社区艾滋病毒咨询和检测项目的成果。
DOI：
10.1002/jia2.25678
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发表时间：
2021-03
影响因子：
6
通讯作者：
Nkhwashu N
中科院分区：
文献类型：
--
作者：
Medina-Marino A;Daniels J;Bezuidenhout D;Peters R;Farirai T;Slabbert J;Guloba G;Johnson S;Bekker LG;Nkhwashu N
在南非，基于设施的艾滋病毒检测服务（HTS）不太被青少年，男性和关键人群接受和获得。已提出以社区为基础的艾滋病毒咨询和检测（CBCT）模式，包括移动的单位和家庭检测，以减少艾滋病毒检测的障碍。基于年龄，CBCT模式和方法可能对男性和女性有不同的可接受性。实施多模式CBCT服务可以提高青少年和男性的艾滋病毒检测率，并支持预防服务的推广。使用2015年10月1日至2017年3月31日期间从南非12个高负担地区实施的多模式大规模CBCT计划中收集的汇总常规计划数据进行了横断面分析。根据国家卫生部的报告标准和捐助者的要求调整了数据收集工具。艾滋病毒检测率（即使用南非人口普查数据每10万人进行的检测次数）和按方式分列的检测比例按性别、年龄组和卫生区分层。使用STATA 13.0进行描述性统计。总体而言，在报告的1.5年测试期间进行了944，487次测试。在女性中进行的检测多于男性（53.6%对46.4%）。总体而言，每100，000人群进行了8206次检测（95% CI：8190.2至8221.9）;女性与男性（F：M）检测比率为1.11。年龄在20至24岁的年轻妇女（16 328.4; 95%可信区间：16 237.9至16 419.1）和15至19岁的少女（12 817.0; 95%可信区间：12 727.9至12 906.6）的检测率最高。家庭检测占艾滋病毒检测的61.3%，其次是家庭附近的移动的单元检测（30.2%）和工作场所的移动的单元检测（4.7%）。更多的女性通过家庭检测接受HTS（女性：男性比例= 1.29），而更多的男性在工作场所进行移动的检测（男性：女性比例= 1.35）。在访问家庭附近移动的测试的受试者中未观察到性别差异（F：M比= 0.98）。同时实施多种有针对性的CBCT模式可以减少南非艾滋病毒检测中的性别差异。鉴于这些CBCT服务对少女和年轻女性的可接受性和可获得性，从其高检测率中可以看出，应考虑利用社区服务提供平台来增加获得艾滋病毒预防服务的机会，包括暴露前预防（PrEP）。
Facility‐based HIV testing services (HTS) have been less acceptable and accessible by adolescents, men and key populations in South Africa. Community‐based HIV counselling and testing (CBCT) modalities, including mobile unit and home‐based testing, have been proposed to decrease barriers to HIV testing uptake. CBCT modalities and approaches may be differentially acceptable to men and women based on age. Implementation of multimodal CBCT services may improve HIV testing rates among adolescents and men, and support the roll‐out of prevention services. A cross‐sectional analysis was conducted using aggregate, routine programmatic data collected from 1 October 2015 through 31 March 2017 from a multimodal, at‐scale CBCT programme implemented in 12 high‐burden districts throughout South Africa. Data collection tools were aligned to reporting standards for the National Department of Health and donor requirements. HIV testing rates (i.e. number of tests performed per 100,000 population using South African census data) and testing proportions by modality were stratified by sex, age groups and heath districts. Descriptive statistics were performed using STATA 13.0. Overall, 944,487 tests were performed during the 1.5‐year testing period reported. More tests were conducted among females than males (53.6% vs. 46.4%). Overall, 8206 tests per 100,000 population (95% CI: 8190.2 to 8221.9) were performed; female‐to‐male (F:M) testing ratio was 1.11. Testing rates were highest among young women age 20 to 24 years (16,328.4; 95% CI: 16,237.9 to 16,419.1) and adolescent girls aged 15 to 19 years (12,817.0; 95% CI: 12,727.9 to 12,906.6). Home‐based testing accounted for 61.3% of HIV tests, followed by near‐home mobile unit testing (30.2%) and workplace mobile unit testing (4.7%). More women received HTS via home‐based testing (F:M ratio = 1.29), whereas more men accessed work‐place mobile testing (M:F ratio = 1.35). No sex differential was observed among those accessing near‐home mobile testing (F:M ratio = 0.98). Concurrent implementation of multiple, targeted CBCT modalities can reduce sex disparities in HIV testing in South Africa. Given the acceptability and accessibility of these CBCT services to adolescent girls and young women, evident from their high testing rates, leveraging community‐based services delivery platforms to increase access to HIV prevention services, including pre‐exposure prophylaxis (PrEP), should be considered.
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DOI：
10.1097/qai.0b013e3181ced126
发表时间：
2010-07
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Grabbe KL;Menzies N;Taegtmeyer M;Emukule G;Angala P;Mwega I;Musango G;Marum E
通讯作者：
Marum E
影响因子：
16.1
作者：
Barnabas, Ruanne V.;van Rooyen, Heidi;Tumwesigye, Elioda;Murnane, Pamela M.;Baeten, Jared M.;Humphries, Hilton;Turyamureeba, Bosco;Joseph, Philip;Krows, Meighan;Hughes, James P.;Celum, Connie
通讯作者：
Celum, Connie
影响因子：
6
作者：
Li, Ying;Marshall, Caitlin M.;Ehiri, John E.
通讯作者：
Ehiri, John E.
影响因子：
3.3
作者：
Matovu, Joseph K. B.;Makumbi, Fredrick E.
通讯作者：
Makumbi, Fredrick E.
影响因子：
3.3
作者：
Hill, Lauren M.;Gottert, Ann;Maman, Suzanne
通讯作者：
Maman, Suzanne