The Rakai Project counselling programme experience
The Rakai Project counselling programme experience
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DOI：
10.1046/j.1365-3156.2002.00964.x
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发表时间：
2002-12-01
影响因子：
3.3
通讯作者：
Gray, RH
中科院分区：
文献类型：
--
作者：
Matovu, JKB;Kigozi, G;Gray, RH
在对正在进行的社区艾滋病毒流行病学研究的初步调查期间(1999年4月至2000年1月)，56个研究社区的15至49岁的成年人参加了这项研究。发放知识、态度、行为、行为问卷，采血77.6%。用两种不同的酶免疫吸附试验进行HIV检测，Western印迹确认结果不一致，第一次呈阳性。所有献血者都可以免费和无限制地获得自愿咨询和检测(VCT)，并可以作为个人或夫妇自由参与。艾滋病毒检测结果由经过培训和认证的项目驻地辅导员在人们家中提供。90%的失血者要求得到艾滋病毒结果，而64.6%的人要求得到艾滋病毒结果。在过去6年(1994-2000年)中，接受艾滋病毒检测结果的人数比例几乎翻了一番，从1994/1995年的约35%增加到1999/2000年的65%。这些数据表明，在这个以农村人口为基础的队列中，接受和接受VCT的比例很高，这表明，如果有足够的资源，VCT在家中的交付可以为农村地区的人提供获得咨询和检测服务的独特机会。
During the initial survey ( April 1999-January 2000) of an ongoing Community HIV Epidemiological Research (CHER) study, adults aged 15-49 years in 56 study communities were enrolled into the study. Knowledge, Attitude, Behaviour, Practice questionnaires were administered and blood was obtained from 77.6%. HIV testing was performed using two different enzyme immunosorbent assays with Western blot confirmation of discordant results and first time positives. All those who gave blood had free and unlimited access to voluntary counselling and testing (VCT), and were free to participate as individuals or couples. HIV results were provided in people's homes by trained and certified project resident counsellors. Ninety per cent of those who were bled requested their HIV results, while 64.6% of those who requested their HIV results received them. The proportion of people receiving HIV results has almost doubled in the last 6 years (1994-2000) from about 35% in 1994/1995 to 65% in 1999/2000. These data indicate high proportions of acceptance and receipt of VCT in this rural population-based cohort, suggesting that home delivery of VCT could offer a unique opportunity for people in the rural areas to access counselling and testing services, given adequate resources.