Promotion of couples' voluntary counselling and testing for HIV through influential networks in two African capital cities.
Promotion of couples' voluntary counselling and testing for HIV through influential networks in two African capital cities.
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DOI：
10.1186/1471-2458-7-349
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发表时间：
2007-12-11
影响因子：
4.5
通讯作者：
Haworth, Alan
中科院分区：
文献类型：
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作者：
Allen, Susan;Karita, Etienne;Chomba, Elwyn;Roth, David L.;Telfair, Joseph;Zulu, Isaac;Clark, Leslie;Kancheya, Nzali;Conkling, Martha;Stephenson, Rob;Bekan, Brigitte;Kimbrell, Katherine;Dunham, Steven;Henderson, Faith;Sinkala, Moses;Carael, Michel;Haworth, Alan
在非洲，大多数新的艾滋病毒感染是通过同居的异性伴侣获得的。夫妻自愿咨询和检测(CVCT)是针对这一群体的有效预防策略。我们介绍了我们在卢旺达基加利和赞比亚卢萨卡以社区为基础的项目推广CVCT的经验。来自卫生、宗教、非政府和私营部门的影响网络代理人(INA)接受了邀请夫妇参加CVCT的培训。使用多层次层次分析确定了成功晋升的预测因素。在4个月内，61个INA发出了9,900份邀请函，其中1,411对(14.3%)夫妇申请了CVCT。与赞比亚的INAS相比，卢旺达的INAS发出的邀请更少(2680比7220)，回复率更高(26.9%比9.6%)。邀请活动的背景，包括一个谨慎的地点，如INA的家(OR 3.3-3.4)，向夫妻双方(OR 1.6-1.7)或INA认识的人传递邀请(OR 1.7-1.8)，以及使用公共背书(OR 1.7-1.8)，比INA或夫妻层面的特征更能预测成功。成功推广CVCT的预测因素包括可在非洲轻松实施的战略。随着非洲艾滋病毒携带者获得新的资源，应广泛实施预防、护理和支持的预防、护理和支持的切入点。
Most new HIV infections in Africa are acquired from cohabiting heterosexual partners. Couples' Voluntary Counselling and Testing (CVCT) is an effective prevention strategy for this group. We present our experience with a community-based program for the promotion of CVCT in Kigali, Rwanda and Lusaka, Zambia. Influence Network Agents (INAs) from the health, religious, non-governmental, and private sectors were trained to invite couples for CVCT. Predictors of successful promotion were identified using a multi-level hierarchical analysis. In 4 months, 9,900 invitations were distributed by 61 INAs, with 1,411 (14.3%) couples requesting CVCT. INAs in Rwanda distributed fewer invitations (2,680 vs. 7,220) and had higher response rates (26.9% vs. 9.6%), than INAs in Zambia. Context of the invitation event, including a discreet location such as the INA's home (OR 3.3–3.4), delivery of the invitation to both partners in the couple (OR 1.6–1.7) or to someone known to the INA (OR 1.7–1.8), and use of public endorsement (OR 1.7–1.8) were stronger predictors of success than INA or couple-level characteristics. Predictors of successful CVCT promotion included strategies that can be easily implemented in Africa. As new resources become available for Africans with HIV, CVCT should be broadly implemented as a point of entry for prevention, care and support.
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影响因子：
15.8
作者：
Corbett EL;Dauya E;Matambo R;Cheung YB;Makamure B;Bassett MT;Chandiwana S;Munyati S;Mason PR;Butterworth AE;Godfrey-Faussett P;Hayes RJ
通讯作者：
Hayes RJ
影响因子：
3.8
作者：
Allen, S;Meinzen-Derr, L;Haworth, A
通讯作者：
Haworth, A
影响因子：
3.2
作者：
Castle, S
通讯作者：
Castle, S
影响因子：
3.5
作者：
Kohler, Hans-Peter;Behrman, Jere R.;Watkins, Susan C.
通讯作者：
Watkins, Susan C.
影响因子：
--
作者：
ALLEN, S;TICE, J;HULLEY, S
通讯作者：
HULLEY, S