Journal of Acquired Immune Deficiency Syndromes
Volume 67, Issue 4, 2014, Pages 409-413

Clinic-based routine voluntary HIV testing in a refugee settlement in Uganda (Article)

O'Laughlin K.N.* , Kasozi J. , Walensky R.P. , Parker R.A. , Faustin Z.M. , Doraiswamy S. , Owino C.O. , Bassett I.V.
  • a Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States, Medical Practice Evaluation Center, Department of Medicine, Massachusetts General Hospital, Boston, MA, United States, Harvard Medical School, Boston, MA, United States, Harvard Humanitarian Initiative, Cambridge, MA, United States
  • b United Nations High Commissioner for Refugees, Representation in Uganda, Kampala, Uganda
  • c Medical Practice Evaluation Center, Department of Medicine, Massachusetts General Hospital, Boston, MA, United States, Harvard Medical School, Boston, MA, United States, Division of General Medicine, Massachusetts General Hospital, Boston, MA, United States, Division of Infectious Disease, Massachusetts General Hospital, Boston, MA, United States, Harvard University Center for AIDS Research, Boston, MA, United States, Division of Infectious Disease, Brigham and Women's Hospital, Boston, MA, United States
  • d Medical Practice Evaluation Center, Department of Medicine, Massachusetts General Hospital, Boston, MA, United States, Harvard Medical School, Boston, MA, United States, Division of General Medicine, Massachusetts General Hospital, Boston, MA, United States, Division of Infectious Disease, Brigham and Women's Hospital, Boston, MA, United States, MGH Biostatistics Center, Massachusetts General Hospital, Boston, MA, United States
  • e Bugema University, Kampala, Uganda
  • f United Nations High Commissioner for Refugees, Geneva, Switzerland
  • g Medical Teams International, Mbarara, Uganda
  • h Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States

Abstract

We implemented and evaluated a clinic-based routine voluntary HIV testing intervention in Nakivale Refugee Settlement in Uganda. Comparing the standard of care period (40 d) with the intervention period (168 d), the mean HIV-infected clients identified per week increased from 0.9 to 5.6, and there was no significant difference between the HIV prevalence in the 2 periods (standard of care: 3.3%; intervention: 4.5%; P > 0.5). Clinic-based routine HIV testing in a refugee settlement is effective and should be considered for implementation in refugee settlements in other high-prevalence regions in sub-Saharan Africa. Copyright © 2014 by Lippincott Williams & Wilkins.

Author Keywords

Routine testing HIV testing Uganda Refugees HIV Africa

Index Keywords

voluntary program Voluntary Programs HIV Infections refugee Human immunodeficiency virus infection human epidemiology HIV test Refugees middle aged statistics and numerical data priority journal antiretrovirus agent HIV rapid test procedures Uganda Young Adult Humans early intervention Adolescent male female AIDS Serodiagnosis refugee camp serodiagnosis Article major clinical study adult health care quality
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84922479749&doi=10.1097%2fQAI.0000000000000317&partnerID=40&md5=a40b64f6ca5e87f29053edcf1f2df659
DOI: 10.1097/QAI.0000000000000317
ISSN: 15254135
Cited by: 8
Original Language: English