dc.contributor.author |
Wachira, Juddy |
|
dc.contributor.author |
Kimaiyo, Sylvester |
|
dc.contributor.author |
Ndege, Samson |
|
dc.contributor.author |
Mamlin, Joseph |
|
dc.contributor.author |
Braitstein, Paula |
|
dc.date.accessioned |
2017-10-06T07:23:27Z |
|
dc.date.available |
2017-10-06T07:23:27Z |
|
dc.date.issued |
2012 |
|
dc.identifier.other |
https://doi.org/10.1093/cid/cir789 |
|
dc.identifier.uri |
https://academic.oup.com/cid/article/54/2/275/469419/What-Is-the-Impact-of-Home-Based-HIV-Counseling |
|
dc.identifier.uri |
http://ir.mu.ac.ke:8080/xmlui/handle/123456789/176 |
|
dc.description.abstract |
Background. This article describes the effect point of entry into the human immunodeficiency virus (HIV) care
program had on the clinical status of adults presenting for the first time to USAID-AMPATH (US Agency for
International Development–Academic Model Providing Access to Healthcare) Partnership clinics for HIV care.
Methods. All patients aged $14 years enrolled between August 2008 and April 2010 were included. Points of
entry to USAID-AMPATH clinics were home-based counseling and testing (HBCT), provider-initiated testing and
counseling (PITC), HIV testing in the tuberculosis clinic, and voluntary counseling and testing (VCT). Tests for
trend were calculated, and multivariable logistic regression was used to compare the effect of HBCT versus other
points of entry on primary outcomes controlling for age and sex.
Results. There were 19 552 eligible individuals. Of these, 946 tested in HBCT, 10 261 in VCT, 8073 in PITC,
and 272 in the tuberculosis clinic. The median (interquartile range) enrollment CD4 cell counts among those who
tested HIV positive was 323 (194–491), 217 (87–404), 190 (70–371), and 136 cells/mm3 (59–266) for HBCT, VCT,
PITC, and the tuberculosis clinic, respectively (P , .001). Compared with those patients whose HIV infection was
diagnosed in the tuberculosis clinic, those who tested positive in HBCT were, controlling for age and sex, less likely
to have to have World Health Organization stage III or IV HIV infection at enrollment (adjusted odds ratio [AOR],
0.04; 95% confidence interval [CI], .03–.06), less likely to enroll with a CD4 cell count of ,200 cells/mm3 (AOR,
0.20; 95% CI, .14–.28), and less likely to enroll into care with a chief complaint (AOR, 0.08; 95% CI, .05–.12).
Conclusions. HBCT is effective at getting HIV-infected persons enrolled in HIV care before they become ill. |
en_US |
dc.description.sponsorship |
The HBCT program was supported by grants from
Abbott Laboratories, the Purpleville Foundation, and the Global Business
Coalition. The United States Agency for International Development as part
of the President’s Emergency Plan for AIDS Relief (USAID-PEPFAR)
supported care for those found to be HIV positive, and the Abbott Fund
provided test kits and logistical support. AMPATH and the authors are
particularly grateful to the Rockefeller Foundation for funding the development
of the AMPATH Medical Records System, and the Kenyan
Division of Leprosy, TB and Lung Disease, formerly the Kenyan National
Leprosy and Tuberculosis Program, for its support. |
en_US |
dc.language.iso |
en |
en_US |
dc.publisher |
Oxford University Press |
en_US |
dc.relation.ispartofseries |
;Clinical Infectious Diseases 2012;54(2):275–81 |
|
dc.subject |
Cd4 count determination procedure |
en_US |
dc.subject |
Counseling |
en_US |
dc.subject |
HIV seropositivity |
en_US |
dc.subject |
Tuberculosis |
en_US |
dc.subject |
World Health Organization |
en_US |
dc.subject |
Chief complaint |
en_US |
dc.subject |
HIV infection |
en_US |
dc.title |
What Is the Impact of Home-Based HIV Counseling and Testing on the Clinical Status of Newly Enrolled Adults in a Large HIV Care Program in Western Kenya? |
en_US |
dc.type |
Article |
en_US |