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Effect of home based HIV counselling and testing intervention in rural South Africa: cluster randomised trial

Publication year: 
2013
Author (s): 
Hanani Tabana senior scientist, Debra Jackson , Reshma naik, Wanga Zembe, Carl Lomba, Sonja Swanevelder, Matthew P Fox , Anna Thorson , Anna Mia Ekström professor , Mickey Chopra
Publication details: 
BMJ,2013
Abstract:

Policy shifts over the past few years in South Africa are making critical HIV prevention and treatment interventions increasingly available.1 HIV counselling and testing is the first step in accessing such interventions; however, testing rates remain low.In South Africa,where the national prevalence of HIV in adults in 2009 was 17%2 and the antenatal prevalence in women aged 15-49 years was 30% in 2010,3 a 2008 survey indicated that only 25% of those aged 15-49 years had had an HIV test in the past 12 months and knew their status.4 The situation is similar in other sub-Saharan African countries, with Botswana being the only country where more than 50% of adults aged 15-49 reported undergoing an HIV test in the past 12 months and receiving their results based on data from demographic health surveys.5 In an era where approaches such as HIV testing with immediate antiretroviral therapy (“test and treat”) are being considered as a strategy to eliminate HIV transmission,6 high population levels of HIV testing are critical.