Project Accept (HPTN 043): a community-based intervention to reduce HIV incidence in populations at risk for HIV in sub-Saharan Africa and Thailand
: JAIDS - Journal of Acquired Immune Deficiency Syndromes OUTPUT TYPE
: Journal Article PUBLICATION YEAR
: G.Khumalo-Sakutukwa, S.F.Morin, K.Fritz, E.D.Charlebois, H.Van Rooyen
, A.Chingono, P.Modiba, K.Mrumbi, S.Visrutaratna, B.Singh, M.Sweat, D.D.Celantano, T.J.CoatesKEYWORDS
: COMMUNITY HEALTH WORKERS
, HIV/AIDS PREVENTION
, PROJECT ACCEPT
, SUB-SAHARAN AFRICA
, VALUES IN SOCIETYDEPARTMENT
: Human and Social Development (HSD)
: HSRC Library: shelf number 5570
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at firstname.lastname@example.org.
Background: Changing community norms to increase awareness of HIV status and reduce HIV-related stigma has the potential to
reduce the incidence of HIV-1 infection in the developing world. Methods: We developed and implemented a multilevel intervention
providing community-based HIV mobile voluntary counseling and testing, community mobilization, and posttest support services.
Forty-eight communities in Tanzania, Zimbabwe, South Africa, and Thailand were randomized to receive the intervention or clinic-based standard voluntary counseling and testing (VCT), the comparison condition. We monitored utilization of community-based HIV mobile voluntary counseling and testing and clinic-based standard VCT by community of residence at 3 sites, which was used to assess differential uptake. We also developed quality assurance procedures to evaluate staff fidelity to the intervention. Findings: In the first year of the study, a 4-fold increase in testing was observed in the intervention versus comparison communities. We
also found an overall 95% adherence to intervention components. Study outcomes, including prevalence of recent HIV infection and community-level HIV stigma, will be assessed after 3 years of intervention. Conclusions: The provision of mobile services, combined with appropriate support activities, may have significant effects on utilization of voluntary counseling and testing. These findings also provide early support for community mobilization as a strategy for increasing testing rates.
Related Research Outputs:
- HIV risk behaviors in sub-Saharan Africa and northern Thailand: baseline behavioral data from Project Accept
- Are we turning the tide on HIV/AIDS?: the social, political and economic landscape of HIV prevention and response in sub-Saharan Africa: 6th SAHARA conference 2011 report
- 6th SAHARA Conference: official conference proceedings
- Integrated strategies for combination HIV prevention: principles and examples for men who have sex with men in the Americas and heterosexual African populations
- Exploring the impact of childhood abuse on HIV social and attitudinal factors among adults with and without this history in sub-Saharan Africa: findings from NIMH Project Accept (HPTN 043)
- Review of the HIV/AIDS policy, legislation, financing & implementation of programmes in Mozambique
- The forgotten fifty percent: a review of sexual and reproductive health research and programs focused on boys and young men in Sub-Saharan Africa
- A review of HIV/AIDS policy, financing, legislation and programmes: South African case study: Draft
- The impact of HIV/AIDS on the health sector: national survey of health personnel, ambulatory and hospitalised patients and health facilities, 2002
- Prevention of mother to child transmission: a report of an assessment of a pilot programme in fifteen health facilities in Gauteng province
- A comparative analysis of the financing of HIV/AIDS programmes in Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe, October 2003
- HIV/AIDS/STD knowledge, attitudes, beliefs and behaviours in a rural South African adult population
- HIV/AIDS and new agricultural strategies for sub-Saharan Africa
- HIV/AIDS in developing countries: heading towards a mental health and consequent social disaster?
- Traditional healers on board to fight HIV/AIDS
- HIV/AIDS impact assessment study project: first trimester report March - July 2006
- Bush and the global gag rule: trick or treat?
- Evaluation of HIV/AIDS prevention intervention messages on a rural sample of South African youth's knowledge, attitudes, beliefs and behaviours over a period of 15 months
- HIV/AIDS/STD prevention intervention messages: an evaluation of the knowledge, attitudes and beliefs of a rural South African sample
- HIV prevention intervention among low-income women in South Africa: a randomized control trial 1