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3rd International AIDS Society Conference on HIV Pathogenesis and TreatmentRio de Janeiro - July 24 - 27, 2005 |
TAKING IT TO THE STREETS: MOBILE UNITS FOR COUPLES VOLUNTARY COUNSELING AND TESTING
IAS Conf HIV Pathog Treat 2005 Jul 24-27;3rd: Abstract No. TuPp0201
Casanova D.1, Rwanda Zambia HIV Research Group Z.E.H.R.P.22
1 Rwanda-Zambia HIV Research Group, Emory University, Lusaka, Zambia, 2 Emory University, Atlanta, United States of America
INTRODUCTION: Couples' VCT (CVCT) decreases HIV incidence between partners by >50%/year, however <1% of African couples have been tested together. In addition to fixed CVCT sites, mobile units (MU) enhance supply of CVCT by bringing the service into communities. This study considers various factors in determining the success of MUs to increase CVCT uptake in Rwanda and Zambia.
METHODS: MUs were implemented concurrently in Kigali and Lusaka from July 2004-January 2005 where CVCT was not previously available. Political and community Influential Network Leaders (INLs) identified MU locations for CVCT. MUs were held at each location twice a week for one month. Influential Network Agents (INAs) were trained to invite couples to fixed CVCT and MU sites. The number of couples tested and additional observations were recorded.
RESULTS: In Kigali, MUs were held at 3 schools, 1 private clinic, 1 PLWHA association, and 1 district office from July 2004-January 2005 where 366 couples were tested. The highest average of couples tested was at the private clinic (14.8). Most sites were located at least 3kms away from the fixed site. In Lusaka, MUs were held at 1 school, 3 private clinics, 3 churches and 1 community center where 22 couples were tested. The highest average of couples tested was at the private health clinic (1.4). All Lusaka MU sites were located within 3kms of the fixed site.
CONCLUSIONS: Successful MU sites depend on the participation of community and political/administrative leaders as well as the type of site. In Kigali, the most successful MU benefited from strong INL involvement and additional leaders at the grassroots level. In Lusaka, bringing services closer to the community through MUs has not been successful. Additional political/administrative and grassroots leaders have not been fully utilized in promoting MUs and these sites may not be far enough away from the fixed site.
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Prevention | TuPp0201 | Debbie Casanova
Voluntary counselling and testing
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