3rd International AIDS Society Conference on HIV Pathogenesis and Treatment


Rio de Janeiro - July 24 - 27, 2005


SCREENING AND ENROLLMENT IN TWO COHORT STUDIES WITH DIFFERENT PROCEDURES AND BENEFITS IN LUSAKA, ZAMBIA

IAS Conf HIV Pathog Treat 2005 Jul 24-27;3rd: Abstract No. WePp0205

Ntamwemezi J.-B.
Rwanda-Zambia HIV Research Group., Lusaka, Zambia


INTRODUCTION: The HIV heterosexual transmission (HT) study provides counseling and condom skills to prevent HIV transmission, whereas the family planning (FP) study provides family planning counseling and contraceptive methods. Both studies recruit from Voluntary Counseling and Testing (CVCT) centers and participants are followed at the same research site.

METHODS: HT study participants receive outpatient health care at the project clinic and participants come at 3-month intervals. Per visit reimbursement is $5. FP study participants receive reproductive health care at the research clinic. Women in the FP study return quarterly while their male partners return annually. Per visit reimbursement is $7. Identical medical and laboratory data collection procedures are used in the two studies. FP participants complete one additional behavioral assessment tool.

RESULTS: Between June 2002 and January 2005, a total of 7679 couples were tested in Lusaka. 1098 discordant couples were eligible for the HT study of whom 731 (67%) were enrolled a mean of 16.3 days after screening. 762 couples were eligible for the FP study of whom 518 (68%) were enrolled a mean of 15.5 days after screening. The median (12 days for HT and 11 for FP) and ranges (1 – 93 for HT and 1 – 88 for FP) were similar and the mode (4 days) was the same for both studies.

CONCLUSIONS: The enrollment rate for the two studies was similar, indicating that the different benefits and procedures associated with each study did not significantly affect couples’ decisions to participate. While a broad range of outpatient services is appreciated as a benefit for HT participants, it is costly in personnel time and medication. A higher per visit reimbursement with health care limited to reproductive health resulted in similar enrollment rates.

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