1 / 9

Linkage to care following home-based HIV counseling and testing

Linkage to care following home-based HIV counseling and testing. 7th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention Kuala Lumpur, Malaysia July 1, 2013. Why is this important? . Combatting HIV/AIDS requires universal knowledge of HIV status

adsila
Télécharger la présentation

Linkage to care following home-based HIV counseling and testing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Linkage to care following home-based HIV counseling and testing 7th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention Kuala Lumpur, Malaysia July 1, 2013

  2. Why is this important? • Combatting HIV/AIDS requires universal knowledge of HIV status • Shift to community-based models • ‘Test & Treat’ • Strong evidence on home-based testing • HBHCT may pose unique challenges • Need to eliminate leakages in cascade

  3. So they’ll test. But then what?

  4. To answer these questions... • Sub-studyof Good Start • All HIV+ clients from HBHCT arm (n=492) • 3-part study: • Prospective cohort (n=359) • Cox regression (n=196) • Qualitative (n=30)

  5. Key cohort findings • 62.1% (95% CI: 55.73% - 68.47%) linked to care within 3 months of HBHCT (n=359) • Median CD4: 340.5cells/mm3 (n=226)

  6. Key Cox regression findings • Younger age (16-24 years) (AHR 0.50; 95% CI: 0.28 – 0.91) • Disbelief of HIV test results (AHR 0.48; 95% CI: 0.30 – 0.77) • Difficulty finding time to seek care (AHR 0.40; 95% CI: 0.24 – 0.67) *Outcome = providing a blood sample for a facility-based CD4 count

  7. Key Cox regression findings • Believing ART can make you sick(AHR 0.56; 95% CI: 0.35 – 0.89) • Living with ≥ 2 adults (AHR 0.52; 95% CI: 0.35 – 0.77) • Belief in availability of drugs/supplies (AHR1.78; 95% CI: 1.07 – 2.96) • Drinking alcohol (AHR 0.52; 95% CI: 0.34 – 0.80)

  8. Discussion • Barriers to linkage occur at all levels • Need to implement and evaluate interventions to address key barriers

  9. Thank You

More Related