Starting a Home and Mobile HIV Testing Service in a Rural Area of South Africa

Maheswaran, Hendramoorthy, Thulare, Hilary, Stanistreet, Debbi, Tanser, Frank and Newell, Marie-Louise (2012) Starting a Home and Mobile HIV Testing Service in a Rural Area of South Africa JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 59 (3). E43-E46. ISSN 1525-4135, 1077-9450

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Abstract

<h4>Objective</h4>To compare users of a home and mobile HIV counseling and testing service implemented in rural KwaZulu-Natal, South Africa.<h4>Methods</h4>Communities of similar population size and density were allocated HIV counseling and testing provision be either home or mobile services. Uptake of services was compared, including results from a brief questionnaire.<h4>Results</h4>Majority of individuals proceeded to test. Mobile services reported a higher proportion of clients who were male (41% vs. 31%; P < 0.001), younger than 25 years (53% vs. 28%; P < 0.001), single (66% vs. 40%; P < 0.001), and never previously tested (62% vs. 56%; P = 0.003). Home services reported a higher proportion of clients older than of 35 years (56% vs. 35%; P < 0.001) and married/partner (43% vs. 30%; P < 0.001). HIV prevalence amongst clients of the 2 services was comparable, with both services testing more clients daily than the local primary health care clinics, but similar to the local hospital.<h4>Conclusions</h4>The numbers tested, different populations reached, and high detection rates suggest both modalities have an important role to play, especially in rural communities where cost of transport may be a deterrent.

Item Type:	Article
Additional Information:	## TULIP Type: Articles/Papers (Journal) ##
Uncontrolled Keywords:	HIV testing, home based, mobile based, resource constrained
Depositing User:	Symplectic Admin
Date Deposited:	03 Nov 2017 16:14
Last Modified:	16 Jun 2026 13:09
DOI:	10.1097/QAI.0b013e3182414ed7
Related Websites:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3011210
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