A Comparison of Home-Based Versus Outreach Event-Based Community HIV Testing in Ugandan Fisherfolk Communities
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Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
AIDS and Behavior
Abstract
We compared two community-based HIV testing models among fisherfolk in Lake Victoria, Uganda. From May to July 2015, 1,364 fisherfolk residents of one island were offered (and 822 received) home-based testing, and 344 fisherfolk on another island were offered testing during 8 community mobilization events (outreach event-based testing). Of 207 home-based testing clients identified as HIV-positive (15% of residents), 82 were newly diagnosed, of whom 31 (38%) linked to care within 3 months. Of 41 who screened positive during event-based testing (12% of those tested), 33 were newly diagnosed, of whom 24 (75%) linked to care within 3 months. Testing costs per capita were similar for home-based ($45.09) and event-based testing ($46.99). Compared to event-based testing, home-based testing uncovered a higher number of new HIV cases but was associated with lower linkage to care. Novel community-based test-and-treat programs are needed to ensure timely linkage to care for newly diagnosed fisherfolk.
Description
Keywords
Community-based HIV testing and counseling, Fisherfolk, Linkage to HIV care, Uganda
Citation
Bogart, L. M., Wagner, G. J., Musoke, W., Naigino, R., Linnemayr, S., Maistrellis, E., ... & Wanyenze, R. K. (2017). A comparison of home-based versus outreach event-based community HIV testing in Ugandan fisherfolk communities. AIDS and Behavior, 21(2), 547-560.10.1007/s10461-016-1629-x.