Assessment of Community Mobilization and Home-based HIV Counselling and Testing Offered by Health Facilities in Rural Uganda

Constance S. Shumba, Lydia Atuhaire, Peter Memiah, Ruth Atukunda


Home-based HIV counselling and testing (HBHCT) and community mobilization have been proven to be effective in increasing the number of people linked to HIV care and treatment. An assessment was conducted in 18 health facilities in Uganda to evaluate the availability and extent of home based testing services and community mobilization activities in underserved communities. The performance of the health facilities was assessed using a checklist with indicators of HBHCT and community mobilization. While most of the health facilities (72.2%) had active community mobilization, only 12.2% had HBHCT services and this might have affected universal access to HIV prevention, care and treatment. The health facilities did not accompany their intensive community mobilization activities with HBHCT yet this provided the ideal entry point and opportunity to improve linkage to HIV treatment and care. Afr J Reprod Health 2013 (Special Edition); 17[4]: 171-176).


Keywords: Home based testing, HIV, community mobilization




Les conseils  et le dépistage du VIH  à domicile (CDVD) et la mobilisation de la communauté ont fait leurs preuves pour être efficaces dans l'augmentation du nombre de personnes liées aux soins et au traitement du VIH. Une évaluation a été menée dans 18 établissements de santé en Ouganda pour évaluer la disponibilité et l'étendue des services de dépistage à domicile et des activités de mobilisation communautaire dans les communautés mal desservies. La performance des établissements de santé a été évaluée à l'aide d'une liste d'indicateurs du CDVD et de la mobilisation communautaire. Alors que la plupart des établissements de santé (72,2 %) avaient une mobilisation active de la communauté, seulement 12,2 % avaient des services du CDVD ce qui pourrait pu affecter l'accès universel à la prévention, aux soins et au traitement du VIH. Les établissements de santé ne sont pas joints à leurs activités de la mobilisation communautaire intensives avec CDVD,  pourtant cette condition a fourni  le point d'entrée idéal et la possibilité d'améliorer l'articulation au traitement et aux soins du VIH. Afr J Reprod Health 2013 (Special Edition); 17[4]: 171-176).


Mots-clés: analyse à domicile, VIH,  mobilisation communautaire

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