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

Abstract

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

 

Résumé

 

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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References

Mutale W, Michelo C, Jürgensen M and Fylkesnes K. Home based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities. BMC Public Health 2010, 10:347

Angotti N, Bula A, Gaydosh L, Kimchi EZ, Thornton RL, Yeatman SE: Increasing the acceptability of HIV counseling and testing with three C's: convenience, confidentiality and credibility. Soc Sci Med 2009, 68(12):2263-70.

Fylkesnes K, Siziya S: A randomized trial on acceptability of voluntary HIV counselling and testing. Trop Med Int Health 2004, 9(5):566-72.

Corbett EL, Dauya E, Matambo R, Cheung YB,

Makamure B, Bassett MT, et al.: Uptake of workplace HIV counselling and testing: a cluster randomised trial in Zimbabwe. PLoS medicine 2006, 3(7):e238.

Maheswaran H, Thulare H, Stanistreet D, Tanser F, and Newell ML. Starting a Home and Mobile HIV Testing Service in a Rural Area of South Africa. J Acquir Immune Defic Syndr 2012;59:e43–e46)

Obermeyer CM, Osborn M: The utilization of testing and counseling for HIV: a review of the social and behavioral evidence. American journal of public health 2007, 97(10):1762-74.

Matovu JK, Kigozi G, Nalugoda F, Wabwire-Mangen F, Gray RH: The Rakai Project counselling programme experience. Trop Med Int Health 2002, 7(12):1064-7.

Wolff B, Nyanzi B, Katongole G, Ssesanga D, Ruberantwari A, Whitworth J: Evaluation of a homebased voluntary counselling and testing intervention in rural Uganda. Health Policy Plan 2005, 20(2):10916.

Bateganya MH, Abdulwadud OA, Kiene SM: Homebased HIV voluntary counseling and testing in developing countries. Cochrane Database Syst Rev 2007:CD006493.

Obare F, Fleming P, Anglewicz P, Thornton R, Martinson F, Kapatuka A, et al.: Acceptance of repeat population-based voluntary counseling and testing for HIV in rural Malawi. Sexually transmitted infections 2008.

Mutambi, A., (undated). District Wide door to door home based HIV voluntary counselling and testing in Bushenyi.

World Health Organization. 2011. HIV in the WHO African Region: Progress Towards Achieving Universal Access to Priority Health Sector Interventions. Geneva, Switzerland: World Health Organization.

World Health Organization (2010) Towards Universal Access. Scaling up priority HIV/AIDS interventions in the health sector. Progress report 2010. Geneva.

Cherutich P, Kaiser R, Galbraith J, Williamson J, Shiraishi RW, Ngare C, Mermin J, Marum E, Bunnell R. Lack of Knowledge of HIV Status a Major Barrier to HIV Prevention, Care and Treatment Efforts in Kenya: Results from a Nationally Representative

Study. PLoS ONE. May 2012 Volume 7 Issue 5. e36797

Blazer C and Escobar MC (2012) Home-Based HIV Testing and Counseling in Kenya. Getting in the Door. AIDSTAR-One. CASE STUDY SERIES

Mulogo EM, Abdulaziz AS, Guerra R, Baine SO Facility and home based HIV Counseling and Testing: a comparative analysis of uptake of services by rural communities in southwestern Uganda. BMC Health Services Research 2011, 11:54

Malcom & McDowsett, (1998). The Contexts of Community Mobilization and HIV/AIDS Prevention.

UNAIDS (1998). Partners in Prevention. International Case Studies of Effective

Health Promotion Practice in HIV/AIDS

Nuwaha F, Kasasa S, Wana G, Muganzi E and Tumwesigye E. Effect of home-based HIV counselling and testing on stigma and risky sexual behaviours: serial cross-sectional studies in Uganda. Journal of the International AIDS Society 2012, 15:17423

MacPherson P, Webb EL, Choko AT, Desmond N, Chavula K, Mavedzenge SN, Makombe SD, Chunda T, Squire SB, Corbett EL. Stigmatising Attitudes among People Offered Home-Based HIV Testing and Counselling in Blantyre, Malawi:Construction and Analysis of a Stigma Scale. PLoS ONE. October 2011, Volume 6, Issue 10, e26814

Sekandi JN, Sempeera H, List J, Mugerwa MA, Stephen Asiimwe S, Yin X and Whalen CC. High acceptance of home-based HIV counseling and testing in an urban community setting in Uganda. BMC Public Health 2011, 11:730

Mabirizi J, Kaleeba M, Kisambira E, Kironde S, Nsabagasani X.(2006). Increasing Access to Home Based Confidential HIV Counselling and Testing: Uganda

Damme WV, Kober K & Laga M. (2006). The Real

Challenges for Scaling up ART in Sub-Saharan Africa

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