Leveraging Rapid Community-Based HIV Testing Campaigns for Non-Communicable Diseases in Rural Uganda

Chamie, Gabriel; Kwarisiima, Dalsone; Clark, Tamara D.; Kabami, Jane; Jain, Vivek; Geng, Elvin; Petersen, Maya L.; Thirumurthy, Harsha; Kamya, Moses R.; Havlir, Diane V.; Charlebois, Edwin D.; & the SEARCH Collaboration. (2012). Leveraging Rapid Community-Based HIV Testing Campaigns for Non-Communicable Diseases in Rural Uganda. PLOS ONE, 7(8), e43400. PMCID: PMC3423366

Chamie, Gabriel; Kwarisiima, Dalsone; Clark, Tamara D.; Kabami, Jane; Jain, Vivek; Geng, Elvin; Petersen, Maya L.; Thirumurthy, Harsha; Kamya, Moses R.; Havlir, Diane V.; Charlebois, Edwin D.; & the SEARCH Collaboration. (2012). Leveraging Rapid Community-Based HIV Testing Campaigns for Non-Communicable Diseases in Rural Uganda. PLOS ONE, 7(8), e43400. PMCID: PMC3423366

Octet Stream icon 5458.ris — Octet Stream, 2 kB (2,217 bytes)

BACKGROUND: The high burden of undiagnosed HIV in sub-Saharan Africa limits treatment and prevention efforts. Community-based HIV testing campaigns can address this challenge and provide an untapped opportunity to identify non-communicable diseases (NCDs). We tested the feasibility and diagnostic yield of integrating NCD and communicable diseases into a rapid HIV testing and referral campaign for all residents of a rural Ugandan parish. METHODS: A five-day, multi-disease campaign, offering diagnostic, preventive, treatment and referral services, was performed in May 2011. Services included point-of-care screening for HIV, malaria, TB, hypertension and diabetes. Finger-prick diagnostics eliminated the need for phlebotomy. HIV-infected adults met clinic staff and peer counselors on-site; those with CD4</=100, 83% linked and started ART within 10 days. Malaria was identified in 10% of children, and hypertension and diabetes in 28% and 3.5% of adults screened, respectively. Sixty-five percent of hypertensives and 23% of diabetics were new diagnoses, of which 43% and 61% linked to care, respectively. Screening identified suspected TB in 87% of HIV-infected and 19% of HIV-uninfected adults; 52% percent of HIV-uninfected TB suspects linked to care. CONCLUSIONS: In an integrated campaign engaging 74% of adult residents, we identified a high burden of undiagnosed HIV, hypertension and diabetes. Improving male attendance and optimizing linkage to care require new approaches. The campaign demonstrates the feasibility of integrating hypertension, diabetes and communicable diseases into HIV initiatives.

Population and Health Policies and Programs


JOUR



Chamie, Gabriel
Kwarisiima, Dalsone
Clark, Tamara D.
Kabami, Jane
Jain, Vivek
Geng, Elvin
Petersen, Maya L.
Thirumurthy, Harsha
Kamya, Moses R.
Havlir, Diane V.
Charlebois, Edwin D.
the SEARCH Collaboration



2012


PLOS ONE

7

8

e43400








PMC3423366


5458

Wink Plone Theme by Quintagroup © 2013.

Personal tools
This is themeComment for Wink theme