Menu Close

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

Citation

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

Abstract

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 CD4RESULTS: Of 6,300 residents, 2,323/3,150 (74%) adults and 2,020/3,150 (69%) children participated. An estimated 95% and 52% of adult female and male residents participated respectively. Adult HIV prevalence was 7.8%, with 46% of HIV-infected adults newly diagnosed. Thirty-nine percent of new HIV diagnoses linked to care. In a pilot subgroup with CD4CONCLUSIONS: 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.

URL

http://dx.doi.org/10.1371/journal.pone.0043400

Reference Type

Journal Article

Year Published

2012

Journal Title

PLOS ONE

Author(s)

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

PMCID

PMC3423366