HIV Positivity and Referral to Treatment Following Testing of Partners and Children of PLHIV Index Patients in Public Sector Facilities in South Africa.

作者: Dvora Joseph Davey , Kristin M. Wall , Claire Serrao , Marlien Prins , Madaline Feinberg

DOI: 10.1097/QAI.0000000000002048

关键词: Public sectorLogistic regressionConfidence intervalDemographyPublic healthMedicineHIV PositivityPsychological interventionOdds ratioIndex (economics)

摘要: BACKGROUND There is an imperative need for innovative interventions to identify people living with HIV and initiate them on antiretroviral therapy. The objective of this study was determine the feasibility providing index partner/child testing HIV. METHODS We trained 86 nurses counsellors in 56 public health facilities 6 high burden Districts South Africa 2017 provide (tracing partners/children HIV). collected programmatic data including positivity by age, gender, location testing. In subanalyses, we evaluated factors associated identifying HIV-positive partners children separate models using multivariable logistic regression. RESULTS tested 16,033 patients between October June 2018. Most those were women (61%) 20-39 years old (39%). Overall, 6.4% 10-14 old, 9.5% 15-19 years, 8% ≥50 years. 38% [95% confidence interval (CI) = 36% 40%]. ages 13% HIV-infected (95% CI 11% 14%). their increased age [adjusted odds ratio (aOR) increase 5-year category 1.21; 95% 1.04 1.42], female gender (aOR 1.38; 1.82), partner bringing vs. referring through provider or recommending 1.94, 1.43 2.63), adjusting Almost all diagnosed (97%) referred CONCLUSIONS Providing feasible identified a very yield when patients. Index should be offered improve case finding.

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