Rapid point-of-care CD4 testing at mobile units and linkage to HIV care: an evaluation of community-based mobile HIV testing services in South Africa

摘要: Mobile HIV testing services (HTS) are effective at reaching undiagnosed people living with HIV. However, linkage to care from mobile HTS is often poor, ranging 10 60%. Point-of-care (POC) CD4 has shown increase retention in health facilities, but little evidence exists about their use HTS. This study assessed the feasibility of POC test implementation and investigated among clients accepting a community-based retrospective used routinely collected data who utilized City Cape Town Metropolitan district, South Africa between December 2014 September 2016. A was offered all an positive diagnosis during this period, cell count provided test. Random effects logistic regression assess factors associated uptake self-reported Models were adjusted for sex, age, previous done, tuberculosis status year diagnosis. One thousand three hundred twenty-five Thirty-nine seven ninety utilizing tested (3%). 51% (679/1325) accepted The age group highest proportion 50+ years (60%). Females less likely accept than males (odds ratio = 0.7, 95%CI = 0.6–0.8). Median 429 cells/μl (interquartile range = 290–584). Among 679 test, 491 (72%) linked care. not Our findings suggest that can identify early infection, show high result Future research should acceptance impact comparison alternative strategies engage