Navigation Links
Offering option of initial HIV care at home increases use of ART

LSTM Researchers found that offering adults in Malawi optional home initiation of care following HIV self-testing resulted in a significant increase in the proportion of adults initiating antiretroviral therapy (ART) compared with standard HIV care.

The results are part of a study that was funded by the Wellcome Trust and published in the July 23/30 issue of JAMA, which is HIV/AIDS themed and released early to coincide with the International AIDS Conference taking place in Melbourne, Australia next week.

In 2012 it was estimated that 35 million people worldwide were living with the human immunodeficiency virus (HIV). ART not only substantially reduces the risk of HIV transmission but also greatly reduces illness and death, which raises hopes that a high uptake of annual HIV testing and early initiation of ART could improve HIV prevention as well as care.

HIV self-testing, where an individual performs and interprets their own HIV test in private, is a novel approach that has been high acceptability in Malawi and the United States. HIV self-testing can overcome barriers to conventional facility- and community-based testing that lack privacy and convenience.

Dr Peter MacPherson of LSTM and the Malawi-Liverpool-Wellcome Trust Clinical Research Programme, and colleagues, recruited 16,660 adult residents of Blantyre, Malawi, where nearly one in five adults are infected with HIV. Participants received access to HIV self-testing through community volunteers and were randomised to receive either facility-based HIV care, or optional home initiation of HIV care following reporting of a positive HIV self-test result.

During the six months of availability, 58% of all adult participants took an HIV self-test kit. A significantly greater proportion of adults in the home group initiated ART (181/8,194; 2.2%) compared with the facility group (63/8,466; 0.7%). Participants in the home group (6.0%) were also significantly more likely to report a positive HIV self-test result to counsellors than facility group participants (3.3%).

Dr MacPherson said: "These results are extremely encouraging. Our study found that population-level ART initiations were increased by the availability of home initiation of care. We know that early uptake of ART can help prevent HIV infections, as well as dramatically improve health".

"At a time when universal test and treat approaches to controlling the HIV epidemic are being considered, home initiation of HIV care shows high promise as a simple strategy to improve the uptake of ART when HIV self-testing is carried out at home."


Contact: Clare Bebb
Liverpool School of Tropical Medicine

Related medicine news :

1. Los Angeles Dermatologist, Peyman Ghasri, MD, FAAD, is Now Offering Botox Treatment for Migraines
2. Allred Dental Offering Wisdom Teeth Extractions and $100 Off Coupon
3. First National Technology Solutions Now Offering xTremIO Capability
4. Encino Esthetic Dental Group is Now Offering Lumineers and Porcelain Veneers
5. Sacramento Acupuncture and Traditional Chinese Medicine Specialists Tian Chao Herbs & Acupuncture Now Offering Massage Therapy
6. United Gold Direct Now Offering Complimentary Investor Kits
7. Women’s Excellence in Endometriosis Now Offering Specialized Care for Chronic Pelvic Pain, Painful Intercourse, and Pain Periods, at Newest Location in Birmingham, MI
8. Safety Management Systems Offering New Internationally Approved-courses
9. Herald Square Dental Now Offering Headache, Migrane and TMJ Symptom Relief
10. Healthpointe is proudly offering Occupational Medicine at their new Long Beach Medical Center
11. Women's Excellence in Midwifery Now Offering Natural Family Planning Consultations at an Additional Location in Birmingham, Michigan
Post Your Comments:
(Date:11/26/2015)... ... November 26, 2015 , ... WorldCare International, ... in the 61st annual Employee Benefits Conference. The Employee Benefits Conference was hosted ... 8th through Wednesday, November 11th, 2015. The conference was held at the Hawaii ...
(Date:11/26/2015)... (PRWEB) , ... November 26, ... ... online platform for mental health and wellness consultation, has collaborated with Women’s ... holistically address their reader’s queries on topics on mental and emotional well-being ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... aggressive than those found on mammography, according to a study published online in ... cancers not seen on mammography may necessitate a change in treatment. , Breast ...
(Date:11/25/2015)... (PRWEB) , ... November 25, 2015 , ... ... gatherings where preparing the perfect dish and pleasing the palates of attendees is ... or bringing a dish to a seasonal get-together, give these recipes a try ...
(Date:11/25/2015)... ... November 25, 2015 , ... Medical Solutions, one ... for its stellar workplace culture with the company’s Cincinnati office being named a ... Cincinnati office was named a finalist in Cincinnati Business Courier’s 13th annual Greater ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... Research and Markets ( ) ... Future Horizons and Growth Strategies in the Italian ... Segment Forecasts, Competitive Intelligence, Emerging Opportunities" report ... --> This new 247-page report ... drug monitoring market, including emerging tests, technologies, instrumentation, ...
(Date:11/25/2015)... 2015  The total global healthcare industry is expected to ... Latin America has the highest projected growth ... Japan ), is second with growth projected at ... increased healthcare expenditure. In 2013-2014, total government funded healthcare was ... 2008-2009 to 41.2% in 2013-2014. In real terms, out of ...
(Date:11/25/2015)... , Nov. 25, 2015 AAIPharma Services ... investment of at least $15.8  Million to expand ... Wilmington, NC . The expansion will provide ... meet the growing demands of the pharmaceutical and ... site expansion will provide up to 40,000 square ...
Breaking Medicine Technology: