Navigation Links
Offering option of initial HIV care at home increases use of antiretroviral therapy
Date:7/19/2014

Among adults in the African country of Malawi offered HIV self-testing, optional home initiation of care compared with standard HIV care resulted in a significant increase in the proportion of adults initiating antiretroviral therapy, according to a study in the July 23/30 issue of JAMA, a theme issue on HIV/AIDS. The issue is being released early to coincide with the International AIDS Conference.

In 2012, an estimated 35 million individuals were infected with the human immunodeficiency virus (HIV) worldwide. Antiretroviral therapy (ART) substantially reduces the risk of HIV transmission as well as greatly reducing illness and death, raising hopes that high uptake of annual HIV testing and early initiation of ART could improve HIV prevention as well as care. Achieving high coverage of HIV testing in sub-Saharan African countries is a major challenge, with low rates of HIV testing, according to background information in the article.

Self-testing for HIV infection (defined as individuals performing and interpreting their HIV test in private) is a novel approach that has seen high acceptance in Malawi and the United States, and is a process that could overcome barriers to conventional facility-based and community-based HIV testing, which lack privacy and convenience. However, no studies in high HIV prevalence settings have investigated linkage into HIV care after HIV self-testing, the authors write.

Peter MacPherson, Ph.D., of the Liverpool School of Tropical Medicine, Liverpool, U.K., and colleagues randomly assigned 16,660 adult residents of Blantyre, Malawi, who received access to home HIV self-testing, to facility-based care or optional home initiation of HIV care, for those reporting positive HIV self-test results.

During 6 months of availability, 58 percent of the adult residents took an HIV self-test kit. Participants in the home group (6.0 percent) were significantly more likely to report a positive HIV self-test result than facility group participants (3.3 percent). A significantly greater proportion of adults in the home group initiated ART (181/8,194; 2.2 percent) compared with the facility group (63/8,466; 0.7 percent).

"The main finding of this cluster randomized trial was that population-level ART initiations were significantly increased by availability of home initiation of care," the authors write.

"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 uptake of ART when HIV self-testing is carried out at home."


'/>"/>

Contact: Peter MacPherson, Ph.D.
petermacp@gmail.com
The JAMA Network Journals
Source:Eurekalert

Related medicine news :

1. Offering option of initial HIV care at home increases use of ART
2. Los Angeles Dermatologist, Peyman Ghasri, MD, FAAD, is Now Offering Botox Treatment for Migraines
3. Allred Dental Offering Wisdom Teeth Extractions and $100 Off Coupon
4. First National Technology Solutions Now Offering xTremIO Capability
5. Encino Esthetic Dental Group is Now Offering Lumineers and Porcelain Veneers
6. Sacramento Acupuncture and Traditional Chinese Medicine Specialists Tian Chao Herbs & Acupuncture Now Offering Massage Therapy
7. United Gold Direct Now Offering Complimentary Investor Kits
8. Women’s Excellence in Endometriosis Now Offering Specialized Care for Chronic Pelvic Pain, Painful Intercourse, and Pain Periods, at Newest Location in Birmingham, MI
9. Safety Management Systems Offering New Internationally Approved-courses
10. Herald Square Dental Now Offering Headache, Migrane and TMJ Symptom Relief
11. Healthpointe is proudly offering Occupational Medicine at their new Long Beach Medical Center
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... ... Kasmer, a legally blind and certified personal trainer is helping to develop a weight loss ... plans to fix the two major problems leading the fitness industry today:, ... , They don’t eliminate all the reasons people quit their exercise program ...
(Date:6/25/2016)... ... , ... "With 30 hand-drawn hand gesture animations, FCPX users can easily customize ... Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures into ... Simply select a ProHand generator and drag it above media or text in the ...
(Date:6/25/2016)... ... , ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter ... bar too high can result in disappointment, perhaps even self-loathing. However, those who set ... , Research from PsychTests.com reveals that behind the tendency to set low ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Pulmonary Hypertension Association (PHA) ... will receive two significant new grants to support its work to advance research ... anniversary by recognizing patients, medical professionals and scientists for their work in fighting ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening ... Talker Award, an essay contest in which patients and their families pay tribute to ... at the 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... N.C. , June 24, 2016  Consumers ... decisions and regulators/payers have placed more emphasis on ... environment, patient support programs in the pharmaceutical industry ... patients, medications. Consequently, pharmaceutical companies are focusing on ... they are providing products and services that improve ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... and Markets has announced the addition of the ... their offering. ... products and provides an updated review, including its applications ... covering the total market, which includes three main industries: ...
(Date:6/24/2016)... Mass. and SAN CLEMENTE, Calif. , ... California -based mobile pulmonary function testing company, is now able ... PFT devices developed by ndd Medical Technologies , Inc. ... testing done in hospital-based labs.  Thanks to ndd,s EasyOne PRO ® ... , can get any needed testing done in the comfort ...
Breaking Medicine Technology: