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:6/25/2016)... CA (PRWEB) , ... June 25, 2016 , ... As ... with Magna Cum Laude and his M.D from the David Geffen School of Medicine ... and returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published June 14 ... The article goes on to state that individuals are now more comfortable seeking to ... operations such as calf and cheek reduction. The Los Angeles area medical group, Beverly ...
(Date:6/24/2016)... Texas (PRWEB) , ... June 24, 2016 , ... ... International Conference and Scientific Sessions in Dallas that it will receive two significant ... of the grants came as PHA marked its 25th anniversary by recognizing patients, ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway ... call for a minimum wage raise to $12 an hour by 2020 and then adjusting ... restore the lost value of the minimum wage, assure the wage floor does not erode ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... Grove Investment Group (TGIG), has initiated cultivation and processing operations at its production ... and Pahrump, Nevada. , Puradigm is the manufacturer of a complete system of ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Research and Markets has announced the addition of ... report to their offering. ... The World Market for Companion Diagnostics covers the world market ... the report includes the following: , World ... Region (N. America, EU, ROW), 2015-2020 , World IVD ...
(Date:6/24/2016)... Tenn. , June 24, 2016  Arkis ... providing less invasive and more durable cerebrospinal fluid ... in funding.  The Series-A funding is led by ... Lighthouse Fund, and other private investors.  Arkis, new ... neurosurgical instrumentation and the market release of its ...
(Date:6/23/2016)... Research and Markets has announced ... Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality ... - Global Forecast to 2021" report to their ... global pharmaceutical excipients market is projected to reach USD ... in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: