2019
DOI: 10.1136/bmjopen-2019-029428
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Evaluating the effectiveness and cost-effectiveness of health facility-based and community-based index-linked HIV testing strategies for children: protocol for the B-GAP study in Zimbabwe

Abstract: IntroductionThe number of new paediatric infections per year has declined in sub-Saharan Africa due to prevention-of-mother-to-child HIV transmission programmes; many children and adolescents living with HIV remain undiagnosed. In this protocol paper, we describe the methodology for evaluating an index-linked HIV testing approach for children aged 2–18 years in health facility and community settings in Zimbabwe.Methods and analysisIndividuals attending for HIV care at selected primary healthcare clinics (PHCs)… Show more

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Cited by 13 publications
(19 citation statements)
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“…The B-GAP study implemented screening of individuals living with HIV and rigorous follow-up by telephone and home visits for caregivers who initially accepted testing for their children. This facilitated tailored conversations between the caregivers and providers, often within the household, with those who would not otherwise have attended healthcare facilities with their children despite agreeing to test [ 13 ]. This follow-up may have given caregivers more time and support to make a decision and subsequently led to increased uptake of testing.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The B-GAP study implemented screening of individuals living with HIV and rigorous follow-up by telephone and home visits for caregivers who initially accepted testing for their children. This facilitated tailored conversations between the caregivers and providers, often within the household, with those who would not otherwise have attended healthcare facilities with their children despite agreeing to test [ 13 ]. This follow-up may have given caregivers more time and support to make a decision and subsequently led to increased uptake of testing.…”
Section: Discussionmentioning
confidence: 99%
“…The Bridging the Gap in HIV testing and care for children in Zimbabwe (B-GAP) study evaluated uptake and yield of index-linked HIV testing for children and adolescents aged 2–18 years in rural and urban communities in Zimbabwe [ 13 ]. Testing in facility and community-based settings was offered to children of individuals living with HIV already accessing treatment.…”
Section: Introductionmentioning
confidence: 99%
“…So, I thought to myself that it would be best if I brought in my child for testing." [Caregiver # 13,Female,31] As such, the provision of tailored information provided within the B-GAP intervention was in uential in encouraging the uptake of testing. Many caregivers noted that the B-GAP providers explaining the rationale for testing reassured them and resulted in the caregivers having courage to take up testing.…”
Section: Inadequate Emphasis On Paediatric Hiv In Routine Adult Carementioning
confidence: 99%
“…The B-GAP study implemented screening of individuals living with HIV and rigorous follow-up by telephone and home visits for caregivers who initially accepted testing for their children. This facilitated tailored conversations between the caregivers and providers, often within the household, with those who would not otherwise have attend healthcare facilities with their children despite agreeing to test [13]. This follow up may have given caregivers more time and support to make a decision and subsequently led to increased uptake of testing.…”
Section: Discussionmentioning
confidence: 99%