2016
DOI: 10.1111/tmi.12772
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Factors associated with HIV status awareness and Linkage to Care following home based testing in rural Malawi

Abstract: Abstractobjective HIV diagnosis and linkage to care are the main barriers in Africa to achieving the UNAIDS 90-90-90 targets. We assessed HIV-positive status awareness and linkage to care among survey participants in Chiradzulu District, Malawi. conclusions In settings with high levels of HIV awareness, home-based testing remains an efficient strategy to diagnose and link to care. Men were less likely to be diagnosed, and when diagnosed to link to care, underscoring the need for a gender focus in order to achi… Show more

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Cited by 28 publications
(42 citation statements)
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References 26 publications
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“…In Sub‐Saharan Africa, between 20 and 55% of the PLWHIV has been described to be unaware of their HIV‐status . Nevertheless, our results suggest that this proportion may include individuals who are in fact aware of their HIV‐status but prefer not to disclose and to repeat the test.…”
Section: Discussionmentioning
confidence: 69%
See 1 more Smart Citation
“…In Sub‐Saharan Africa, between 20 and 55% of the PLWHIV has been described to be unaware of their HIV‐status . Nevertheless, our results suggest that this proportion may include individuals who are in fact aware of their HIV‐status but prefer not to disclose and to repeat the test.…”
Section: Discussionmentioning
confidence: 69%
“…Awareness of HIV infection is the first critical step in the continuum of HIV care. However, it goes far beyond HIV serological testing and includes an understanding of the implications, acceptance of the diagnosis, willingness to disclose their status to health providers, family members and close community and enrol and start in HIV care and treatment. Little is known about the extent and causes of non‐disclosure in different epidemic settings although it has an important impact both at an individual and at a public health level.…”
Section: Introductionmentioning
confidence: 99%
“…To explore observed heterogeneity in preferences, the model examined interaction effects between the attributes, the countries, and socio-demographic and HIV-related variables. Sex and age were included to understand the systematic failure to link and underutilization of HIV services among men, young and old groups (6,(19)(20)(21). We evaluated the effect of direct/indirect costs as a demand-side barrier (21)(22)(23)(24) to linkage to care by including a proxy for household socioeconomic status (25).…”
Section: Discussionmentioning
confidence: 99%
“…18,40−45 However, other reports showed high linkage-to-care proportions for HBT (47.5-70.0%). [46][47][48][49][50] Although de nitions of linkage to care were inconsistent in the literature, Kiene et al highlighted an obvious but important trend: HBT programs that facilitate linkage perform better than those that do not. 51 Sharma et al's systematic review of 126 studies con rmed this trend, showing high linkages to care for strategies that facilitated linkages.…”
Section: Discussionmentioning
confidence: 99%