2013
DOI: 10.1097/qai.0b013e31829b567d
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High HIV Testing Uptake and Linkage to Care in a Novel Program of Home-Based HIV Counseling and Testing With Facilitated Referral in KwaZulu-Natal, South Africa

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Cited by 138 publications
(181 citation statements)
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“…Higher linkage rates than ours have been observed in some studies that used counselling to facilitate linkage to care 43. However, most of these studies were prone to confounding, used counselling alongside other interventions 6, 7, 9, or were conducted in settings where linkage was high even in the absence of any intervention 37.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Higher linkage rates than ours have been observed in some studies that used counselling to facilitate linkage to care 43. However, most of these studies were prone to confounding, used counselling alongside other interventions 6, 7, 9, or were conducted in settings where linkage was high even in the absence of any intervention 37.…”
Section: Discussionmentioning
confidence: 99%
“…Results from observational studies suggest that counselling provided after referral could increase linkage to care among HIV‐positive persons identified through HBHCT in SSA 6, 7, 8, 9, 10. A major limitation of observational studies, however, is that it is difficult to account for the effects of confounding factors.…”
Section: Introductionmentioning
confidence: 99%
“…Consistent with this previous finding, this study also reveal that transport is an important determinant of ART uptake in our study population, suggesting that there is need of community based interventions that will increase ART coverage by making it available in community based healthcare facilities that are easily accessible to the PLWHIV. In deed previous findings also indicated that economic cost like transportation does not only lead to low HTC uptake but also ART uptake [4,15].…”
Section: Discussionmentioning
confidence: 89%
“…Therefore, to achieve widespread testing and initiation into antiretroviral therapy, there is a need to overcome challenges associated with low HTC uptake like economic costs to patients in terms of transportation, waiting time, concerns about confidentiality, low perceived risk of HIV infection and policy on eligibility to antiretroviral therapy [13]. This has been achieved through up scaling of community-based HTC services [14], that has not only led to widespread testing but also increased linkage to HIV support and care [15]. Moreover, studies have shown that there is high acceptability of community HTC services that has led to prompt linkage to HIV care and consequently viral load suppression relative to facility based HTC services [16][17][18].…”
Section: Introductionmentioning
confidence: 99%
“…10 Ying and colleagues write about an encouraging intervention in a catchment area where HTC had very high coverage and linkage to care was strong because of the geographical proximity of care facilities. 1,11 Although frequency of HTC plays a part, the main focus of the analysis by Ying and colleagues is a comparison of ART initiation thresholds under an assumption of high rates of linkage to care. Not surprisingly, the model projects decreased HIV incidence under strategies that initiate ART for more individuals (a graph in the appendix of the Article projects that a test and treat strategy leads to lower HIV prevalence than all other strategies examined).…”
Section: Home Testing and Counselling With Linkage To Carementioning
confidence: 99%