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Feasibility, acceptability and cost of home-based HIV testing in rural Kenya.

Publication ,  Journal Article
Negin, J; Wariero, J; Mutuo, P; Jan, S; Pronyk, P
Published in: Tropical medicine & international health : TM & IH
August 2009

To demonstrate the feasibility, acceptability and cost of home-based HIV testing and to examine the applicability of the model to high HIV prevalence settings.Quantitative, qualitative and cost data were collected during a home-based HIV testing program in a high-prevalence rural area of Kenya; data on age, gender and marital status along with HIV test results were collected. This was complemented with qualitative research including key informant interviews with counselors and program managers to highlight experiences and challenges. Direct costs of the interventions were estimated through the review of budgets and monthly expenditure sheets.Of 3180 15-49-year olds exposed to a community awareness campaign, 2033 (63.9%) agreed to be visited by counselors, of whom 1984 (97.6%) agreed to be tested and receive the results. Adult HIV prevalence was 8.2% and married women were 4.8 times more likely to be HIV-positive than those never married. Counselors reported feeling welcomed and noted the enthusiasm of the community towards testing. The total cost of the exercise was $17,569. The program cost was $2.60 for each of the 6750 community members, $5.88 for each person tested, and $84 per positive case detected.This study suggests that home-based HIV testing is feasible with high uptake, and has the potential to substantially expand access to HIV testing services. There is a strong economic case for the extension of such a screening program to other communities.

Duke Scholars

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Published In

Tropical medicine & international health : TM & IH

DOI

EISSN

1365-3156

ISSN

1360-2276

Publication Date

August 2009

Volume

14

Issue

8

Start / End Page

849 / 855

Related Subject Headings

  • Young Adult
  • Tropical Medicine
  • Rural Health
  • Pilot Projects
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Kenya
  • Humans
  • Home Care Services
 

Citation

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Negin, J., Wariero, J., Mutuo, P., Jan, S., & Pronyk, P. (2009). Feasibility, acceptability and cost of home-based HIV testing in rural Kenya. Tropical Medicine & International Health : TM & IH, 14(8), 849–855. https://doi.org/10.1111/j.1365-3156.2009.02304.x
Negin, Joel, James Wariero, Patrick Mutuo, Stephen Jan, and Paul Pronyk. “Feasibility, acceptability and cost of home-based HIV testing in rural Kenya.Tropical Medicine & International Health : TM & IH 14, no. 8 (August 2009): 849–55. https://doi.org/10.1111/j.1365-3156.2009.02304.x.
Negin J, Wariero J, Mutuo P, Jan S, Pronyk P. Feasibility, acceptability and cost of home-based HIV testing in rural Kenya. Tropical medicine & international health : TM & IH. 2009 Aug;14(8):849–55.
Negin, Joel, et al. “Feasibility, acceptability and cost of home-based HIV testing in rural Kenya.Tropical Medicine & International Health : TM & IH, vol. 14, no. 8, Aug. 2009, pp. 849–55. Epmc, doi:10.1111/j.1365-3156.2009.02304.x.
Negin J, Wariero J, Mutuo P, Jan S, Pronyk P. Feasibility, acceptability and cost of home-based HIV testing in rural Kenya. Tropical medicine & international health : TM & IH. 2009 Aug;14(8):849–855.
Journal cover image

Published In

Tropical medicine & international health : TM & IH

DOI

EISSN

1365-3156

ISSN

1360-2276

Publication Date

August 2009

Volume

14

Issue

8

Start / End Page

849 / 855

Related Subject Headings

  • Young Adult
  • Tropical Medicine
  • Rural Health
  • Pilot Projects
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Kenya
  • Humans
  • Home Care Services