scholarly journals Understanding the Role of Voluntary Counseling and Testing (VCT) in HIV Prevention in Nantong, China

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Zhengcheng Xu ◽  
Ping Ma ◽  
Minjie Chu ◽  
Yujia Chen ◽  
Junyan Miao ◽  
...  

Voluntary counseling and testing (VCT) service plays an essential part in the prevention of human immunodeficiency virus (HIV) infection. The purpose of this study was to investigate the characteristics of participants and analyze the major factors of HIV infection in VCT in Nantong, China. This study was conducted between January 2010 and December 2015, based on the responses to questionnaires and blood test results retrieved from the Chinese National HIV/AIDS Comprehensive Control Information System (CNHCCIS). Multivariate logistic regression analyses were used to identify factors related to HIV infection. Differences between first-time testers and repeat testers were assessed using the chi-squared or Fisher test. Over six years, a total of 11,560 VCT participants were included, and 420 cases were confirmed to be HIV-positive. Overall, the annual number of participants was relatively stable with a mean of 1927, while there was a rapid increase in the HIV detection rate (from 1.03% in 2010 to 7.52% in 2015). In multivariate analysis, referral counseling and having a HIV-positive spouse/fixed sex partners were found to be significantly associated with HIV infection among all participants, while being unmarried or divorced, having commercial heterosexual behaviors, and male-male sexual behaviors are additional HIV-related factors for males. Compared to first-time testers, repeat testers were more willing to engage in high-risk sexual behaviors and had higher HIV detection rates ( P < 0.001 ). In conclusion, the HIV epidemic in Nantong is still not controlled. Therefore, in the future, it is critical to expand VCT services to increase the detection rate of HIV, which can prevent the transmission of HIV effectively.

2012 ◽  
Vol 16 (2) ◽  
pp. 157-163 ◽  
Author(s):  
Ana Maria Salustiano Cavalcanti ◽  
Ana Maria de Brito ◽  
Daniela Medeiros Salustiano ◽  
Kledoaldo Oliveira de Lima ◽  
Sirleide Pereira da Silva ◽  
...  

2013 ◽  
Vol 29 (5) ◽  
pp. 805-813 ◽  
Author(s):  
Magdalena Rosińska ◽  
Anna Marzec-Bogustawska ◽  
Janusz Janiec ◽  
Joanna Smoleń-Dzirba ◽  
Tomasz Wąsik ◽  
...  

2012 ◽  
Vol 16 (2) ◽  
pp. 157-163 ◽  
Author(s):  
Ana Maria Salustiano Cavalcanti ◽  
Ana Maria de Brito ◽  
Daniela Medeiros Salustiano ◽  
Kledoaldo Oliveira de Lima ◽  
Sirleide Pereira da Silva ◽  
...  

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Amanuel Yigezu ◽  
Senait Alemayehu ◽  
Shallo Daba Hamusse ◽  
Getachew Teshome Ergeta ◽  
Damen Hailemariam ◽  
...  

Abstract Background Globally, there is a consensus to end the HIV/AIDS epidemic by 2030, and one of the strategies to achieve this target is that 90% of people living with HIV should know their HIV status. Even if there is strong evidence of clients’ preference for testing in the community, HIV voluntary counseling and testing (VCT) continue to be undertaken predominantly in health facilities. Hence, empirical cost-effectiveness evidence about different HIV counseling and testing models is essential to inform whether such community-based testing are justifiable compared with additional resources required. Therefore, the purpose of this study was to compare the cost-effectiveness of facility-based, stand-alone and mobile-based HIV voluntary counseling and testing methods in Addis Ababa, Ethiopia. Methods Annual economic costs of counseling and testing methods were collected from the providers’ perspective from July 2016 to June 2017. Ingredients based bottom-up costing approach was applied. The effectiveness of the interventions was measured in terms of the number of HIV seropositive clients identified. Decision tree modeling was built using TreeAge Pro 2018 software, and one-way and probabilistic sensitivity analyses were conducted by varying HIV positivity rate, costs, and probabilities. Results The cost of test per client for facility-based, stand-alone and mobile-based VCT was $5.06, $6.55 and $3.35, respectively. The unit costs of test per HIV seropositive client for the corresponding models were $158.82, $150.97 and $135.82, respectively. Of the three models, stand-alone-based VCT was extendedly dominated. Mobile-based VCT costs, an additional cost of USD 239 for every HIV positive client identified when compared to facility-based VCT. Conclusion Using a mobile-based VCT approach costs less than both the facility-based and stand-alone approaches, in terms of both unit cost per tested individual and unit cost per HIV seropositive cases identified. The stand-alone VCT approach was not cost-effective compared to facility-based and mobile-based VCT. The incremental cost-effectiveness ratio for mobile-based VCT compared with facility-based VCT was USD 239 per HIV positive case.


2013 ◽  
Vol 24 (6) ◽  
pp. 503-511 ◽  
Author(s):  
Sandra Maria Brunini de Souza ◽  
Sheila Araújo Teles ◽  
Giovanni Rezza ◽  
Patrizio Pezzotti ◽  
Elucir Gir

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