How Follow-Up Counselling Increases Linkage to Care Among HIV-Positive Persons Identified Through Home-Based HIV Counselling and Testing

We investigated how follow-up counselling had increased linkage to HIV care in a trial of referral to care and follow-up counseling, compared to referral to care only, for participants diagnosed as HIV-positive through home-based HIV counseling and testing. We carried out a cross-sectional qualitative study. Using random stratified sampling, we selected 43 trial participants (26 [60%] in the intervention arm). Sample stratification was by sex, distance to an ART facility, linkage, and nonlinkage to HIV care. Twenty-six in-depth interviews were conducted with participants in the intervention arm: 17 people who had linked to HIV care and 9 who had not linked after 6 months of follow-up. Home-based follow-up counseling helped to overcome worries resulting from an HIV-positive test result. In addition, the counseling offered an opportunity to address questions on HIV treatment side effects, share experiences of intimate partner violence or threats, and general problems linking to care. The counselling encouraged early linkage to HIV care and use of biomedical medicines, discouraging alternative medicine usage. Home-based follow-up counseling also helped to promote HIV sero-status disclosure, facilitating linkage to, retention in and adherence to HIV care and treatment. This study successfully demonstrated that home-based follow-up counselling increased linkage to care through encouragement to seek care, provision of accurate information about HIV care services and supporting the person living with HIV to disclose and manage stigma

Family medicine · Psychiatry · Qualitative research · Referral · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing

• Ethical and practical considerations in HIV drug trial closure

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  Open Access•Hae‐young Kim, Maxime Inghels et al.•AIDS and Behavior•2024

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• Food Insecurity as a Barrier to Sustained Antiretroviral Therapy Adherence in Uganda

  Open Access•Sheri D Weiser, David M Tuller et al.•PLoS ONE•2010

  Añadir item

• Systematic review and meta-analysis of community and facility-based HIV testing to address linkage to care gaps in sub-Saharan Africa

  Open Access•Monisha Sharma, Roger Ying et al.•Nature•2015

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• Historical Origins of the Health Belief Model

  Open Access•Irwin M Rosenstock•Health Education Monographs•1974

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• Empowering patients to link to care and treatment

  Lucia Knight, Lucia C Knight et al.•AIDS Care•2015

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• The effects of home-based HIV counseling and testing on HIV/Aids stigma among individuals and community leaders in western Kenya

  Corinne Low, Cristian Pop-Eleches et al.•AIDS Care•2013

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• High acceptance of home-based HIV counseling and testing in an urban community setting in Uganda

  Open Access•Juliet N Sekandi, Hassard Sempeera et al.•BMC Public Health•2011

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• Same day ART initiation versus clinic-based pre-ART assessment and counselling for individuals newly tested HIV-positive during community-based HIV testing in rural Lesotho – a randomized controlled trial (Cascade trial)

  Open Access•Niklaus Daniel Labhardt, Isaac Ringera et al.•BMC Public Health•2016

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• Understanding factors influencing linkage to HIV care in a rural setting, Mbeya, Tanzania

  Open Access•Erica Sanga, Ferdinand C Mukumbang et al.•BMC Public Health•2019

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• What Influences Linkage to Care After Home-Based HIV Counseling and Testing

  Open Access•Reshma Naik, Wanga Zembe et al.•AIDS and Behavior•2017

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• Understanding the Time Needed to Link to Care and Start ART in Seven HPTN 071 (PopART) Study Communities in Zambia and South Africa

  Open Access•The HPTN study team, Janet Seeley et al.•AIDS and Behavior•2018

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• Transportation Costs Impede Sustained Adherence and Access to Haart in a Clinic Population in Southwestern Uganda

  Open Access•David M Tuller, David R Bangsberg et al.•AIDS and Behavior•2009

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• Barriers to Linkage to HIV Care in Ugandan Fisherfolk Communities

  Open Access•Laura M Bogart, Rose Naigino et al.•AIDS and Behavior•2016

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• What is the Point of Knowing?”

  Open Access•Alta C van Dyk, Peet J van Dyk•South African Journal of Psychology•2003

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• Strong effects of home-based voluntary HIV counselling and testing on acceptance and equity

  Open Access•Knut Fylkesnes, Ingvild Fossgard Sandøy et al.•Social Science & Medicine•2013

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