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. 2012 Mar 1;59(3):e28-34.
doi: 10.1097/QAI.0b013e31824445f0.

An incentivized HIV counseling and testing program targeting hard-to-reach unemployed men in Cape Town, South Africa

Mweete D Nglazi  1 , Nienke van Schaik, Katharina Kranzer, Stephen D Lawn, Robin Wood, Linda-Gail Bekker
Affiliations

An incentivized HIV counseling and testing program targeting hard-to-reach unemployed men in Cape Town, South Africa

Mweete D Nglazi et al. J Acquir Immune Defic Syndr. .

Abstract

Background: In Southern Africa, men access HIV counseling and testing (HCT) services less than women. Innovative strategies are needed to increase uptake of testing among men. This study assessed the effectiveness of incentivized mobile HCT in reaching unemployed men in Cape Town, South Africa.

Methods: A retrospective analysis of HCT data collected between August 2008 and August 2010 from adult men accessing clinic-based stationary and non-incentivized and incentivized mobile services. Data from these 3 services were analyzed using descriptive statistics and log-binomial regression models.

Results: A total of 9416 first-time testers were included in the analysis as follows: 708 were clinic based, 4985 were non-incentivized, and 3723 incentivized mobile service testers. A higher HIV prevalence was observed among men accessing incentivized mobile testing [16.6% (617/3723)] compared with those attending non-incentivized mobile [5.5% (277/4985)] and clinic-based services [10.2% (72/708)]. Among men testing at the mobile service, greater proportions of men receiving incentives were self-reported first-time testers (60.1% vs. 42.0%) and had advanced disease (14.9% vs. 7.5%) compared with men testing at non-incentivized mobile services. Furthermore, compared with the non-incentivized mobile service, the incentivized service was associated with a 3-fold greater yield of newly diagnosed HIV infections. This strong association persisted in analyses adjusted for age and first-time versus repeat testing [risk ratio: 2.33 (95% confidence interval: 2.03 to 2.57); P < 0.001].

Conclusions: These findings suggest that incentivized mobile testing services may reach more previously untested men and significantly increase detection of HIV infection in men.

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References

    1. World Health Organisation. Progress Report 2009. Geneva, Switzerland: Wolrd Health Organization; 2010. [Accessed 27 April, 2011]. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector. Available at: http://www.who.int/hiv/pub/tuapr_2009_en.pdf.
    1. Nglazi MD, Lawn SD, Kaplan R, et al. Changes in programmatic outcomes during 7 years of scale-up at a community-based antiretroviral treatment service in South Africa. J Acquir Immune Defic Syndr. 2011 Jan 1;56(1):e1–e8. - PMC - PubMed
    1. Boulle A, Van Cutsem G, Hilderbrand K, et al. Seven-year experience of a primary care antiretroviral treatment programme in Khayelitsha, South Africa. Aids. 2010 Feb 20;24(4):563–572. - PubMed
    1. World Health Organisation. Integrating gender into HIV/AIDS programmes in the health sector: Tool to improve responsiveness to women's needs. Geneva, Switzerland: World Health Organisation; 2009. [Accessed 27 Apri, 2011]. Available at: http://whqlibdoc.who.int/publications/2009/9789241597197_eng.pdf.
    1. World Health Organisation. Geneva, Switzerland: World Health Orgnisation; 2011. [Accessed 27 April, 2011]. Gender inequalities and HIV. Available at: http://www.who.int/gender/hiv_aids/en/.

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