Gabriel Chamie|Dalsone Kwarisiima|Tamara D. Clark|Jane Kabami|Vivek Jain|Elvin Geng|Maya Petersen|Harsha Thirumurthy|Moses R. Kamya|Diane V. Havlir|Edwin D. Charlebois
Leveraging Rapid Community-Based HIV Testing Campaigns for Non-Communicable Diseases in Rural Uganda
MUJHU Research Collaboration|University of California, San Francisco|MUJHU Research Collaboration|University of California, San Francisco|MUJHU Research Collaboration|University of California, San Francisco|MUJHU Research Collaboration|University of California, San Francisco|MUJHU Research Collaboration|University of California, San Francisco|University of California, Berkeley|University of North Carolina at Chapel Hill|Makerere University|MUJHU Research Collaboration|University of California, San Francisco|MUJHU Research Collaboration|University of California, San Francisco
background high burden undiagnosed hiv subsaharan africa limits treatment prevention efforts communitybased hiv testing campaigns address challenge provide untapped opportunity identify noncommunicable diseases ncds tested feasibility diagnostic yield integrating ncd communicable diseases rapid hiv testing referral campaign residents rural ugandan parish methods fiveday multidisease campaign offering diagnostic preventive treatment referral services performed may 2011 services included pointofcare screening hiv malaria tb hypertension diabetes fingerprick diagnostics eliminated need phlebotomy hivinfected adults met clinic staff peer counselors onsite cd4100l underwent intensive counseling rapid referral antiretroviral therapy art community participation casefinding yield linkage care three months postcampaign analyzed results 6300 residents 23233150 74 adults 20203150 69 children participated estimated 95 52 adult female male residents participated respectively adult hiv prevalence 78 46 hivinfected adults newly diagnosed thirtynine percent new hiv diagnoses linked care pilot subgroup cd4100 83 linked started art within 10 days malaria identified 10 children hypertension diabetes 28 35 adults screened respectively sixtyfive percent hypertensives 23 diabetics new diagnoses 43 61 linked care respectively screening identified suspected tb 87 hivinfected 19 hivuninfected adults 52 percent hivuninfected tb suspects linked care conclusions integrated campaign engaging 74 adult residents identified high burden undiagnosed hiv hypertension diabetes improving male attendance optimizing linkage care require new approaches campaign demonstrates feasibility integrating hypertension diabetes communicable diseases hiv initiatives