Academic Journals Database
Disseminating quality controlled scientific knowledge

Promotion of couples' voluntary counselling and testing for HIV through influential networks in two African capital cities

ADD TO MY LIST
 
Author(s): Allen Susan | Karita Etienne | Chomba Elwyn | Roth David | Telfair Joseph | Zulu Isaac | Clark Leslie | Kancheya Nzali | Conkling Martha | Stephenson Rob | Bekan Brigitte | Kimbrell Katherine | Dunham Steven | Henderson Faith | Sinkala Moses | Carael Michel | Haworth Alan

Journal: BMC Public Health
ISSN 1471-2458

Volume: 7;
Issue: 1;
Start page: 349;
Date: 2007;
Original page

ABSTRACT
Abstract Background Most new HIV infections in Africa are acquired from cohabiting heterosexual partners. Couples' Voluntary Counselling and Testing (CVCT) is an effective prevention strategy for this group. We present our experience with a community-based program for the promotion of CVCT in Kigali, Rwanda and Lusaka, Zambia. Methods Influence Network Agents (INAs) from the health, religious, non-governmental, and private sectors were trained to invite couples for CVCT. Predictors of successful promotion were identified using a multi-level hierarchical analysis. Results In 4 months, 9,900 invitations were distributed by 61 INAs, with 1,411 (14.3%) couples requesting CVCT. INAs in Rwanda distributed fewer invitations (2,680 vs. 7,220) and had higher response rates (26.9% vs. 9.6%), than INAs in Zambia. Context of the invitation event, including a discreet location such as the INA's home (OR 3.3–3.4), delivery of the invitation to both partners in the couple (OR 1.6–1.7) or to someone known to the INA (OR 1.7–1.8), and use of public endorsement (OR 1.7–1.8) were stronger predictors of success than INA or couple-level characteristics. Conclusion Predictors of successful CVCT promotion included strategies that can be easily implemented in Africa. As new resources become available for Africans with HIV, CVCT should be broadly implemented as a point of entry for prevention, care and support.
Why do you need a reservation system?      Affiliate Program