www.ias2011.org home based hiv testing and counseling in suba district, kenya ulo benson suba...
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www.ias2011.org
Home Based HIV Testing and Counseling in Suba District, Kenya
Ulo BensonSuba District (2007)•Hard to reach resource poor setting•Population – 200,000 (33,000 households)•Mainly fishing community•Generalized epidemic; HIV prevalence – 30% (National 7.4%)•HBCT done 2007 - 2009
MOPDD0203
www.ias2011.org
Household Education
DeclineTesting
Risk reductionVCT
VMMCPMTCT
NegativeClients
PositiveClients
Individual session
Accept Testing
Risk reductionSupport groups
VMMCPMTCT
Follow up
Referral Referral
Referra
Household Education
Household Education
Individual session
Household Education
Individual session
Household Education
Accept Testing
Individual session
Household Education
Accept Testing
Individual session
Household Education
DeclineTesting
Accept Testing
Individual session
Household Education
DeclineTesting
Accept Testing
Individual session
Household Education
Referral
DeclineTesting
Accept Testing
Individual session
Household Education
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Household Education
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Household Education
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Household Education
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Household Education
Referral
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Household Education
PositiveClients
Referral
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Household Education
PositiveClients
Referral
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Household Education
Risk reductionSupport groups
VMMCPMTCT
PositiveClients
Referral
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Risk reductionSupport groups
VMMCPMTCT
PositiveClients
Referral
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Referral
Risk reductionSupport groups
VMMCPMTCT
PositiveClients
Referral
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
NegativeClients
Referral
Risk reductionSupport groups
VMMCPMTCT
PositiveClients
Referral
Follow up
Risk reductionVCT
VMMCPMTCT
Referral
DeclineTesting
Accept Testing
Individual session
Individual session
Individual session
Accept Testing
Individual session
Accept Testing
Individual session
NegativeClients
Accept Testing
Individual session
Referral
NegativeClients
Accept Testing
Individual session
Referral
NegativeClients
Accept Testing
Individual session
Referral
NegativeClients
Accept Testing
Individual session
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
Follow up
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
Follow up
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
Follow up
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
Referral
Follow up
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
PositiveClients
Referral
Follow up
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
PositiveClients
Referral
Follow up
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
Risk reductionVCT
VMMCPMTCT
PositiveClients
Referral
Follow up
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
Risk reductionVCT
VMMCPMTCT
PositiveClients
Referral
Follow up
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
Referral
Risk reductionVCT
VMMCPMTCT
PositiveClients
Referral
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
DeclineTesting
Risk reductionVCT
VMMCPMTCT
PositiveClients
Referral
Risk reductionSupport groups
VMMCPMTCT
Referral
NegativeClients
Accept Testing
Individual session
DeclineTesting
Risk reductionVCT
VMMCPMTCT
PositiveClientsReferral
CCC/PMTCTSupport group
Risk reductionSupport groups
VCT/VMMCPMTCT
Referral
NegativeClients
Accept Testing
Counseling session
Household
Education
Community Mobilization
METHODS - HBHCT Model
Volunteers
www.ias2011.org
Results and Conclusion
Results•84% of targeted households accepted HBTC•68,315 (10,790 couples), (57% F; 43% M) males tested•60.3% – first time testers. •HIV prevalence was 10.5% (F - 12.3% ; M - 8.2%).•9% of the 10,790 couples were discordant.
Conclusion•Rapid HTC scale up for all age groups•Identification of discordant couples •Potential to increase enrollment into care early
www.ias2011.org
Thank you
Suba district – Vision 2030Typical Island in Suba district (2011)