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首页> 外文期刊>Health policy and planning >Expanding HIV testing and counselling into communities: Feasibility, acceptability, and effects of an integrated family planning/HTC service delivery model by Village Health Teams in Uganda
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Expanding HIV testing and counselling into communities: Feasibility, acceptability, and effects of an integrated family planning/HTC service delivery model by Village Health Teams in Uganda

机译：将艾滋病毒检测和咨询服务扩展到社区：乌干达乡村卫生小组的综合计划生育/ HTC服务提供模式的可行性，可接受性和效果

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摘要

Improving HIV testing and counselling (HTC) requires a range of strategies. This article reports on HTC service delivery by Village Health Teams (VHTs) in Uganda in the context of a model integrating this new component into pre-existing family planning services. Eight health centres from matched pairs were randomly allocated to intervention or control. After being trained, 36 VHTs reporting to selected facilities in the intervention group started offering HTC along with family planning, while VHTs in the control group provided family planning only. Proficiency testing was conducted as external quality assurance. A survey of all 36 VHTs and 137 family planning clients in the intervention group and 119 clients in the control group and a review of record data were conducted after 10 months. Survey responses by VHTs and their clients in the intervention group demonstrate knowledge of counselling messages and safe testing. External quality assessment results provide additional evidence of competency. Eighty per cent of the family planning clients surveyed in the intervention group received an HIV test during the intervention; 27% of those were first-time testers. More clients had ever tested for HIV in the intervention group compared with the control; clients also retested more often. Findings indicate that this model is feasible and acceptable for expanding quality HTC into communities. This study was registered with ClinicalTrials.gov, number [NCT02244398].
机译：改善HIV检测和咨询（HTC）需要采取一系列策略。本文报告了乌干达乡村卫生团队（VHT）在将这个新组件集成到现有的计划生育服务的模型中提供的HTC服务。配对的八个健康中心被随机分配到干预或控制中。经过培训后，向干预组中选定设施汇报的36个VHT开始提供HTC以及计划生育，而对照组中的VHT仅提供计划生育。进行能力测试是作为外部质量保证。 10个月后，对干预组中的所有36名VHT和137名计划生育客户和对照组中的119名客户进行了调查，并对记录数据进行了审查。 VHT及其干预小组中的客户的调查答复显示了咨询信息和安全测试的知识。外部质量评估结果为能力提供了更多证据。在干预组中接受调查的计划生育客户中有80％在干预期间接受了HIV检测;其中27％是首次测试。与对照组相比，干预组中接受过HIV检测的客户更多。客户也经常进行重新测试。调查结果表明，该模型对于将优质HTC扩展到社区而言是可行且可以接受的。该研究已在ClinicalTrials.gov上注册，编号为[NCT02244398]。

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