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首页> 外文期刊>AIDS care. >Acceptability and challenges of implementing voluntary counselling and testing (VCT) in rural Zimbabwe: evidence from the Regai Dzive Shiri Project.
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Acceptability and challenges of implementing voluntary counselling and testing (VCT) in rural Zimbabwe: evidence from the Regai Dzive Shiri Project.

机译：在津巴布韦农村地区实施自愿咨询和测试（VCT）的可接受性和挑战：Regai Dzive Shiri项目的证据。

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摘要

Voluntary counselling and testing (VCT) is an important component of HIV prevention and care. Little research exists on its acceptability and feasibility in rural settings. This paper examines the acceptability and feasibility of providing VCT using data from two sub-studies: (1) client-initiated VCT provided in rural health centres (RHCs) and (2) researcher-initiated VCT provided in a non-clinic community setting. Nurses provided client-initiated VCT in 39 RHCs in three Zimbabwean provinces (2004-2007). Demographic data and HIV status were collected. Qualitative data were also collected to assess rural communities' impressions of services. In a second study in 2007, VCT was offered to participants in a population-based HIV prevalence survey. Quantitative data from clinic-based VCT show that of 3585 clients aged > or =18, 79.4% (95% CI: 78.0-80.7%) were female; young people (aged 18-24) comprised 21.1%. Overall, 32.9% (95% CI: 31.4-34.5%) tested HIV positive. Young people were less likely to be HIV positive 13.5% (95% CI: 11.1-16.1%) vs. 38.1% (95% CI: 36.3-39.9%). In the second study conducted in a non-clinic setting, 27.0% (n=1368/5052) of participants opted to test. Young people were as likely to test as adults (27.3% vs. 26.9%) and an equal proportion of men and women tested. Overall during the second survey, 18.8% (95% CI: 16.7-21.0%) of participants tested positive (youth = 8.4% (95% CI: 6.4-10.7%); adults = 29.1% (95% CI: 25.7-32.7%)). Qualitative data, unique to clinics only, suggested that adults identify RHCs as acceptable VCT sites, whereas young people expressed reservations around these venues. Males reported considering VCT only after becoming ill. While VCT offered through RHCs is acceptable to women, it seems that men and youth are less comfortable with this venue. When VCT was offered in a non-clinic setting, numbers of men and women testing were similar. These data suggest that it may be possible to improve testing uptake in rural communities using non-clinic settings.
机译：自愿咨询和检测（VCT）是艾滋病毒预防和护理的重要组成部分。关于其在农村地区的可接受性和可行性的研究很少。本文使用来自两个子研究的数据检验了提供VCT的可接受性和可行性：（1）由农村卫生中心（RHC）提供的客户发起的VCT，以及（2）在非诊所社区环境中提供的由研究人员发起的VCT。护士在津巴布韦三个省的39个RHC中提供了客户启动的VCT（2004-2007年）。收集了人口统计数据和艾滋病毒状况。还收集了定性数据，以评估农村社区对服务的印象。在2007年的第二项研究中，向基于人群的艾滋病毒流行率调查的参与者提供了VCT。来自基于诊所的VCT的定量数据显示，年龄≥18岁的3585位客户中，女性占79.4％（95％CI：78.0-80.7％）; 18-24岁的年轻人占21.1％。总体而言，有32.9％（95％CI：31.4-34.5％）检测出HIV阳性。年轻人感染HIV阳性的可能性较小，为13.5％（95％CI：11.1-16.1％），而38.1％（95％CI：36.3-39.9％）。在非诊所环境下进行的第二项研究中，有27.0％（n = 1368/5052）的参与者选择了测试。年轻人接受测试的可能性与成年人相同（分别为27.3％和26.9％），男女接受测试的比例相同。总体而言，在第二次调查中，有18.8％（95％CI：16.7-21.0％）的参与者呈阳性（青年= 8.4％（95％CI：6.4-10.7％）;成年人= 29.1％（95％CI：25.7-32.7） ％））。仅诊所所独有的定性数据表明，成年人将RHC视为可接受的VCT站点，而年轻人则对这些场所表示保留。男性报告只有在生病后才考虑使用VCT。尽管通过RHC提供的VCT对女性来说是可以接受的，但男人和年轻人似乎对这个场所不太满意。在非诊所环境中提供VCT时，男性和女性测试的人数相似。这些数据表明，使用非诊所环境可能会改善农村社区的测试摄入量。

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