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Using a call center to encourage linkage to care following mobile HIV counseling and testing

机译：在移动艾滋病咨询和测试之后，使用呼叫中心鼓励联系护理

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Engaging newly diagnosed HIV+ individuals in treatment is a significant global challenge. As South Africa expands HIV counseling and testing (HCT) services, the growing numbers of people diagnosed with HIV will need innovative links to care approaches in order for treatment to be most effective. While definitions vary, we have defined "linkage to care" as connecting an HIV+ individual to medical care, so that CD4 cell test results are obtained and antiretroviral therapy (ART) eligibility assessed. The study is of HIV+ participants (n = 1096), from either Limpopo or Gauteng provinces from a "Links to Care" program. A two-pronged expanded HCT service was used, which included a community outreach approach to address HIV testing and a call center to encourage and track each patient's linkage to care post-HIV diagnosis. The majority of individuals (51%) were linked to care with a mean time to linkage of 31 days (with most individuals linked in less than 14 days). More females (54%) were linked to care than males (47%) and had higher CD4 cell counts than males; females had a mean CD4 cell count of 440, while males took longer to link to care and had a lower mean CD4 cell count of 331. Females of 23 years or younger had the lowest linkage rate of all females. Findings suggest that expanding HCT services to include innovative links to care approaches can improve linkage to care and subsequently impact HIV prevention.
机译：让新诊断的HIV +个体参与治疗是一项重大的全球挑战。随着南非扩大艾滋病毒咨询和检测（HCT）服务，越来越多的被诊断出艾滋病毒的人将需要与护理方法建立创新联系，以使治疗最有效。尽管定义各不相同，但我们将“护理联系”定义为将HIV +个人与医疗联系起来，以便获得CD4细胞测试结果并评估抗逆转录病毒疗法（ART）的资格。该研究针对的是来自林波波省或豪登省的HIV +参与者（n = 1096），该参与者来自“护理关怀”计划。使用了两管齐下的扩展HCT服务，其中包括社区外展方法来应对HIV检测，以及呼叫中心来鼓励和跟踪每个患者与HIV后诊断的护理联系。大多数人（51％）与护理相关，平均链接时间为31天（大多数人少于14天链接）。与护理有关的女性更多（54％）高于男性（47％），并且CD4细胞计数高于男性。女性的平均CD4细胞数为440，而男性花更长的时间进行护理，而平均的CD4细胞数则更低，为331。23岁以下的女性的联系率最低。研究结果表明，扩大HCT服务以包括与护理方法的创新联系可以改善与护理的联系，从而影响艾滋病毒的预防。

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