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Client-centered HIV testing and counseling as a strategy for scaling up access to HIV prevention and care services Mongare J 1 , Odhiambo F 1 , Ojoo S 1 , Ooko H 2 , Chege M 1 , Wandina D 1 , Redfield R 3 . Introduction. Methodology.
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Client-centered HIV testing and counseling as a strategy for scaling up access to HIV prevention and care servicesMongare J1 , Odhiambo F1, Ojoo S1, Ooko H2, Chege M1, Wandina D1, Redfield R3 Introduction Methodology AIDSRelief Kenya program with over 149,000 patients cumulatively enrolled into care, introduced systematic family-centered HIV testing. Cross- sectional review of the intervention is presented • HIV testing is crucial part of HIV prevention. • Implementation of interventions for “Prevention With Positives” remains a challenge and has not been successfully scaled up, partly as a result of challenges in testing. charts abstracted n=8129 Charts with FIF n=7294(88%) Sexual partners identified n=5690(78%) Identified children n=22688 Other Family members identified n=8186 Partners tested n=3585(63%) Tested n=7382(32%) Tested n=5015(61%) Concordant Positive n= 2622(73%) HIV sero-discordant n= 963(27%) HIV positive n=839(11%) HIV Positive n=2612(52%) Linked to care n=2307(88%) Linked to care n=1599(61%)
Outcomes of HIV testing in family members 93% eligible on ART
Conclusion • Using the index HIV infected client enrolled in HIV care as an entry point for HIV testing for family members (Family Centered Testing -FCT) is under- utilized. • FCT effectively identifies concordant HIV-infected sexual partners, and supports their linkage to care • FCT crucially enables identification of HIV sero-discordant partnerships, supports disclosure and therefore allows institution of HIV prevention interventions • FCT enables identification and enrollment into care of HIV infected children and extended family members of the index client in this setting. • Acknowledgement • The AIDSRelief Consortium: University of Maryland School of Medicine, Catholic Relief Services, Futures Group International, Catholic Medical Mission Board, All staff and patients of the 29 faith based facilities supported by AIDSRelief- Kenya. • The information presented here was supported through the President’s Emergency Plan for AIDSRelief, funded through the Office of the Global AIDS Coordinator and the Human Resources and Services Administration, Department of Health and Human Services. Cooperative Agreement #4U51HA02521-01-03.
