title: Botswana's Tebelopele voluntary HIV counseling and testing network: use and client risk factors for HIV infection, 2000-2004.
abstract: BACKGROUND
  : HIV services, including voluntary counseling and testing (VCT) and antiretroviral (ARV) therapy, expanded rapidly in Botswana from 2000 through 2004.
  
  
  METHODS
  : Client data from Botswana's Tebelopele VCT network were analyzed to describe clients, factors associated with HIV infection, and trends in VCT use.
  
  
  RESULTS
  : Tebelopele provided free, anonymous, same-day HIV tests for 117,234 clients from 2000 through 2004. Before ARV therapy was available, 8.3% of clients sought a test because of illness, and 26.3% were HIV-positive. After ARV therapy became available, 20.1% of clients sought a test because of illness, and 38.8% were HIV-positive. Most VCT clients (82.7%) were unmarried; 89.8% reported no or 1 sexual partner in the last 3 months; and 50.2% of unmarried clients reported always using condoms in the last 3 months. In multivariate analysis, higher educational level, marriage, and always using condoms were associated with a lower risk of HIV. Having only 1 recent sexual partner was associated with less condom use and a higher risk of being HIV-positive for men.
  
  
  CONCLUSIONS
  : VCT has been well accepted in Botswana. Analysis of this data set supports efforts to promote 100% condom use and to emphasize that partner reduction must be combined with condom use and HIV testing to protect against HIV.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA. tgc0@cdc.gov
authors.forename: Tracy L
authors.initials: TL
authors.lastname: Creek
authors.forename: Mary Grace
authors.initials: MG
authors.lastname: Alwano
authors.forename: Ronald R
authors.initials: RR
authors.lastname: Molosiwa
authors.forename: Thierry H
authors.initials: TH
authors.lastname: Roels
authors.forename: Tom A
authors.initials: TA
authors.lastname: Kenyon
authors.forename: Vida
authors.initials: V
authors.lastname: Mwasalla
authors.forename: Ethleen S
authors.initials: ES
authors.lastname: Lloyd
authors.forename: Modisaotsile
authors.initials: M
authors.lastname: Mokomane
authors.forename: Philip A
authors.initials: PA
authors.lastname: Hastings
authors.forename: Allan W
authors.initials: AW
authors.lastname: Taylor
authors.forename: Peter H
authors.initials: PH
authors.lastname: Kilmarx
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D001902:Botswana / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data*; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D012307:Risk Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners / Q000523:psychology; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000517:prevention & control*; D035141:Voluntary Programs / Q000706:statistics & numerical data*