title: NIMH Project Accept (HPTN 043) HIV/AIDS community mobilization (CM) to promote mobile HIV voluntary counseling and testing (MVCT) in rural communities in Northern Thailand: modifications by experience.
abstract: Project Accept is a RCT designed to test the efficacy of community mobilization (CM), mobile voluntary counseling and testing (MVCT), and post-test support services (PTSS) in reducing HIV incidence in three African countries and Thailand. The intervention started in rural areas, northern Thailand in January 2006. CM initially included door-to-door visits during the daytime, small group discussions and joining organized meetings and followed by MVCT. In February 2007, CM strategy using HIV/AIDS "edutainment" (education and entertainment) during evening hours was introduced. After edutainment was initiated, the number of participants increased substantially. VCT uptake increased from 18 to 28 persons/day on average (t test; t = 7.87 P < 0.0001). Edutainment especially motivated younger people, as the median age of VCT clients decreased from 38 to 35 years old (median test; z = 6.74, P < 0.0001). Providing free MVCT in community settings along with edutainment during evening hours increased VCT uptake and was particularly attractive to younger adults.
authors.affiliation: Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Surinda
authors.initials: S
authors.lastname: Kawichai
authors.forename: David
authors.initials: D
authors.lastname: Celentano
authors.forename: Kriengkrai
authors.initials: K
authors.lastname: Srithanaviboonchai
authors.forename: Monjun
authors.initials: M
authors.lastname: Wichajarn
authors.forename: Kanokporn
authors.initials: K
authors.lastname: Pancharoen
authors.forename: Chonlisa
authors.initials: C
authors.lastname: Chariyalertsak
authors.forename: Surasing
authors.initials: S
authors.lastname: Visrutaratana
authors.forename: Gertrude
authors.initials: G
authors.lastname: Khumalo-Sakutukwa
authors.forename: Michael
authors.initials: M
authors.lastname: Sweat
authors.forename: Suwat
authors.initials: S
authors.lastname: Chariyalertsak
mesh_terms: D000293:Adolescent; D000328:Adult; D003153:Community Health Services / Q000458:organization & administration*; D037001:Directive Counseling / Q000379:methods*; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D015994:Incidence; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D008952:Mobile Health Units / Q000458:organization & administration; D010342:Patient Acceptance of Health Care; D019035:Rural Health Services / Q000458:organization & administration*; D012424:Rural Population; D013785:Thailand / Q000453:epidemiology; D055815:Young Adult