title: Community-based rapid oral human immunodeficiency virus testing for tuberculosis patients in Lima, Peru.
abstract: Among tuberculosis patients, timely diagnosis of human immunodeficiency virus (HIV) co-infection and early antiretroviral treatment are crucial, but are hampered by a myriad of individual and structural barriers. Community-based models to provide counseling and rapid HIV testing are few but offer promise. During November 2009-April 2010, community health workers offered and performed HIV counseling and testing by using the OraQuick Rapid HIV-1/2 Antibody Test to new tuberculosis cases in 22 Ministry of Health establishments and their household contacts (n = 130) in Lima, Peru. Refusal of HIV testing or study participation was low (4.7%). Intervention strengths included community-based approach with participant preference for testing site, use of a rapid, non-invasive test, and accompaniment to facilitate HIV care and family disclosure. We will expand the intervention under programmatic auspices for rapid community-based testing for new tuberculosis cases in high incidence establishments. Other potential target populations include contacts of HIV-positive persons and pregnant women.
authors: Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA 02115, USA. aknelson@partners.org
authors: Adrianne K
authors: AK
authors: Nelson
authors: Adolfo
authors: A
authors: Caldas
authors: Jose Luis
authors: JL
authors: Sebastian
authors: Maribel
authors: M
authors: Muñoz
authors: Cesear
authors: C
authors: Bonilla
authors: Jose
authors: J
authors: Yamanija
authors: Oswaldo
authors: O
authors: Jave
authors: Christina
authors: C
authors: Magan
authors: Judith
authors: J
authors: Saldivar
authors: Betty
authors: B
authors: Espiritu
authors: Gustavo
authors: G
authors: Rosell
authors: Jaime
authors: J
authors: Bayona
authors: Sonya
authors: S
authors: Shin
mesh_terms: D000328:Adult; D000914:Antibodies, Viral / Q000302:isolation & purification; D060085:Coinfection / Q000175:diagnosis* / Q000382:microbiology / Q000821:virology; D003153:Community Health Services; D005260:Female; D006678:HIV / Q000302:isolation & purification; D015658:HIV Infections / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D008297:Male; D010568:Peru; D010865:Pilot Projects; D014376:Tuberculosis / Q000821:virology*; D055815:Young Adult
chemical_list: D000914:Antibodies, Viral