title: Maximizing the impact of HIV prevention efforts: interventions for couples.
abstract: Despite efforts to increase access to HIV testing and counseling services, population coverage remains low. As a result, many people in sub-Saharan Africa do not know their own HIV status or the status of their sex partner(s). Recent evidence, however, indicates that as many as half of HIV-positive individuals in ongoing sexual relationships have an HIV-negative partner and that a significant proportion of new HIV infections in generalized epidemics occur within serodiscordant couples. Integrating couples HIV testing and counseling (CHTC) into routine clinic- and community-based services can significantly increase the number of couples where the status of both partners is known. Offering couples a set of evidence-based interventions once their HIV status has been determined can significantly reduce HIV incidence within couples and if implemented with sufficient scale and coverage, potentially reduce population-level HIV incidence as well. This article describes these interventions and their potential benefits.
authors: a Division of Global HIV/AIDS , U.S. Centers for Disease Control and Prevention , Atlanta , GA , USA.
authors: Amy
authors: A
authors: Medley
authors: Rachel
authors: R
authors: Baggaley
authors: Pamela
authors: P
authors: Bachanas
authors: Myron
authors: M
authors: Cohen
authors: Nathan
authors: N
authors: Shaffer
authors: Ying-Ru
authors: YR
authors: Lo
mesh_terms: D015492:AIDS Serodiagnosis; D017954:Africa South of the Sahara; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D003376:Counseling; D030881:Disclosure; D005193:Family Planning Services; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D020010:Heterosexuality; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D055118:Medication Adherence; D011314:Preventive Health Services / Q000379:methods*; D040242:Risk Reduction Behavior; D021841:Safe Sex
chemical_list: D044966:Anti-Retroviral Agents
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