title: Clinic-based routine voluntary HIV testing in a refugee settlement in Uganda.
abstract: We implemented and evaluated a clinic-based routine voluntary HIV testing intervention in Nakivale Refugee Settlement in Uganda. Comparing the standard of care period (40 d) with the intervention period (168 d), the mean HIV-infected clients identified per week increased from 0.9 to 5.6, and there was no significant difference between the HIV prevalence in the 2 periods (standard of care: 3.3%; intervention: 4.5%; P > 0.5). Clinic-based routine HIV testing in a refugee settlement is effective and should be considered for implementation in refugee settlements in other high-prevalence regions in sub-Saharan Africa.
authors.affiliation: *Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA; †Medical Practice Evaluation Center, Department of Medicine, Massachusetts General Hospital, Boston, MA; ‡Harvard Medical School, Boston, MA; §Harvard Humanitarian Initiative, Cambridge, MA; ‖United Nations High Commissioner for Refugees, Representation in Uganda, Kampala, Uganda; ¶Division of General Medicine, Massachusetts General Hospital, Boston, MA; #Division of Infectious Disease, Massachusetts General Hospital, Boston, MA; **Harvard University Center for AIDS Research, Boston, MA; ††Division of Infectious Disease, Brigham and Women's Hospital, Boston, MA; ‡‡MGH Biostatistics Center, Massachusetts General Hospital, Boston, MA; §§Bugema University, Kampala, Uganda; ‖‖United Nations High Commissioner for Refugees, Geneva, Switzerland; and ¶¶Medical Teams International, Mbarara, Uganda.
authors.forename: Kelli N
authors.initials: KN
authors.lastname: OʼLaughlin
authors.forename: Julius
authors.initials: J
authors.lastname: Kasozi
authors.forename: Rochelle P
authors.initials: RP
authors.lastname: Walensky
authors.forename: Robert A
authors.initials: RA
authors.lastname: Parker
authors.forename: Zikama M
authors.initials: ZM
authors.lastname: Faustin
authors.forename: Sathyanarayanan
authors.initials: S
authors.lastname: Doraiswamy
authors.forename: Chris Omara
authors.initials: CO
authors.lastname: Owino
authors.forename: Ingrid V
authors.initials: IV
authors.lastname: Bassett
mesh_terms: D015492:AIDS Serodiagnosis / Q000379:methods* / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012036:Refugees / Q000706:statistics & numerical data; D014454:Uganda / Q000453:epidemiology; D035141:Voluntary Programs; D055815:Young Adult