title: RAPID HOME-BASED HIV TESTING TO REDUCE COSTS IN A LARGE TUBERCULOSIS COHORT STUDY.
abstract: To reduce costs in a large tuberculosis household contact cohort study in Lima, Peru, we replaced laboratory-based HIV testing with home-based rapid testing. We developed a protocol and training course to prepare staff for the new strategy; these included role playing for home-based deployment of the Determine® HIV 1/2 Ag/Ac Combo HIV test. Though the rapid HIV test produced more false-positives, the overall cost per participant tested, refusal rate and time to confirmatory HIV testing were lower with the home-based rapid testing strategy compared to the original approach. Rapid testing could be used in similar research or routine care settings.
authors.affiliation: Partners In Health, Boston, USA.
authors.forename: Jerome T
authors.initials: JT
authors.lastname: Galea
authors.affiliation: Socios En Salud, Lima, Peru.
authors.forename: Carmen
authors.initials: C
authors.lastname: Contreras
authors.affiliation: Socios En Salud, Lima, Peru.
authors.forename: Leonid
authors.initials: L
authors.lastname: Lecca
authors.affiliation: Division of Global Health Equity, Brigham and Women's Hospital, Boston, USA.
authors.forename: Sonya
authors.initials: S
authors.lastname: Shin
authors.affiliation: Socios En Salud, Lima, Peru.
authors.forename: Raúl
authors.initials: R
authors.lastname: Lobatón
authors.affiliation: Division of Global Health Equity, Brigham and Women's Hospital, Boston, USA.
authors.forename: Zibiao
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Socios En Salud, Lima, Peru.
authors.forename: Roger
authors.initials: R
authors.lastname: Calderón
authors.affiliation: Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA.
authors.forename: Megan
authors.initials: M
authors.lastname: Murray
authors.affiliation: Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA.
authors.forename: Mercedes C
authors.initials: MC
authors.lastname: Becerra
keywords: HIV; Rapid testing; TB