title: Testing in the HIV Counselling and Testing (HCT) campaign, HIV risk behaviours and ART enrolment in South Africa.
abstract: OBJECTIVE
  To examine the association between testing in the 2010 HIV Testing and Counselling (HCT) campaign with HIV risk behaviours and enrolment on ART.
  
  
  METHODS
  Data for this study were collected as part of a nationally representative cross-sectional household survey conducted in 2012 in South Africa.
  
  
  METHODS
  Consenting participants completed a structured questionnaire and provided a dry blood spot specimen which was tested for HIV antibodies and antiretroviral drugs. Multinomial logistic regression was used to examine the association between HIV testing history and explanatory variables of interest.
  
  
  RESULTS
  There was no association between testing in the 2010 HCT campaign and condom use at last sex, number of sexual partnerships or HIV knowledge. Individuals who tested in the HCT campaign were more likely to disclose their status (COR 2.6, 95% CI: 1.71-3.8) and those who tested HIV positive in the campaign were more likely to be receiving ART (COR 1.8, 95% CI: 1.1-2.9). Testing in the HCT campaign was associated with having received both pretest and post-test counselling while testing before the campaign was associated with having received HIV results with no counselling (COR 2.1, 95% CI: 1.2-3.8).
  
  
  CONCLUSIONS
  We highlight the success of the 2010 HCT campaign in improving HIV status disclosure and enrolment on ART as well as shortcomings on HIV risk behaviours and HIV knowledge. These may be related to issues of quality assurance in the counselling process. Our results further highlight possible HCT counselling inconsistencies across sectors requiring stronger public-private partnership in the delivery of HCT in South Africa.
authors.affiliation: Health Economics and Epidemiology Research Office, Wits Health Consortium, South Africa; School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa. Electronic address: donoya@heroza.org.
authors.forename: D
authors.initials: D
authors.lastname: Onoya
authors.affiliation: HIV/AIDS, STI and TB Program, Human Sciences Research Council, South Africa.
authors.forename: N
authors.initials: N
authors.lastname: Mohlabane
authors.affiliation: HIV/AIDS, STI and TB Program, Human Sciences Research Council, South Africa.
authors.forename: V
authors.initials: V
authors.lastname: Maduna
authors.affiliation: HIV/AIDS, STI and TB Program, Human Sciences Research Council, South Africa.
authors.forename: J
authors.initials: J
authors.lastname: van Zyl
authors.affiliation: Population Health, Health Systems and Innovation, Human Sciences Research Council, South Africa.
authors.forename: R
authors.initials: R
authors.lastname: Sewpaul
authors.affiliation: HIV/AIDS, STI and TB Program, Human Sciences Research Council, South Africa.
authors.forename: Y
authors.initials: Y
authors.lastname: Naidoo
mesh_terms: D000293:Adolescent; D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D003376:Counseling; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000517:prevention & control* / Q000523:psychology*; D006293:Health Promotion; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012309:Risk-Taking; D013019:South Africa; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D044966:Anti-Retroviral Agents
keywords: HIV prevention; HIV testing; HIV treatment; South Africa