title: Shout-It-Now: A Mobile HCT Model Employing Technology and Edutainment in South Africa.
abstract: Mobile HIV counseling and testing (HCT) has been effective in reaching men, women, and adolescents in South Africa. However, there is limited understanding of effective mobile HCT programs utilizing tools like technology and edutainment to increase HIV counseling and testing rates. The authors examine data from the Shout-It-Now (S-N) program that uses such tools in South Africa.
  
  
  
  The S-N program utilizes various forms of technology and ongoing telephonic counseling within a 6-step program of HIV testing and linkage-to-care support, and program data were analyzed over an 18-month period. Data were analyzed from women, men, and adolescent program participants. Summative statistics was conducted on participant registration, HIV risk assessment, and HIV testing profiles. HIV prevalence were estimated along with the related 95% confidence intervals using the Clopper-Pearson method.
  
  
  
  Over an 18-month period, there were 72 220 program participants with high representation of men, women, and adolescents and 40% of the participants being men at each site. There were 3343 participants who tested HIV positive, and a higher proportion of women tested positive.
  
  
  
  Integrating technology, quality assurance measures, and edutainment with mobile HCT has the potential to increase the number of those who test within communities. Research is needed to understand the effectiveness of this model in facilitating regular testing and linkage to care.
authors.affiliation: 1 Department of Community Health Sciences, University of California, Los Angeles, CA, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Daniels
authors.affiliation: 2 Department of Probability and Mathematical Statistics, Charles University, Prague, Czech Republic.
authors.forename: Arnost
authors.initials: A
authors.lastname: Komarek
authors.affiliation: 3 Shout-It-Now, Cape Town, South Africa.
authors.forename: Bruce
authors.initials: B
authors.lastname: Forgreive
authors.affiliation: 3 Shout-It-Now, Cape Town, South Africa.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Pahl
authors.affiliation: 3 Shout-It-Now, Cape Town, South Africa.
authors.forename: Stephen
authors.initials: S
authors.lastname: Stafford
authors.affiliation: 4 Center for World Health, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
authors.forename: Laurie Campbell
authors.initials: LC
authors.lastname: Bruns
authors.affiliation: 4 Center for World Health, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Coates
mesh_terms: D000293:Adolescent; D000328:Adult; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008403:Mass Screening / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D000068997:Smartphone / Q000706:statistics & numerical data; D013019:South Africa; D055815:Young Adult
keywords: HIV; edutainment; mobile HCT; technology