title: A Comparison of Home-Based Versus Outreach Event-Based Community HIV Testing in Ugandan Fisherfolk Communities.
abstract: We compared two community-based HIV testing models among fisherfolk in Lake Victoria, Uganda. From May to July 2015, 1364 fisherfolk residents of one island were offered (and 822 received) home-based testing, and 344 fisherfolk on another island were offered testing during eight community mobilization events (outreach event-based testing). Of 207 home-based testing clients identified as HIV-positive (15% of residents), 82 were newly diagnosed, of whom 31 (38%) linked to care within 3 months. Of 41 who screened positive during event-based testing (12% of those tested), 33 were newly diagnosed, of whom 24 (75%) linked to care within 3 months. Testing costs per capita were similar for home-based ($45.09) and event-based testing ($46.99). Compared to event-based testing, home-based testing uncovered a higher number of new HIV cases but was associated with lower linkage to care. Novel community-based test-and-treat programs are needed to ensure timely linkage to care for newly diagnosed fisherfolk.
authors.affiliation: Health Unit, RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA. lbogart@rand.org.|Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, MA, USA. lbogart@rand.org.|Department of Pediatrics, Harvard Medical School, Boston, MA, USA. lbogart@rand.org.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Bogart
authors.affiliation: Health Unit, RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA.
authors.forename: Glenn J
authors.initials: GJ
authors.lastname: Wagner
authors.affiliation: Mildmay Uganda, Kampala, Uganda.
authors.forename: William
authors.initials: W
authors.lastname: Musoke
authors.affiliation: Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.
authors.forename: Rose
authors.initials: R
authors.lastname: Naigino
authors.affiliation: Health Unit, RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Linnemayr
authors.affiliation: Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, MA, USA.
authors.forename: Emily
authors.initials: E
authors.lastname: Maistrellis
authors.affiliation: Health Unit, RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA.|Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, MA, USA.
authors.forename: David J
authors.initials: DJ
authors.lastname: Klein
authors.affiliation: Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, MA, USA.
authors.forename: Riana B
authors.initials: RB
authors.lastname: Jumamil
authors.affiliation: Mildmay Uganda, Kampala, Uganda.
authors.forename: Barbara
authors.initials: B
authors.lastname: Mukasa
authors.affiliation: Division of General Medicine, Massachusetts General Hospital and Division of Infectious Diseases, Harvard Medical School, Boston, MA, USA.
authors.forename: Ingrid V
authors.initials: IV
authors.lastname: Bassett
authors.affiliation: Baylor College of Medicine and Michael E. DeBakey Department of Veterans Affairs Medical Center, Houstan, TX, USA.
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Giordano
authors.affiliation: Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.
authors.forename: Rhoda K
authors.initials: RK
authors.lastname: Wanyenze
mesh_terms: D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D003153:Community Health Services / Q000191:economics / Q000458:organization & administration*; D003695:Delivery of Health Care; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008403:Mass Screening; D036301:Qualitative Research; D012698:Serologic Tests / Q000191:economics / Q000379:methods*; D014454:Uganda; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents
keywords: Community-based HIV testing and counseling; Fisherfolk; Linkage to HIV care; Uganda