HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities
HIV testing rates remain very low in Colombia, with only 20% of individuals at risk ever tested. In order to tackle this issue, the Corporacion de Lucha Contra el Sida (CLS) has implemented a multidisciplinary, provider-initiated, population-based HIV testing/counselling strategy named BAFI. In this...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2014/803685 |
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| author | Jaime Galindo-Quintero Hector Fabio Mueses-Marin David Montaño-Agudelo María Virginia Pinzón-Fernández Inés Constanza Tello-Bolívar Beatriz Eugenia Alvarado-Llano Jorge Luis Martinez-Cajas |
| author_facet | Jaime Galindo-Quintero Hector Fabio Mueses-Marin David Montaño-Agudelo María Virginia Pinzón-Fernández Inés Constanza Tello-Bolívar Beatriz Eugenia Alvarado-Llano Jorge Luis Martinez-Cajas |
| author_sort | Jaime Galindo-Quintero |
| collection | DOAJ |
| description | HIV testing rates remain very low in Colombia, with only 20% of individuals at risk ever tested. In order to tackle this issue, the Corporacion de Lucha Contra el Sida (CLS) has implemented a multidisciplinary, provider-initiated, population-based HIV testing/counselling strategy named BAFI. In this report, we describe the experience of CLS at reaching populations from low socioeconomic backgrounds in 2008-2009. Two different approaches were used: one led by CLS and local health care providers (BAFI-1) and the other by CLS and community leaders (BAFI-2). Both approaches included the following: consented HIV screening test, a demographic questionnaire, self-reported HIV knowledge and behaviour questionnaires, pre- and posttest counselling, confirmatory HIV tests, clinical follow-up, access to comprehensive care and antiretroviral treatment. A total of 2085 individuals were enrolled in BAFI-1 and 363 in BAFI-2. The effectiveness indicators for BAFI-1 and BAFI-2, respectively, were HIV positive-confirmed prevalence = 0.29% and 3.86%, return rate for confirmatory results = 62.5% and 93.7%, return rate for comprehensive care = 83.3% and 92.8%, and ART initiation rate = 20% and 76.9%. Although more people were reached with BAFI-1, the community-led BAFI-2 was more effective at reaching individuals with a higher prevalence of behavioural risk factors for HIV infection. |
| format | Article |
| id | doaj-art-26096c1ed5814e738482d5266b77a3a6 |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-26096c1ed5814e738482d5266b77a3a62025-02-03T06:13:56ZengWileyAIDS Research and Treatment2090-12402090-12592014-01-01201410.1155/2014/803685803685HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status CommunitiesJaime Galindo-Quintero0Hector Fabio Mueses-Marin1David Montaño-Agudelo2María Virginia Pinzón-Fernández3Inés Constanza Tello-Bolívar4Beatriz Eugenia Alvarado-Llano5Jorge Luis Martinez-Cajas6Corporación de Lucha Contra el Sida (CLS), Grupo Educación y Salud en VIH/SIDA, Carrera 56 2-120, Cali, ColombiaCorporación de Lucha Contra el Sida (CLS), Grupo Educación y Salud en VIH/SIDA, Carrera 56 2-120, Cali, ColombiaCorporación de Lucha Contra el Sida (CLS), Grupo Educación y Salud en VIH/SIDA, Carrera 56 2-120, Cali, ColombiaCorporación de Lucha Contra el Sida (CLS), Grupo Educación y Salud en VIH/SIDA, Carrera 56 2-120, Cali, ColombiaCorporación de Lucha Contra el Sida (CLS), Grupo Educación y Salud en VIH/SIDA, Carrera 56 2-120, Cali, ColombiaCorporación de Lucha Contra el Sida (CLS), Grupo Educación y Salud en VIH/SIDA, Carrera 56 2-120, Cali, ColombiaCorporación de Lucha Contra el Sida (CLS), Grupo Educación y Salud en VIH/SIDA, Carrera 56 2-120, Cali, ColombiaHIV testing rates remain very low in Colombia, with only 20% of individuals at risk ever tested. In order to tackle this issue, the Corporacion de Lucha Contra el Sida (CLS) has implemented a multidisciplinary, provider-initiated, population-based HIV testing/counselling strategy named BAFI. In this report, we describe the experience of CLS at reaching populations from low socioeconomic backgrounds in 2008-2009. Two different approaches were used: one led by CLS and local health care providers (BAFI-1) and the other by CLS and community leaders (BAFI-2). Both approaches included the following: consented HIV screening test, a demographic questionnaire, self-reported HIV knowledge and behaviour questionnaires, pre- and posttest counselling, confirmatory HIV tests, clinical follow-up, access to comprehensive care and antiretroviral treatment. A total of 2085 individuals were enrolled in BAFI-1 and 363 in BAFI-2. The effectiveness indicators for BAFI-1 and BAFI-2, respectively, were HIV positive-confirmed prevalence = 0.29% and 3.86%, return rate for confirmatory results = 62.5% and 93.7%, return rate for comprehensive care = 83.3% and 92.8%, and ART initiation rate = 20% and 76.9%. Although more people were reached with BAFI-1, the community-led BAFI-2 was more effective at reaching individuals with a higher prevalence of behavioural risk factors for HIV infection.http://dx.doi.org/10.1155/2014/803685 |
| spellingShingle | Jaime Galindo-Quintero Hector Fabio Mueses-Marin David Montaño-Agudelo María Virginia Pinzón-Fernández Inés Constanza Tello-Bolívar Beatriz Eugenia Alvarado-Llano Jorge Luis Martinez-Cajas HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities AIDS Research and Treatment |
| title | HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities |
| title_full | HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities |
| title_fullStr | HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities |
| title_full_unstemmed | HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities |
| title_short | HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities |
| title_sort | hiv testing and counselling in colombia local experience on two different recruitment strategies to better reach low socioeconomic status communities |
| url | http://dx.doi.org/10.1155/2014/803685 |
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