244209 Targeting ever-married individuals with mobile HIV counseling and testing to reach high risk groups

Wednesday, November 2, 2011

Abinet Tekabe Hailesilassie, MPH , Private Health Sector Program, Abt Associates, Addis Ababa, Ethiopia
Semunegus Mihrete, MPH , Private Health Sector Program, Abt Associates, Addis Ababa, Ethiopia
Saba Amdework, MPH , Private Health Sector Program, Abt Associates, Addis Ababa, Ethiopia
Background: The USAID-funded Private Sector Program-Ethiopia (PSP-E) provided mobile HIV counseling and testing (MHCT) services in more than 40 towns of Ethiopia. MHCT targeted most at-risk populations to create access to and demand for HIV prevention, care and treatment services. Methods: Data was collected by nurse counselors using standardized forms. From July 2007 to December 2008, a total of 31,091 ever-married clients were tested. Data was entered using EPI Info and analyzed using SPSS-13. PSP-E used focused mobilization strategies, such as women and peer promoters and BCC materials to reach high risk groups with MHCT. Results: Out of 31,091 ever-married clients, 1,694 (5.5 %) females and 1,063 (3.4%) males tested HIV-positive, which was higher than non-married clients [female= 369 (3.9%), male= 572 (2.0%)]. The odds ratio for widowed, divorced, and separated is 2.84, 1.92 and 1.78 respectively. Ever-married women had a two times higher chance of HIV infection than males, AOR=1.93[1.64-2.27]. Ever-married clients with a history of HIV testing revealed a significant negative association with HIV infection [AOR=0.41; CI: 0.35-0.47]. Chance of getting infected with HIV is two times higher among ever-married clients with STI history.Conclusions: Mobilization strategies for MHCT should continue to focus on ever-married individuals since it is effective at reaching high risk groups for HIV. Specific outreach should be focused on ever-married females. Partner disclosure and referral during counseling should be strengthened. Integrating STI services with MHCT is also important to reduce HIV risk among ever-married individuals.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Protection of the public in relation to communicable diseases including prevention or control
Provision of health care to the public

Learning Objectives:
Explain why ever-married individuals help to reach high risk groups for HIV

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Private Sector Capacity Building Advisor for the Private Health Sector Program and work on MHCT for the project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: HIV/AIDS Prevention Strategies
See more of: HIV/AIDS