Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.

<h4>Background</h4>Integrated disease prevention in low resource settings can increase coverage, equity and efficiency in controlling high burden infectious diseases. A public-private partnership with the Ministry of Health, CDC, Vestergaard Frandsen and CHF International implemented a o...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Eric Lugada, Debra Millar, John Haskew, Mark Grabowsky, Navneet Garg, Mikkel Vestergaard, James G Kahn, Nicholas Muraguri, Jonathan Mermin
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2010
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/236d61d7c3c14ff0a3807cb38e3bb502
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:236d61d7c3c14ff0a3807cb38e3bb502
record_format	dspace
spelling	oai:doaj.org-article:236d61d7c3c14ff0a3807cb38e3bb5022021-11-18T06:35:40ZRapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.1932-620310.1371/journal.pone.0012435https://doaj.org/article/236d61d7c3c14ff0a3807cb38e3bb5022010-08-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/20865049/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Integrated disease prevention in low resource settings can increase coverage, equity and efficiency in controlling high burden infectious diseases. A public-private partnership with the Ministry of Health, CDC, Vestergaard Frandsen and CHF International implemented a one-week integrated multi-disease prevention campaign.<h4>Method</h4>Residents of Lurambi, Western Kenya were eligible for participation. The aim was to offer services to at least 80% of those aged 15-49. 31 temporary sites in strategically dispersed locations offered: HIV counseling and testing, 60 male condoms, an insecticide-treated bednet, a household water filter for women or an individual filter for men, and for those testing positive, a 3-month supply of cotrimoxazole and referral for follow-up care and treatment.<h4>Findings</h4>Over 7 days, 47,311 people attended the campaign with a 96% uptake of the multi-disease preventive package. Of these, 99.7% were tested for HIV (87% in the target 15-49 age group); 80% had previously never tested. 4% of those tested were positive, 61% were women (5% of women and 3% of men), 6% had median CD4 counts of 541 cell/µL (IQR; 356, 754). 386 certified counselors attended to an average 17 participants per day, consistent with recommended national figures for mass campaigns. Among women, HIV infection varied by age, and was more likely with an ended marriage (e.g. widowed vs. never married, OR.3.91; 95% CI. 2.87-5.34), and lack of occupation. In men, quantitatively stronger relationships were found (e.g. widowed vs. never married, OR.7.0; 95% CI. 3.5-13.9). Always using condoms with a non-steady partner was more common among HIV-infected women participants who knew their status compared to those who did not (OR.5.4 95% CI. 2.3-12.8).<h4>Conclusion</h4>Through integrated campaigns it is feasible to efficiently cover large proportions of eligible adults in rural underserved communities with multiple disease preventive services simultaneously achieving various national and international health development goals.Eric LugadaDebra MillarJohn HaskewMark GrabowskyNavneet GargMikkel VestergaardJames G KahnNicholas MuraguriJonathan MerminPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 5, Iss 8, p e12435 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Eric Lugada Debra Millar John Haskew Mark Grabowsky Navneet Garg Mikkel Vestergaard James G Kahn Nicholas Muraguri Jonathan Mermin Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.
description	<h4>Background</h4>Integrated disease prevention in low resource settings can increase coverage, equity and efficiency in controlling high burden infectious diseases. A public-private partnership with the Ministry of Health, CDC, Vestergaard Frandsen and CHF International implemented a one-week integrated multi-disease prevention campaign.<h4>Method</h4>Residents of Lurambi, Western Kenya were eligible for participation. The aim was to offer services to at least 80% of those aged 15-49. 31 temporary sites in strategically dispersed locations offered: HIV counseling and testing, 60 male condoms, an insecticide-treated bednet, a household water filter for women or an individual filter for men, and for those testing positive, a 3-month supply of cotrimoxazole and referral for follow-up care and treatment.<h4>Findings</h4>Over 7 days, 47,311 people attended the campaign with a 96% uptake of the multi-disease preventive package. Of these, 99.7% were tested for HIV (87% in the target 15-49 age group); 80% had previously never tested. 4% of those tested were positive, 61% were women (5% of women and 3% of men), 6% had median CD4 counts of 541 cell/µL (IQR; 356, 754). 386 certified counselors attended to an average 17 participants per day, consistent with recommended national figures for mass campaigns. Among women, HIV infection varied by age, and was more likely with an ended marriage (e.g. widowed vs. never married, OR.3.91; 95% CI. 2.87-5.34), and lack of occupation. In men, quantitatively stronger relationships were found (e.g. widowed vs. never married, OR.7.0; 95% CI. 3.5-13.9). Always using condoms with a non-steady partner was more common among HIV-infected women participants who knew their status compared to those who did not (OR.5.4 95% CI. 2.3-12.8).<h4>Conclusion</h4>Through integrated campaigns it is feasible to efficiently cover large proportions of eligible adults in rural underserved communities with multiple disease preventive services simultaneously achieving various national and international health development goals.
format	article
author	Eric Lugada Debra Millar John Haskew Mark Grabowsky Navneet Garg Mikkel Vestergaard James G Kahn Nicholas Muraguri Jonathan Mermin
author_facet	Eric Lugada Debra Millar John Haskew Mark Grabowsky Navneet Garg Mikkel Vestergaard James G Kahn Nicholas Muraguri Jonathan Mermin
author_sort	Eric Lugada
title	Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.
title_short	Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.
title_full	Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.
title_fullStr	Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.
title_full_unstemmed	Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.
title_sort	rapid implementation of an integrated large-scale hiv counseling and testing, malaria, and diarrhea prevention campaign in rural kenya.
publisher	Public Library of Science (PLoS)
publishDate	2010
url	https://doaj.org/article/236d61d7c3c14ff0a3807cb38e3bb502
work_keys_str_mv	AT ericlugada rapidimplementationofanintegratedlargescalehivcounselingandtestingmalariaanddiarrheapreventioncampaigninruralkenya AT debramillar rapidimplementationofanintegratedlargescalehivcounselingandtestingmalariaanddiarrheapreventioncampaigninruralkenya AT johnhaskew rapidimplementationofanintegratedlargescalehivcounselingandtestingmalariaanddiarrheapreventioncampaigninruralkenya AT markgrabowsky rapidimplementationofanintegratedlargescalehivcounselingandtestingmalariaanddiarrheapreventioncampaigninruralkenya AT navneetgarg rapidimplementationofanintegratedlargescalehivcounselingandtestingmalariaanddiarrheapreventioncampaigninruralkenya AT mikkelvestergaard rapidimplementationofanintegratedlargescalehivcounselingandtestingmalariaanddiarrheapreventioncampaigninruralkenya AT jamesgkahn rapidimplementationofanintegratedlargescalehivcounselingandtestingmalariaanddiarrheapreventioncampaigninruralkenya AT nicholasmuraguri rapidimplementationofanintegratedlargescalehivcounselingandtestingmalariaanddiarrheapreventioncampaigninruralkenya AT jonathanmermin rapidimplementationofanintegratedlargescalehivcounselingandtestingmalariaanddiarrheapreventioncampaigninruralkenya
_version_	1718424403088244736

Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.

Ejemplares similares