期刊
TROPICAL MEDICINE & INTERNATIONAL HEALTH
卷 22, 期 8, 页码 1021-1029出版社
WILEY
DOI: 10.1111/tmi.12900
关键词
case finding; paediatric HIV; linkage to care; adolescents; HIV testing
资金
- USAID [674-A-00-10-00093-00]
- Fogarty International Center of the National Institutes of Health [K01TW009644]
- National Institutes of Health, USAID
- United States Government
OBJECTIVEs Evaluation of a novel index case finding and linkage-to-care programme to identify and link HIV-infected children (1-15 years) and young persons (> 15-24 years) to care. METHODS HIV-infected patients enrolled in HIV services were screened and those who reported untested household members (index cases) were offered home-or facility-based HIV testing and counselling (HTC) of their household by a community health worker (CHW). HIV-infected household members identified were enrolled in a follow-up programme offering home and facility-based follow-up by CHWs. RESULTS Of the 1567 patients enrolled in HIV services, 1030 (65.7%) were screened and 461 (44.8%) identified as index cases; 93.5% consented to HIV testing of their households and of those, 279 (64.7%) reported an untested child or young person. CHWs tested 711 children and young persons, newly diagnosed 28 HIV-infected persons (yield 4.0%; 95% CI: 2.7-5.6), and identified an additional two HIV-infected persons not enrolled in care. Of the 30 HIV-infected persons identified, 23 (76.6%) were linked to HIV services; 18 of the 20 eligible for ART (90.0%) were initiated. Median time (IQR) from identification to enrolment into HIV services was 4 days (1-8) and from identification to ART start was 6 days (1-8). CONCLUSIONS Almost half of HIV-infected patients enrolled in treatment services had untested household members, many of whom were children and young persons. Index case finding, coupled with home-based testing and tracked follow-up, is acceptable, feasible and facilitates the identification and timely linkage to care of HIV-infected children and young persons.
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