Implementation and Operational Research: Implementation of Routine Counselor-Initiated Opt-Out HIV Testing on the Adult Medical Ward at Kamuzu Central Hospital, Lilongwe, Malawi

Overview

Journal J Acquir Immune Defic Syndr

Specialty Infectious Diseases

Date 2015 Jan 27

PMID 25622063

Citations 8

Authors

Sylvia M LaCourse

Frances M Chester

Mitch Matoga

Charles Munthali

Dominic Nsona

Bryce Haac

Irving F Hoffman

Mina C Hosseinipour

Affiliations

Soon will be listed here.

Abstract

The optimal approach of provider-initiated HIV testing and counseling (PITC) for inpatients in high-burden settings is unknown. We prospectively evaluated the implementation of task shifting from clinician-referral to counselor-initiated PITC on the medical wards of Kamuzu Central Hospital, Malawi. Most of patients (1905/3154, 60.4%) had an unknown admission HIV status. Counselors offered testing to 66.6% (1268/1905). HIV prevalence was 39.3%. Counselor-initiated PITC significantly increased HIV testing by 79% (643/2957 vs. 1228/3154), resulting in an almost 2-fold increase in patients with known HIV status (2447/3154 vs. 1249/3154) (both P < 0.0001), with 18.4% of those tested receiving a new diagnosis of HIV.

Citing Articles

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