AIDS and Behavior

, Volume 15, Issue 4, pp 751–760

Linkage to HIV Care and Survival Following Inpatient HIV Counseling and Testing

  • Rhoda K. Wanyenze
  • Judith A. Hahn
  • Cheryl A. Liechty
  • Kathie Ragland
  • Allan Ronald
  • Harriet Mayanja-Kizza
  • Thomas Coates
  • Moses R. Kamya
  • David R. Bangsberg
Original Paper

DOI: 10.1007/s10461-010-9704-1

Cite this article as:
Wanyenze, R.K., Hahn, J.A., Liechty, C.A. et al. AIDS Behav (2011) 15: 751. doi:10.1007/s10461-010-9704-1

Abstract

Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.

Keywords

Provider Initiated HIV Testing and Counseling (PITC) Inpatient Access to care Survival Africa 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Rhoda K. Wanyenze
    • 1
  • Judith A. Hahn
    • 2
  • Cheryl A. Liechty
    • 3
  • Kathie Ragland
    • 2
  • Allan Ronald
    • 4
  • Harriet Mayanja-Kizza
    • 5
  • Thomas Coates
    • 6
  • Moses R. Kamya
    • 5
  • David R. Bangsberg
    • 7
  1. 1.Makerere University School of Public HealthKampalaUganda
  2. 2.University of CaliforniaSan FranciscoUSA
  3. 3.Glen Cove Internal MedicineRockportUSA
  4. 4.Infectious Diseases InstituteKampalaUganda
  5. 5.Makerere University School of MedicineKampalaUganda
  6. 6.University of CaliforniaLos AngelesUSA
  7. 7.Massachusetts General Hospital Center for Global Health, Harvard Medical SchoolBostonUSA