NIMH Project Accept (HPTN 043) HIV/AIDS Community Mobilization (CM) to Promote Mobile HIV Voluntary Counseling and Testing (MVCT) in Rural Communities in Northern Thailand: Modifications by Experience
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Project Accept is a RCT designed to test the efficacy of community mobilization (CM), mobile voluntary counseling and testing (MVCT), and post-test support services (PTSS) in reducing HIV incidence in three African countries and Thailand. The intervention started in rural areas, northern Thailand in January 2006. CM initially included door-to-door visits during the daytime, small group discussions and joining organized meetings and followed by MVCT. In February 2007, CM strategy using HIV/AIDS “edutainment” (education and entertainment) during evening hours was introduced. After edutainment was initiated, the number of participants increased substantially. VCT uptake increased from 18 to 28 persons/day on average (t test; t = 7.87 P < 0.0001). Edutainment especially motivated younger people, as the median age of VCT clients decreased from 38 to 35 years old (median test; z = 6.74, P < 0.0001). Providing free MVCT in community settings along with edutainment during evening hours increased VCT uptake and was particularly attractive to younger adults.
- UNAIDS/WHO. AIDS Epidemic update. 2009. Available at http://data.unaids.org. Access June 20, 2010.
- WHO media center. WHO and UNAIDS issue new guidance on HIV testing and counseling in health facilities. Available at http://www.who.int/mediacenter/news/releases/2007/pr24/en/index.html. Access June 15, 2010.
- UNAIDS. UNAIDS Policy on HIV testing and counseling. Geneva: UNAIDS; 1997.
- The Voluntary HIV-1 Counseling and Testing Efficacy Study Group. Efficacy of voluntary HIV-1 counseling and testing in individuals and couples in Kenya, Tanzania, and Trinidad: a randomized trail. Lancet. 2000;356:103-112.
- UNAIDS/WHO policy statement on HIV testing. Joint United Nations Program on AIDS and World Health Organization, Geneva
- WHO and UNAIDS. Guidance on provider initiated HIV testing and counseling in health facilities. Geneva: WHO; 2007.
- Project Accept Study group. Project accept: a phase III randomized controlled trial of community mobilization, mobile testing, same-day results, and post-test support for HIV in Sub-Saharan Africa and Thailand. Project protocol, 2007. version 2.3. Available at http://www.cbvct.med.ucla.edu. Accessed June 10, 2010.
- Khumalo-Sakutukwa, G, Morin, SF, Fritz, K, Charlebois, ED, Rooyen, H, Chingono, A (2008) Project accept (HPTN 043): a community-based intervention to reduce HIV incidence in populations at risk for HIV in sub-Saharan Africa and Thailand. J Acquir Immune Defic Syndr 49: pp. 422-431 CrossRef
- Sweat M, Morin SF, Celentano DD, et al. Community-based intervention to increases HIV testing and case detection in people aged 16–32 years in Tanzania, Zimbabwe, and Thailand (NIMH Project Accept, HPTN 043): a randomised study. Available at www.thelancet.com/infection. Access May 6, 2011.
- Genberg, BL, Kulich, M, Kawichai, S, Modiba, P, Chingono, A, Kilonzo, GP (2008) HIV risk behaviors in sub-Saharan Africa and Northern Thailand: baseline behavioral data from Project Accept. J Acquir Immune Defic Syndr 49: pp. 309-319 CrossRef
- Morin, SF, Khumalo-Sakutukwa, G, Charlebois, ED, Routh, J, Fritz, K, Lane, T, Vaki, T, Fiamma, A, Coates, TJ (2006) Removing barriers to knowing HIV status, same-day mobile HIV testing in Zimbabwe. J Acquir Immune Defic Syndr 41: pp. 218-224 CrossRef
- Kawichai, S, Celentano, DD, Chariyalertsak, S (2007) Community-based voluntary counseling and testing services in rural communities of Chiang Mai Province, northern Thailand. AIDS Behav 11: pp. 770-777 CrossRef
- NIMH Project Accept (HPTN 043) HIV/AIDS Community Mobilization (CM) to Promote Mobile HIV Voluntary Counseling and Testing (MVCT) in Rural Communities in Northern Thailand: Modifications by Experience
AIDS and Behavior
Volume 16, Issue 5 , pp 1227-1237
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- Springer US
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- Community mobilization
- Mobile VCT
- Industry Sectors
- Author Affiliations
- 1. Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
- 2. Research Institute for Health Sciences, Chiang Mai University, 110 Intavaroros Rd. Muang, Chiang Mai, 50200, Thailand
- 3. Chiang Mai Public Health Office, Thai Ministry of Public Health, Chiang Mai, Thailand
- 4. Department of Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA, USA
- 5. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA