Original Paper

AIDS and Behavior

, Volume 16, Issue 5, pp 1227-1237

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

  • Surinda KawichaiAffiliated withDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins UniversityResearch Institute for Health Sciences, Chiang Mai University
  • , David CelentanoAffiliated withDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University
  • , Kriengkrai SrithanaviboonchaiAffiliated withResearch Institute for Health Sciences, Chiang Mai University
  • , Monjun WichajarnAffiliated withResearch Institute for Health Sciences, Chiang Mai University
  • , Kanokporn PancharoenAffiliated withResearch Institute for Health Sciences, Chiang Mai University
  • , Chonlisa ChariyalertsakAffiliated withChiang Mai Public Health Office, Thai Ministry of Public Health
  • , Surasing VisrutaratanaAffiliated withChiang Mai Public Health Office, Thai Ministry of Public Health
  • , Gertrude Khumalo-SakutukwaAffiliated withDepartment of Medicine, School of Medicine, University of California, San Francisco
  • , Michael SweatAffiliated withDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina
    • , Suwat ChariyalertsakAffiliated withResearch Institute for Health Sciences, Chiang Mai University Email author 
    • , and The Project Accept Study Team

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Abstract

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.

Keywords

HIV Community mobilization Mobile VCT Thailand