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
- 301 Downloads
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.
KeywordsHIV Community mobilization Mobile VCT Thailand
- 1.UNAIDS/WHO. AIDS Epidemic update. 2009. Available at http://data.unaids.org. Access June 20, 2010.
- 2.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.
- 3.UNAIDS. UNAIDS Policy on HIV testing and counseling. Geneva: UNAIDS; 1997.Google Scholar
- 4.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.Google Scholar
- 5.UNAIDS, WHO. UNAIDS/WHO policy statement on HIV testing. Geneva: Joint United Nations Program on AIDS and World Health Organization; 2004.Google Scholar
- 6.WHO and UNAIDS. Guidance on provider initiated HIV testing and counseling in health facilities. Geneva: WHO; 2007.Google Scholar
- 7.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.
- 8.Khumalo-Sakutukwa G, Morin SF, Fritz K, Charlebois ED, van Rooyen H, Chingono A, et al. 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. 2008;49(4):422–31.PubMedCrossRefGoogle Scholar
- 9.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.