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Outcome of HIV Testing Among Family Members of Index Cases Across 36 Facilities in Abidjan, Côte d’Ivoire

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In Côte d’Ivoire, the Family Approach to Counseling and Testing (FACT) program began in 2015 and provides facility-based HIV testing to the sexual partners, children and other household family members of HIV-positive index cases. We evaluated whether the FACT program is an effective approach to HIV case finding. We reviewed 1762 index patient charts to evaluate outcomes of the FACT program, held across 36 facilities in Abidjan. Index cases enumerated a total of 644 partners, 2301 children and 508 other family members including parents and siblings. Among the partners tested for HIV, the positivity rate was 21%; for children the positivity rate was 5% and for all other family members the positivity rate was 11%. Offering HIV testing services to the family members of HIV positive index cases is an effective approach to case finding in Côte d’Ivoire. Particularly, offering HIV testing to the partners of positive women index cases can be key to identifying previously undiagnosed men and linking them to treatment.

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  1. This data misclassification error may have been caused by confusion during the enumeration interviews where the parent or guardian of the minor index cases enumerated their other children. Further, data showed that all but one of these minor index cases were 11 years old or younger.


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This project has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC) under the terms of Cooperative Agreements 1U2GGH000385.

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Correspondence to Arielle Lasry.

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The authors declare that they have no conflicts of interest.

Ethical Review

The FACT activity was carried out according to national policies and procedures on human subject protections, upheld by Côte d’Ivoire’s National Ethics and Research Committee (CNER) under the Ministry of Health and Public Hygiene. The analysis was approved by the Human Research Protection Coordinator of the Center for Global Health, Centers for Disease Control and Prevention (CDC).

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Lasry, A., Danho, N.K., Hulland, E.N. et al. Outcome of HIV Testing Among Family Members of Index Cases Across 36 Facilities in Abidjan, Côte d’Ivoire. AIDS Behav 25, 554–561 (2021).

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