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Community-based Voluntary Counseling and Testing Services in Rural Communities of Chiang Mai Province, Northern Thailand

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Abstract

Between September, 2002 to May, 2003, we implemented community-based HIV Voluntary Counseling and Testing (VCT) services in four rural areas of Chiang Mai Province. The services included providing HIV/AIDS education and free mobile VCT using rapid testing with same day results. Overall, 427 villagers came for VCT (testers) and consented to be interviewed. HIV prevalence among testers was 4.9%, range from 1.1 to 8.4% by area. ‘It is free’ and/or ‘convenient’ were the most frequently cited factors that motivated them to get tested (72%) from our mobile VCT. Rural residents came for VCT when logistical barriers were removed. HIV prevalence among testers in some areas was high. Without extending HIV prevention efforts to population segments with less access to health care, the HIV problem in Thailand may re-emerge. Convenient and low-cost VCT may prove crucial for containing this HIV epidemic.

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References

  • Irwin, K., Valdiserri, R., & Holmberg, S. (1996). The acceptability of voluntary HIV antibody testing in the United States: A decade of lessons learned. AIDS, 10, 1707–1717.

    PubMed  CAS  Google Scholar 

  • Kawichai, S., Celentano, D. D., Chaifongsri, R., Nelson, K. E., Srithanaviboonchai, K., Natpratan, C., Byerer, C., Khamboonruang, C., & Tantipiwatanaskul, T. (2002). Profiles of HIV voluntary counseling and testing of clients at a Distric Hospital, Chiang Mai Province, Northern Thailand, from 1995–1999. Journal of Acquired Immune Deficiency Syndromes, 30, 493–502.

    PubMed  Google Scholar 

  • Morin, S. F., Khumalo-Sakutukwa, G., Charlebois, E. D., Routh, J., Fritz, K., Lane, T., Vaki, T., Fiamma, A., & Coates, T. J. (2006). Removing barriers to knowing HIV status, same-day mobile HIV testing in Zimbabwe. Journal of Acquired Immune Deficiency Syndromes, 41, 218–224.

    Article  PubMed  Google Scholar 

  • Paltiel, A. D., Weinstein, M. C., Kimmel, A. D., George, R. S. III, Losina, E., Zhang, H., Freedberg, K. A., & Walensky, R. P. (2005). Expanded screening for HIV in the United States— an analysis of cost-effectiveness. The New England Journal of Medicine, 352, 586–595.

    Article  PubMed  CAS  Google Scholar 

  • Sanders, G. D., Bayoumi, A. M., Sundaram, V., Bilir, S. P., Neukermans, C. P., Rydzak, C. E., Douglass, L. R., Lazzeroni, L. C., Holodniy, M., & Owens, D. K. (2005). Cost effectiveness of screening for HIV in the era of highly active antiretroviral therapy. The New England Journal of Medicine, 352, 570–585.

    Article  PubMed  CAS  Google Scholar 

  • Stein, J., & Nyamathi, A. (2000). Gender differences in behavioural and psychosocial predictors of HIV testing and return for test results in a high-risk population. AIDS Care, 12, 343–356.

    Article  PubMed  CAS  Google Scholar 

  • Thai Ministry of Public Health, Center of Epidemiology Data, Division of Disease Control. (2006). Situation of AIDS and symptomatic HIV infection cases in Thailand at January 31, 2005. Weekly Epidemiology Surveillance Report 2006,37.

  • Thai Ministry of Public Health, Division of Disease Control. (2003). Thailand HIV/AIDS situations. Bangkok, Thailand.

  • The World Bank. (2000). Thailand’s response to AIDS. Building on success, confronting the future. Bangkok, Thailand.

  • The Voluntary HIV-1 Counseling, Testing Efficacy Study Group. (2000). Efficacy of voluntary HIV-1 counselling and testing in individuals and couples in Kenya, Tanzania, and Trinidad: a randomised trail. Lancet, 356, 103–112.

    Article  Google Scholar 

  • UNAIDS. (1999). Counselling and voluntary HIV testing for pregnant women in high HIV prevalence countries, Elements and issues. Geneva: UNAIDS.

    Google Scholar 

Download references

Acknowledgment

This research was supported by a grant from the National Institute of Mental Health (U10 MH66687), U.S. National Institutes of Health.

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Correspondence to Surinda Kawichai.

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Kawichai, S., Celentano, D.D., Chariyalertsak, S. et al. Community-based Voluntary Counseling and Testing Services in Rural Communities of Chiang Mai Province, Northern Thailand. AIDS Behav 11, 770–777 (2007). https://doi.org/10.1007/s10461-007-9242-7

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  • DOI: https://doi.org/10.1007/s10461-007-9242-7

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