HIV Testing and Treatment with the Use of a Community Health Approach in Rural Africa.

ABSTRACT:

Background

Universal antiretroviral therapy (ART) with annual population testing and a multidisease, patient-centered strategy could reduce new human immunodeficiency virus (HIV) infections and improve community health.

Methods

We randomly assigned 32 rural communities in Uganda and Kenya to baseline HIV and multidisease testing and national guideline-restricted ART (control group) or to baseline testing plus annual testing, eligibility for universal ART, and patient-centered care (intervention group). The primary end point was the cumulative incidence of HIV infection at 3 years. Secondary end points included viral suppression, death, tuberculosis, hypertension control, and the change in the annual incidence of HIV infection (which was evaluated in the intervention group on

SUBMITTER: Havlir DV 

PROVIDER: S-EPMC6748325 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature