Linkage to HIV, TB and non-communicable disease care from a mobile testing unit in Cape Town, South Africa

 

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dc.contributor.author Govindasamy, Darshini en_ZA
dc.contributor.author Kranzer, Katharina en_ZA
dc.contributor.author van Schaik, Nienke en_ZA
dc.contributor.author Noubary, Farzad en_ZA
dc.contributor.author Wood, Robin en_ZA
dc.contributor.author Walensky, Rochelle P en_ZA
dc.contributor.author Freedberg, Kenneth A en_ZA
dc.contributor.author Bassett, Ingrid V en_ZA
dc.contributor.author Bekker, Linda-Gail en_ZA
dc.date.accessioned 2015-11-23T12:25:45Z
dc.date.available 2015-11-23T12:25:45Z
dc.date.issued 2013 en_ZA
dc.identifier.citation Govindasamy, D., Kranzer, K., van Schaik, N., Noubary, F., Wood, R., Walensky, R. P., ... & Bekker, L. G. (2012). Linkage to HIV, TB and non-communicable disease care from a mobile testing unit in Cape Town, South Africa. PloS one, 8(11), e80017. doi:10.1371/journal.pone.0080017 en_ZA
dc.identifier.uri http://hdl.handle.net/11427/15284
dc.identifier.uri http://dx.doi.org/10.1371/journal.pone.0080017
dc.description.abstract BACKGROUND: HIV counseling and testing may serve as an entry point for non-communicable disease screening. Objectives To determine the yield of newly-diagnosed HIV, tuberculosis (TB) symptoms, diabetes and hypertension, and to assess CD4 count testing, linkage to care as well as correlates of linkage and barriers to care from a mobile testing unit. METHODS: A mobile unit provided screening for HIV, TB symptoms, diabetes and hypertension in Cape Town, South Africa between March 2010 and September 2011. The yield of newly-diagnosed cases of these conditions was measured and clients were followed-up between January and November 2011 to assess linkage. Linkage to care was defined as accessing care within one, three or six months post-HIV diagnosis (dependent on CD4 count) and one month post-diagnosis for other conditions. Clinical and socio-demographic correlates of linkage to care were evaluated using Poisson regression and barriers to care were determined. RESULTS: Of 9,806 clients screened, the yield of new diagnoses was: HIV (5.5%), TB suspects (10.1%), diabetes (0.8%) and hypertension (58.1%). Linkage to care for HIV-infected clients, TB suspects, diabetics and hypertensives was: 51.3%, 56.7%, 74.1% and 50.0%. Only disclosure of HIV-positive status to family members or partners (RR=2.6, 95% CI: 1.04-6.3, p =0.04) was independently associated with linkage to HIV care. The main barrier to care reported by all groups was lack of time to access a clinic. CONCLUSION: Screening for HIV, TB symptoms and hypertension at mobile units in South Africa has a high yield but inadequate linkage. After-hours and weekend clinics may overcome a major barrier to accessing care. en_ZA
dc.language.iso eng en_ZA
dc.publisher Public Library of Science en_ZA
dc.rights This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/4.0 en_ZA
dc.source PLoS One en_ZA
dc.source.uri http://journals.plos.org/plosone en_ZA
dc.subject.other Tuberculosis en_ZA
dc.subject.other Diabetes mellitus en_ZA
dc.subject.other Hypertension en_ZA
dc.subject.other HIV clinical manifestations en_ZA
dc.subject.other HIV diagnosis and management en_ZA
dc.subject.other Health care facilities en_ZA
dc.subject.other HIV en_ZA
dc.subject.other Tuberculosis diagnosis and management en_ZA
dc.title Linkage to HIV, TB and non-communicable disease care from a mobile testing unit in Cape Town, South Africa en_ZA
dc.type Journal Article en_ZA
dc.rights.holder © 2013 Govindasamy et al en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Desmond Tutu HIV Centre en_ZA
uct.type.filetype Text
uct.type.filetype Image


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This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Except where otherwise noted, this item's license is described as This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.