부산대학교 도서관

Home-based HIV counselling and testing (HBHCT) and community mobilization have been proven to be effective in increasing the number of people linked to HIV care and treatment. An assessment was conducted in 18 health facilities in Uganda to evaluate the availability and extent of home based testing services and community mobilization activities in underserved communities. The performance of the health facilities was assessed using a checklist with indicators of HBHCT and community mobilization. While most of the health facilities (72.2%) had active community mobilization, only 12.2% had HBHCT services and this might have affected universal access to HIV prevention, care and treatment. The health facilities did not accompany their intensive community mobilization activities with HBHCT yet this provided the ideal entry point and opportunity to improve linkage to HIV treatment and care. Keywords: Home based testing, HIV, community mobilization Les conseils et le depistage du VIH a domicile (CDVD) et la mobilisation de la communaute ont fait leurs preuves pour etre efficaces dans l'augmentation du nombre de personnes liees aux soins et au traitement du VIH. Une evaluation a ete menee dans 18 etablissements de sante en Ouganda pour evaluer la disponibilite et l'etendue des services de depistage a domicile et desactivites de mobilisation communautaire dans les communautes mal desservies. La performance des etablissements de sante a ete evaluee a l'aide d'une liste d'indicateurs du CDVD et de la mobilisation communautaire. Alors que la plupart des etablissements de sante (72,2 %) avaient une mobilisation active de la communaute, seulement 12,2 % avaient des services du CDVD ce qui pourrait pu affecter l'acces universel a la prevention, aux soins et au traitement du VIH. Les etablissements de sante ne sont pas joints a leurs activites de la mobilisation communautaire intensives avec CDVD, pourtant cette condition a fourni le point d'entree ideal et la possibilite d'ameliorer l'articulation au traitement et aux soins du VIH. Mots-cles: analyse a domicile, VIH, mobilisation communautaire
Introduction In order to increase universal access to HIV services, voluntary HIV counselling and testing has been scaled up in most limited resource settings although uptake remains low (1). The [...]