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Index case finding facilitates identification and linkage to care of children and young persons living with HIV/AIDS in Malawi.
Ahmed, Saeed; Sabelli, Rachael A; Simon, Katie; Rosenberg, Nora E; Kavuta, Elijah; Harawa, Mwelura; Dick, Spencer; Linzie, Frank; Kazembe, Peter N; Kim, Maria H.
Afiliação
  • Ahmed S; Abbott Fund Children's Clinical Center of Excellence, Baylor College of Medicine, Lilongwe, Malawi.
  • Sabelli RA; Baylor International Pediatric AIDS Initiative at Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
  • Simon K; Abbott Fund Children's Clinical Center of Excellence, Baylor College of Medicine, Lilongwe, Malawi.
  • Rosenberg NE; Abbott Fund Children's Clinical Center of Excellence, Baylor College of Medicine, Lilongwe, Malawi.
  • Kavuta E; Baylor International Pediatric AIDS Initiative at Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
  • Harawa M; University of North Carolina, Chapel Hill, NC, USA.
  • Dick S; Abbott Fund Children's Clinical Center of Excellence, Baylor College of Medicine, Lilongwe, Malawi.
  • Linzie F; Abbott Fund Children's Clinical Center of Excellence, Baylor College of Medicine, Lilongwe, Malawi.
  • Kazembe PN; Abbott Fund Children's Clinical Center of Excellence, Baylor College of Medicine, Lilongwe, Malawi.
  • Kim MH; Malawi Ministry of Health, Lilongwe, Malawi.
Trop Med Int Health ; 22(8): 1021-1029, 2017 08.
Article em En | MEDLINE | ID: mdl-28544728
OBJECTIVES: Evaluation of a novel index case finding and linkage-to-care programme to identify and link HIV-infected children (1-15 years) and young persons (>15-24 years) to care. METHODS: HIV-infected patients enrolled in HIV services were screened and those who reported untested household members (index cases) were offered home- or facility-based HIV testing and counselling (HTC) of their household by a community health worker (CHW). HIV-infected household members identified were enrolled in a follow-up programme offering home and facility-based follow-up by CHWs. RESULTS: Of the 1567 patients enrolled in HIV services, 1030 (65.7%) were screened and 461 (44.8%) identified as index cases; 93.5% consented to HIV testing of their households and of those, 279 (64.7%) reported an untested child or young person. CHWs tested 711 children and young persons, newly diagnosed 28 HIV-infected persons (yield 4.0%; 95% CI: 2.7-5.6), and identified an additional two HIV-infected persons not enrolled in care. Of the 30 HIV-infected persons identified, 23 (76.6%) were linked to HIV services; 18 of the 20 eligible for ART (90.0%) were initiated. Median time (IQR) from identification to enrolment into HIV services was 4 days (1-8) and from identification to ART start was 6 days (1-8). CONCLUSIONS: Almost half of HIV-infected patients enrolled in treatment services had untested household members, many of whom were children and young persons. Index case finding, coupled with home-based testing and tracked follow-up, is acceptable, feasible and facilitates the identification and timely linkage to care of HIV-infected children and young persons.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Características da Família / Programas de Rastreamento / Serviços de Saúde Comunitária Tipo de estudo: Diagnostic_studies / Evaluation_studies / Prognostic_studies / Screening_studies Limite: Adolescent / Adult / Child / Child, preschool / Humans País como assunto: Africa Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Características da Família / Programas de Rastreamento / Serviços de Saúde Comunitária Tipo de estudo: Diagnostic_studies / Evaluation_studies / Prognostic_studies / Screening_studies Limite: Adolescent / Adult / Child / Child, preschool / Humans País como assunto: Africa Idioma: En Ano de publicação: 2017 Tipo de documento: Article