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Testing in the HIV Counselling and Testing (HCT) campaign, HIV risk behaviours and ART enrolment in South Africa.

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Onoya D, Mohlabane N, Maduna V, van Zyl J, Sewpaul R, Naidoo Y,


Onoya D, Mohlabane N, Maduna V, van Zyl J, Sewpaul R, Naidoo Y, (click to view)

Onoya D, Mohlabane N, Maduna V, van Zyl J, Sewpaul R, Naidoo Y,

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Public health 2016 5 10() pii 10.1016/j.puhe.2016.03.029

Abstract
OBJECTIVES
To examine the association between testing in the 2010 HIV Testing and Counselling (HCT) campaign with HIV risk behaviours and enrolment on ART.

STUDY DESIGN
Data for this study were collected as part of a nationally representative cross-sectional household survey conducted in 2012 in South Africa.

METHODS
Consenting participants completed a structured questionnaire and provided a dry blood spot specimen which was tested for HIV antibodies and antiretroviral drugs. Multinomial logistic regression was used to examine the association between HIV testing history and explanatory variables of interest.

RESULTS
There was no association between testing in the 2010 HCT campaign and condom use at last sex, number of sexual partnerships or HIV knowledge. Individuals who tested in the HCT campaign were more likely to disclose their status (COR 2.6, 95% CI: 1.71-3.8) and those who tested HIV positive in the campaign were more likely to be receiving ART (COR 1.8, 95% CI: 1.1-2.9). Testing in the HCT campaign was associated with having received both pretest and post-test counselling while testing before the campaign was associated with having received HIV results with no counselling (COR 2.1, 95% CI: 1.2-3.8).

CONCLUSION
We highlight the success of the 2010 HCT campaign in improving HIV status disclosure and enrolment on ART as well as shortcomings on HIV risk behaviours and HIV knowledge. These may be related to issues of quality assurance in the counselling process. Our results further highlight possible HCT counselling inconsistencies across sectors requiring stronger public-private partnership in the delivery of HCT in South Africa.

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