Format

Send to:

Choose Destination
See comment in PubMed Commons below
PLoS One. 2014 Jan 28;9(1):e86609. doi: 10.1371/journal.pone.0086609. eCollection 2014.

Experience of offering HIV rapid testing to at-risk patients in community health centers in eight Chinese cities.

Author information

  • 1National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
  • 2Beijing Centers for Diseases Control and Prevention, Beijing, China.
  • 3Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
  • 4Chongqing Center for Disease Control and Prevention, Chongqing, China.
  • 5Harbin Center for Disease Control and Prevention, Harbin, China.
  • 6Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
  • 7Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
  • 8Hunan Provincial Center for Disease Control and Prevention, Changsha, China.
  • 9Guangzhou Center for Disease Control and Prevention, Guangzhou, China.
  • 10Shandong Provincial Center for Disease Control and Prevention, Jinan, China.

Abstract

OBJECTIVE:

To explore the feasibility of offering HIV counseling and testing in community health centers (CHCs) and to provide evidence for the HIV/AIDS response in China.

METHODS:

Forty-two CHCs were selected from the eight cities that participated in the study. Rapid testing was mainly provided to: clients seeking HIV testing and counseling (HTC); outpatients with high-risk behavior of contracting HIV; inpatients and outpatients of key departments. Aggregate administrative data were collected in CHCs and general hospitals and differences between the two categories were compared.

RESULTS:

There were 23,609 patients who underwent HIV testing, accounting for 0.37% of all estimated clinic visits at the 42 sites (0.03%-4.35% by site). Overall, positive screening prevalence was 0.41% (95% confidence interval [CI] 0.33%-0.49%, range 0.00%-0.98%), which is higher than in general hospitals (0.17%). The identification efficiency was 0.22% (95% CI: 0.16%-0.27%) in pilot CHCs, 3.5 times higher than in general hospitals (0.06%) (Chi square test = 95.196, p<0.001). The percentage of those receiving confirmatory tests among those who screened positive was slightly lower in CHCs (73.7%) than in general hospitals (80.1%) (Chi-square test = 17.472, p<0.001). Composition of clients mobilized for testing was consistent with the usage of basic public health and medical services in CHCs. The rate of patients testing HIV positive was higher among patients from key CHC departments (0.68%) than among high-risk Voluntary Counseling and Testing (VCT) clients (0.56%), those participating in outreach activities (0.41%), pregnant women (0.05%), and surgical patients (0.00%).

CONCLUSION:

This project demonstrates that providing HIV testing services for patients who exhibit high risk behavior has a high HIV case detection rate and that CHCs have the capacity to integrate HTC into routine work. It provides concrete evidence supporting the involvement of CHCs in the expansion of HIV/AIDS testing and case finding.

PMID:
24489750
[PubMed - indexed for MEDLINE]
PMCID:
PMC3904922
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Public Library of Science Icon for PubMed Central
    Loading ...
    Write to the Help Desk