TY - JOUR
T1 - Shout-It-Now
T2 - A Mobile HCT Model Employing Technology and Edutainment in South Africa
AU - Daniels, Joseph
AU - Komarek, Arnost
AU - Forgreive, Bruce
AU - Pahl, Kathryn
AU - Stafford, Stephen
AU - Bruns, Laurie Campbell
AU - Coates, Thomas
N1 - Funding Information:
Shout-It-Now received a nonresearch determination by the US-based Center for Global Health institutional review board within the Centers for Disease Control and Prevention (CDC), and the program received ethical approval to provide HCT services from the CDC/PEPFAR Office of the Associate Director for Science. This approval included electronic and verbal consent processes for HCT. Shout-It-Now asked participants for consent during the video education session, where they clicked either ‘‘yes’’ or ‘‘no’’ on the computer screen after listening to S-N HCT procedures. Also, participants reconfirmed their agreement to test verbally with the counselor in the HCT tent before they were offered HCT. Shout-It-Now was funded via CDC Cooperative Agreement: 1U2GGH000285, Strengthening Prevention in South Africa through Innovative Mobile HCT. The funding source had no role in the study design to include the collection, analysis, and interpretation of data, writing the manuscript, and submitting it for publication.
Publisher Copyright:
© SAGE Publications.
PY - 2017/9/1
Y1 - 2017/9/1
N2 - Background: Mobile HIV counseling and testing (HCT) has been effective in reaching men, women, and adolescents in South Africa. However, there is limited understanding of effective mobile HCT programs utilizing tools like technology and edutainment to increase HIV counseling and testing rates. The authors examine data from the Shout-It-Now (S-N) program that uses such tools in South Africa. Methods: The S-N program utilizes various forms of technology and ongoing telephonic counseling within a 6-step program of HIV testing and linkage-to-care support, and program data were analyzed over an 18-month period. Data were analyzed from women, men, and adolescent program participants. Summative statistics was conducted on participant registration, HIV risk assessment, and HIV testing profiles. HIV prevalence were estimated along with the related 95% confidence intervals using the Clopper-Pearson method. Results: Over an 18-month period, there were 72 220 program participants with high representation of men, women, and adolescents and 40% of the participants being men at each site. There were 3343 participants who tested HIV positive, and a higher proportion of women tested positive. Discussion: Integrating technology, quality assurance measures, and edutainment with mobile HCT has the potential to increase the number of those who test within communities. Research is needed to understand the effectiveness of this model in facilitating regular testing and linkage to care.
AB - Background: Mobile HIV counseling and testing (HCT) has been effective in reaching men, women, and adolescents in South Africa. However, there is limited understanding of effective mobile HCT programs utilizing tools like technology and edutainment to increase HIV counseling and testing rates. The authors examine data from the Shout-It-Now (S-N) program that uses such tools in South Africa. Methods: The S-N program utilizes various forms of technology and ongoing telephonic counseling within a 6-step program of HIV testing and linkage-to-care support, and program data were analyzed over an 18-month period. Data were analyzed from women, men, and adolescent program participants. Summative statistics was conducted on participant registration, HIV risk assessment, and HIV testing profiles. HIV prevalence were estimated along with the related 95% confidence intervals using the Clopper-Pearson method. Results: Over an 18-month period, there were 72 220 program participants with high representation of men, women, and adolescents and 40% of the participants being men at each site. There were 3343 participants who tested HIV positive, and a higher proportion of women tested positive. Discussion: Integrating technology, quality assurance measures, and edutainment with mobile HCT has the potential to increase the number of those who test within communities. Research is needed to understand the effectiveness of this model in facilitating regular testing and linkage to care.
KW - HIV
KW - edutainment
KW - mobile HCT
KW - technology
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UR - http://www.scopus.com/inward/citedby.url?scp=85029543193&partnerID=8YFLogxK
U2 - 10.1177/2325957416680296
DO - 10.1177/2325957416680296
M3 - Article
C2 - 27903950
AN - SCOPUS:85029543193
SN - 2325-9574
VL - 16
SP - 506
EP - 511
JO - Journal of the International Association of Providers of AIDS Care
JF - Journal of the International Association of Providers of AIDS Care
IS - 5
ER -