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Point-of-care HIV tests done by peers, Brazil.
Pascom, Ana Roberta Pati; Dutra de Barros, Clarissa Habckost; Lobo, Tainah Dourado de Miranda; Pasini, Elisiane Nelcina; Comparini, Regina Aparecida; Caldas de Mesquita, Fábio.
Afiliação
  • Pascom AR; STI, AIDS and Viral Hepatitis Department, Health Surveillance Secretariat, Ministry of Health, Setor Administrativo Federal Sul (SAFS) 02 - Bloco F - Ed. Premium Torre I, Sala 4, 70.070-600, Brasília, DF, Brazil .
  • Dutra de Barros CH; STI, AIDS and Viral Hepatitis Department, Health Surveillance Secretariat, Ministry of Health, Setor Administrativo Federal Sul (SAFS) 02 - Bloco F - Ed. Premium Torre I, Sala 4, 70.070-600, Brasília, DF, Brazil .
  • Lobo TD; STI, AIDS and Viral Hepatitis Department, Health Surveillance Secretariat, Ministry of Health, Setor Administrativo Federal Sul (SAFS) 02 - Bloco F - Ed. Premium Torre I, Sala 4, 70.070-600, Brasília, DF, Brazil .
  • Pasini EN; STI, AIDS and Viral Hepatitis Department, Health Surveillance Secretariat, Ministry of Health, Setor Administrativo Federal Sul (SAFS) 02 - Bloco F - Ed. Premium Torre I, Sala 4, 70.070-600, Brasília, DF, Brazil .
  • Comparini RA; STI, AIDS and Viral Hepatitis Department, Health Surveillance Secretariat, Ministry of Health, Setor Administrativo Federal Sul (SAFS) 02 - Bloco F - Ed. Premium Torre I, Sala 4, 70.070-600, Brasília, DF, Brazil .
  • Caldas de Mesquita F; STI, AIDS and Viral Hepatitis Department, Health Surveillance Secretariat, Ministry of Health, Setor Administrativo Federal Sul (SAFS) 02 - Bloco F - Ed. Premium Torre I, Sala 4, 70.070-600, Brasília, DF, Brazil .
Bull World Health Organ ; 94(8): 626-30, 2016 Aug 01.
Article em En | MEDLINE | ID: mdl-27516641
PROBLEM: Early diagnosis of infections with human immunodeficiency virus (HIV) is needed - especially among key populations such as sex workers, transgender people, men who have sex with men and people who use drugs. APPROACH: The Brazilian Ministry of Health developed a strategy called Viva Melhor Sabendo ("live better knowing") to increase HIV testing among key populations. In partnership with nongovernmental organizations (NGOs), a peer point-of-care testing intervention, using an oral fluid rapid test, was introduced at social venues for key populations at different times of the day. LOCAL SETTING: Key populations in Brazil can have 40 times higher HIV prevalence than the general population (14.8% versus 0.4%). RELEVANT CHANGES: Legislation was reinterpreted, so that oral fluid rapid tests could be administered by any person trained in rapid testing by the health ministry. Between January 2014 and March 2015, 29 723 oral fluid tests were administered; 791 (2.7%) were positive. Among the key populations, transgender people had the greatest proportion of positive results (10.7%; 172/1612), followed by men who declared themselves as commercial sex workers (8.7%; 165/1889) and men who have sex with men (4.8%; 292/6055). LESSONS LEARNT: The strategy improved access to HIV testing. Testing done by peers at times and locations suitable for key populations increased acceptance of testing. Working with relevant NGOs is a useful approach when reaching out to these key populations.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Grupo Associado / Infecções por HIV / Testes Imediatos Tipo de estudo: Diagnostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Bull World Health Organ Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Grupo Associado / Infecções por HIV / Testes Imediatos Tipo de estudo: Diagnostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Bull World Health Organ Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça