Center for Global Health, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
Fondation Ariel Glaser pour la lutte contre le SIDA pédiatrique, Abidjan, Côte d'Ivoire.
AIDS Behav. 2021 Feb;25(2):554-561. doi: 10.1007/s10461-020-03002-0.
In Côte d'Ivoire, the Family Approach to Counseling and Testing (FACT) program began in 2015 and provides facility-based HIV testing to the sexual partners, children and other household family members of HIV-positive index cases. We evaluated whether the FACT program is an effective approach to HIV case finding. We reviewed 1762 index patient charts to evaluate outcomes of the FACT program, held across 36 facilities in Abidjan. Index cases enumerated a total of 644 partners, 2301 children and 508 other family members including parents and siblings. Among the partners tested for HIV, the positivity rate was 21%; for children the positivity rate was 5% and for all other family members the positivity rate was 11%. Offering HIV testing services to the family members of HIV positive index cases is an effective approach to case finding in Côte d'Ivoire. Particularly, offering HIV testing to the partners of positive women index cases can be key to identifying previously undiagnosed men and linking them to treatment.
在科特迪瓦，家庭咨询和检测方法（FACT）项目于 2015 年启动，为艾滋病毒阳性病例的性伴侣、子女和其他家庭成员提供基于机构的艾滋病毒检测。我们评估了 FACT 项目是否是一种有效的艾滋病毒病例发现方法。我们审查了阿比让 36 个机构开展的 1762 名索引患者图表，以评估 FACT 项目的结果。索引病例共列出了 644 名性伴侣、2301 名儿童和 508 名其他家庭成员，包括父母和兄弟姐妹。在接受艾滋病毒检测的性伴侣中，阳性率为 21%；儿童的阳性率为 5%，所有其他家庭成员的阳性率为 11%。向艾滋病毒阳性指数病例的家庭成员提供艾滋病毒检测服务是在科特迪瓦发现病例的有效方法。特别是向艾滋病毒阳性妇女的性伴侣提供艾滋病毒检测可以成为发现以前未诊断出的男性并将其联系到治疗的关键。
