National Institute for Medical Research, Mwanza, Tanzania.
Department of Anthropology, Rutgers University, New Brunswick, NJ, USA.
AIDS Behav. 2022 Nov;26(11):3700-3712. doi: 10.1007/s10461-022-03700-x. Epub 2022 May 13.
Collaborations with traditional healers have been proposed to improve HIV testing uptake. We hypothesized that healer-delivered HIV testing would improve HIV testing uptake, compared with referral to clinic-based HIV testing. We conducted a cluster randomized trial to determine the effectiveness of traditional healers delivering counseling and HIV testing in Mwanza, Tanzania (ClinicalTrials.gov NCT#04071873). Intervention arm healers provided counseling and offered point-of-care HIV tests to adult clients of unknown HIV serostatus. Control arm healers provided referral for clinic-based testing. Primary outcome was receipt of an HIV test within 90 days of enrollment. Secondary outcomes were new HIV diagnosis and linkage to care. In the intervention, 100 clients (100%) received an HIV test, compared with 73 (73%) of control participants (p < 0.001). Two intervention arm participants (2%) had a new diagnosis compared with zero in the control arm (p = 0.50). Engaging traditional healers might provide a culturally concordant opportunity to improve HIV testing uptake.
与传统治疗师合作已被提议用于提高 HIV 检测率。我们假设与转介到诊所进行 HIV 检测相比，由治疗师提供的 HIV 检测会提高 HIV 检测率。我们在坦桑尼亚姆万扎进行了一项整群随机试验，以确定传统治疗师提供咨询和现场 HIV 检测对 HIV 血清学未知的成年客户的有效性（ClinicalTrials.gov NCT#04071873）。干预组的治疗师为艾滋病毒血清学未知的成年客户提供咨询并提供现场 HIV 检测。对照组的治疗师提供转介到诊所进行检测。主要结局是在入组后 90 天内接受 HIV 检测。次要结局是新的 HIV 诊断和获得护理。在干预组中，100 名参与者（100%）接受了 HIV 检测，而对照组中只有 73 名参与者（73%）接受了 HIV 检测（p<0.001）。干预组中有两名参与者（2%）被诊断出新的 HIV 感染，而对照组中则没有（p=0.50）。与转介到诊所进行 HIV 检测相比，与传统治疗师合作可能为提高 HIV 检测率提供了一种文化上一致的机会。
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