Home-Based HIV Testing Among Pregnant Couples Increases Partner Testing and Identification of Serodiscordant Partnerships

August 2016 - Combination Prevention

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Krakowiak, D., Kinuthia, J., Osoti, A.O., et al. Journal of Acquired Immune Deficiency Syndromes (August 2016), 72(2): S167–S173.

This study in Kenya compared two approaches—home visits versus written invitations—for encouraging male partners of pregnant women to accept HIV testing. Consenting pregnant women were randomly assigned to receive a home-based partner education and testing (HOPE) (n=306) visit within two weeks of enrollment, or a written invitation encouraging the male partner to attend the clinic for couple HIV counseling and testing and a delayed home-based partner education and testing visit at six months postpartum (INVITE) (n=295). The authors reported that at six-month follow-up, male partners in the HOPE arm were more than twice as likely to have been tested (87%) compared with men in the INVITE arm (39%). Couples in the HOPE arm (77%) were three times as likely to have been tested as a couple as those in the INVITE arm (24%); and women in the HOPE arm (88%) were twice as likely to know their partner’s HIV status as women in the INVITE arm (39%). Moreover, more serodiscordant couples were identified in the HOPE arm (13%) than in the INVITE arm (4%). The authors concluded that scheduled home visits are an effective, acceptable, and feasible strategy for conducting couple HIV testing for pregnant women and their partners.

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