Feasibility and acceptability of point of care HIV testing in community outreach and GUM drop-in services in the North West of England: A programmatic evaluation

MacPherson, Peter; Chawla, Anu; Jones, Kathy; Coffey, Emer; Spaine, Vida; Harrison, Ian; Jelliman, Pauline; Phillips-Howard, Penelope; Beynon, Caryl; Taegtmeyer, Miriam
January 2011
BMC Public Health;2011 Supplement 4, Vol. 11 Issue Suppl 4, p419
Academic Journal
Background: In Liverpool, injecting drug users (IDUs), men-who-have-sex-with-men (MSM) and UK Africans experience a disproportionate burden of HIV, yet services do not reach out to these groups and late presentations continue. We set out to: increase testing uptake in targeted marginalized groups through a community and genitourinary medicine (GUM)-based point of care testing (POCT) programme; and conduct a process evaluation to examine service provider inputs and document service user perceptions of the programme. Methods: Mixed quantitative, qualitative and process evaluation methods were used. Service providers were trained to use fourth generation rapid antibody/antigen HIV tests. Existing outreach services incorporated POCT into routine practice. Clients completed a semi-structured questionnaire and focus group discussions (FGDs) were held with service providers. Results: Between September 2009 and June 2010, 953 individuals underwent POCT (GUM: 556 [59%]; community-based sites: 397 [42%]). Participants in the community were more likely to be male (p = 0.028), older (p < 0.001), of UK African origin (p < 0.001) and IDUs (p < 0.001) than participants from the GUM clinic. Seventeen new HIV diagnoses were confirmed (prevalence = 1.8%), 16 of whom were in risk exposure categories (prevalence: 16/517, 3.1%). Questionnaires and FGDs showed that clients and service providers were supportive of POCT, highlighting benefits of reaching out to marginalised communities and incorporating HIV prevention messages. Conclusions: Community and GUM clinic-based POCT for HIV was feasible and acceptable to clients and service providers in a low prevalence setting. It successfully reached target groups, many of whom would not have otherwise tested. We recommend POCT be considered among strategies to increase the uptake of HIV testing among groups who are currently underserved.


Related Articles

  • NEWS IN BRIEF: OREGON.  // Advocate;9/13/88, Issue 507, p23 

    Reports on Oregon health officials' plan of launching additional AIDS prevention campaigns targeted specifically at drug users, racial and ethnic minorities and sexually active youth.

  • Saints and Sinners: Training Papua New Guinean (PNG) Christian Clergy to Respond to HIV and AIDS Using a Model of Care. Benton, Kerry William // Journal of Religion & Health;Sep2008, Vol. 47 Issue 3, p314 

    Papua New Guinea has experienced a growing HIV/AIDS epidemic. The Christian Churches have played a vital role in responding to HIV, through community support, encouragement and social change. Strong, effective Church leadership can help create safe environments of care and support for those...

  • Implementation of Rapid HIV Testing Programs in Community and Outreach Settings: Perspectives from Staff at Eight Community-Based Organizations in Seven U.S. Cities. CLARK, HOLLIE A.; BOWLES, KRISTINA E.; BINWEI SONG; HEFFELFINGER, JAMES D. // Public Health Reports;Nov/Dec2008 Supplement, Vol. 123, p86 

    Objectives. The goals of this research were to evaluate perceptions of staff about the effectiveness of methods used by eight community-based organizations (CBOs) to implement human immunodeficiency virus (HIV) counseling and rapid testing in community and outreach settings in seven U.S. cities,...

  • AIDS OUTREACH. Broadhead, Robert S.; Fox, Kathryn J. // Society;Sep/Oct90, Vol. 27 Issue 6, p66 

    This article relates the experiences of social workers in their outreach programs with communities in the U.S. that are most at risk of AIDS. In trying to reach people who may shoot drugs or engage in other high-risk activities, outreach workers must first convince community members that they...

  • More than just a cut: a qualitative study of penile practices and their relationship to masculinity, sexuality and contagion and their implications for HIV prevention in Papua New Guinea. Kelly, Angela; Kupul, Martha; Trumb, Richard Nake; Aeno, Herick; Neo, James; Fitzgerald, Lisa; Hill, Peter S.; Kaldor, John M.; Siba, Peter; Vallely, Andrew // BMC International Health & Human Rights;2012, Vol. 12 Issue 1, p10 

    Background: Male circumcision (MC) has been shown to reduce vaginal transmission of HIV to men. While community acceptability is important in a countries preparedness to introduce MC, it is equally important to map contemporary MC and other penile cutting practices, and the socio-cultural...

  • Epidemiological characteristics and predictors of late presentation of HIV infection in Barcelona (Spain) during the period 2001-2009. de Olalla, Patricia Garcia; Mazardo, Christian; Sambeat, Maria A.; Ocaña, Inma; Knobel, Hernando; Humet, Victoria; Domingo, Pere; Ribera, Esteve; Guelar, Ana; Marco, Andres; Belza, Maria J.; Miró, Josep M.; Caylà, Joan A. // AIDS Research & Therapy;2011, Vol. 8, p22 

    Background: Early diagnosis of HIV infection can prevent morbidity and mortality as well as reduce HIV transmission. The aim of the present study was to assess prevalence, describe trends and identify factors associated with late presentation of HIV infection in Barcelona (Spain) during the...

  • AIDSWALK05 SET FOR SEPT. 25. Dougher, Sarah // Just Out;7/15/2005, Vol. 22 Issue 18, p9 

    Reports on the organization of the 19th annual AIDSWalk slated on September 2005 at the Pioneer Courthouse Square in Portland, Oregon. Efforts to raise funds for services, public education and outreach to youth and adults at risk for contracting HIV; Events and activities; Contact information...

  • out reach.  // Just Out;1/19/2007, Vol. 24 Issue 6, p32 

    The article announces several community outreach programs across Oregon compiled as of January 2007. CAREAssist pays for health insurance premiums, prescription drugs and insurance plan co-payments and deductibles for eligible people with HIV/AIDS. Cascade AIDS Project educates youth and adults...

  • OUTREACH.  // Just Out;9/3/2010, Vol. 27 Issue 18, p44 

    The article presents information on organizations providing outreach programs to sexual minorities in Portland, Oregon. It includes Cascade AIDS Project (CAP) which intend to educate adults and youth about causes and prevention of HIV, Center For family and Adolescent Research offering...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics