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Updated: Jun 16, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

WITHDRAWN: Home-based HIV voluntary counseling and testing in developing countries.

Moses Bateganya¹, Omar A Abdulwadud, Susan M Kiene

¹Department of Global Health, University of Washington, 901 Boren Avenue, Suite 1100, Seattle, Washington, USA, 98104-3508.

The Cochrane Database of Systematic Reviews

|February 19, 2010

Summary

Home-based HIV voluntary counseling and testing (VCT) significantly increases uptake compared to facility-based models. However, more research is needed before widespread implementation can be recommended.

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Area of Science:

Public Health
Epidemiology
HIV Prevention

Background:

Low uptake of HIV voluntary counseling and testing (VCT) hinders global HIV prevention efforts.
Only 10% of infected individuals are aware of their HIV status, limiting treatment access.
Home-based VCT models are explored to improve testing rates and prevent new infections.

Purpose of the Study:

Identify and appraise studies on home-based HIV VCT implementation in developing countries.
Determine if home-based HIV VCT improves testing outcomes compared to facility-based models.

Main Methods:

Searched MEDLINE, EMBASE, CENTRAL, AIDSearch, Cochrane Library, LILACS, CINAHL, and Sociofile (up to February 2007).
Included randomized controlled trials (RCTs) and non-randomized trials comparing home-based VCT with other models.
Extracted data and expressed findings as odds ratios (OR) and relative risks (RR) with 95% confidence intervals (CI).

Main Results:

Two studies (one cluster-RCT, one pre/post-cohort) were included, both from developing countries.
Home-based HIV VCT showed very high acceptability and uptake compared to facility-based testing.
Home-based testing increased VCT acceptance by 4.6 times (RR 4.6) and result delivery by 5.23 times (OR 5.23).

Conclusions:

Home-based HIV testing and results delivery increase testing uptake.
Limited evidence and study limitations necessitate further research before large-scale implementation.
Home-based models show promise for improving HIV testing rates in resource-limited settings.