Providing a gateway to prevention and care for the most at-risk populations in Bhutan: is this being achieved?

Hdl Handle:
http://hdl.handle.net/10144/315047
Title:
Providing a gateway to prevention and care for the most at-risk populations in Bhutan: is this being achieved?
Authors:
Khandu, L; Zachariah, R; Van den Bergh, R; Wangchuk, D; Tshering, N; Wangmo, D; Ananthakrishnan, R; Dorji, T; Satyanarayana, S
Journal:
Public Health Action
Abstract:
Setting: Two free-standing urban human immunodeficiency virus (HIV) testing and counselling (HCT) centres in Bhutan offering services to the general population and targeting the most at-risk populations (MARPs). Objectives: To assess the trend in testing for HIV, hepatitis B and syphilis in both the general population and MARPs, and to determine if sociodemographic and risk behaviour characteristics are associated with HIV, hepatitis B and syphilis seropositivity. Design: Cross-sectional study using client records, 2009–2012. Results: Of 7894 clients, 3009 (38%) were from the general population, while 4885 (62%) were from MARPs. Over the 4-year period, testing declined progressively among the general population, while it increased or remained static for MARPs. Of 4885 MARPs, seropositivity was respectively 0.7%, 1.3% and 1.2% for HIV, hepatitis B and syphilis. Female sex workers (FSWs) (relative risk[RR] 4.4, P=0.03) and partners of person living with HIV(RR 25.9, P<0.001) had a higher risk of being HIV-positive. FSWs had also a greater risk of being syphilis-positive(RR 9.1, P<0.001). Conclusion: The increase in uptake of HCT services by MARPs is a welcome finding; however, the relatively static trends call for the introduction of community outreach approaches. The critical gateway being provided to MARPs is an ‘opportunity’ for the expansion of the current service package.
Publisher:
International Union Against Tuberculosis and Lung Disease
Issue Date:
Mar-2014
URI:
http://hdl.handle.net/10144/315047
Language:
en
Appears in Collections:
Operational Research Courses

Full metadata record

DC FieldValue Language
dc.contributor.authorKhandu, Len_GB
dc.contributor.authorZachariah, Ren_GB
dc.contributor.authorVan den Bergh, Ren_GB
dc.contributor.authorWangchuk, Den_GB
dc.contributor.authorTshering, Nen_GB
dc.contributor.authorWangmo, Den_GB
dc.contributor.authorAnanthakrishnan, Ren_GB
dc.contributor.authorDorji, Ten_GB
dc.contributor.authorSatyanarayana, Sen_GB
dc.date.accessioned2014-03-31T21:17:29Z-
dc.date.available2014-03-31T21:17:29Z-
dc.date.issued2014-03-
dc.identifier.citationPHA 2014; 4(1): 22–27en_GB
dc.identifier.urihttp://hdl.handle.net/10144/315047-
dc.description.abstractSetting: Two free-standing urban human immunodeficiency virus (HIV) testing and counselling (HCT) centres in Bhutan offering services to the general population and targeting the most at-risk populations (MARPs). Objectives: To assess the trend in testing for HIV, hepatitis B and syphilis in both the general population and MARPs, and to determine if sociodemographic and risk behaviour characteristics are associated with HIV, hepatitis B and syphilis seropositivity. Design: Cross-sectional study using client records, 2009–2012. Results: Of 7894 clients, 3009 (38%) were from the general population, while 4885 (62%) were from MARPs. Over the 4-year period, testing declined progressively among the general population, while it increased or remained static for MARPs. Of 4885 MARPs, seropositivity was respectively 0.7%, 1.3% and 1.2% for HIV, hepatitis B and syphilis. Female sex workers (FSWs) (relative risk[RR] 4.4, P=0.03) and partners of person living with HIV(RR 25.9, P<0.001) had a higher risk of being HIV-positive. FSWs had also a greater risk of being syphilis-positive(RR 9.1, P<0.001). Conclusion: The increase in uptake of HCT services by MARPs is a welcome finding; however, the relatively static trends call for the introduction of community outreach approaches. The critical gateway being provided to MARPs is an ‘opportunity’ for the expansion of the current service package.en_GB
dc.language.isoenen
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen_GB
dc.subjectCourse on Operational Researchen_GB
dc.subjectHIV/AIDSen_GB
dc.titleProviding a gateway to prevention and care for the most at-risk populations in Bhutan: is this being achieved?en
dc.identifier.journalPublic Health Actionen_GB
All Items in MSF are protected by copyright, with all rights reserved, unless otherwise indicated.