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Voluntary counselling and testing reduced unprotected intercourse among adults in 3 developing countries

Design
Randomised (allocation concealment unclear^*), unblinded,^* controlled trial with mean 14 months follow up.

Setting
Nairobi, Kenya; Dar es Salaam, Tanzania; and Port of Spain, Trinidad.

Participants
4293 participants (3120 as individuals and 1173 as couples) who were 18 years of age (mean age 29 y) and were not known to be infected with HIV-1. First follow up data at a mean of 7.3 months were available for 2550 participants as individuals (82%) and for 1001 as couples (85%).

Intervention
Participants were stratified by site, sex, and couple or individual status and allocated to VCT (n=1563, 589 as couples) or health information (n=1557, 584 as couples). VCT involved personalised risk assessment, development of a plan for risk reduction with a counsellor, and ELISA testing of serum samples for HIV-1. The control intervention involved watching a 15 minute video and participating in a group discussion led by a health information officer about HIV-1 transmission . . . [Full text of this article]

Edward A Lichter, MD

University of Illinois College of Medicine Chicago, Illinois, USA