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

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 QUESTION: In adults in developing countries, is a voluntary counselling and testing (VCT) programme as effective as a health information programme in reducing risk behaviour associated with sexual transmission of HIV-1?

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 …

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