Article Text

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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 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?


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


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


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%).


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 …

View Full Text


  • Sources of funding: US Agency for International Development; World Health Organisation; United Nations Programme on AIDS; National Institute of Mental Health.

  • For correspondence: Dr T J Coates, Center for AIDS Prevention Studies, University of California, San Francisco, 74 New Montgomery #600, San Francisco, CA 94105, USA. Fax +1 415 597 9213.

  • * See glossary.