Article Text
Statistics from Altmetric.com
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 …
Footnotes
-
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.