dc.contributor.author | Lewis, Kulzer J | |
dc.contributor.author | Penner, JA | |
dc.contributor.author | Marima, R | |
dc.contributor.author | Oyaro, P | |
dc.contributor.author | Oyanga, AO | |
dc.contributor.author | Shade, SB | |
dc.contributor.author | Blat, CC | |
dc.contributor.author | Nyabiage, L | |
dc.contributor.author | Mwachari, CW | |
dc.contributor.author | Muttai, HC | |
dc.contributor.author | Bukusi, EA | |
dc.contributor.author | Cohen, CR | |
dc.date.accessioned | 2013-06-12T13:32:50Z | |
dc.date.available | 2013-06-12T13:32:50Z | |
dc.date.issued | 2012 | |
dc.identifier.citation | J Int AIDS Soc. 2012 Feb 22;15(1):8 | en |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/pubmed/22353553 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/32390 | |
dc.description.abstract | Background: Nyanza Province, Kenya, had the highest HIV prevalence in the country at 14.9% in 2007, more than
twice the national HIV prevalence of 7.1%. Only 16% of HIV-infected adults in the country accurately knew their HIV
status. Targeted strategies to reach and test individuals are urgently needed to curb the HIV epidemic. The family
unit is one important portal.
Methods: A family model of care was designed to build on the strengths of Kenyan families. Providers use a
family information table (FIT) to guide index patients through the steps of identifying family members at HIV risk,
address disclosure, facilitate family testing, and work to enrol HIV-positive members and to prevent new infections.
Comprehensive family-centred clinical services are built around these steps. To assess the approach, a retrospective
study of patients receiving HIV care between September 2007 and September 2009 at Lumumba Health Centre in
Kisumu was conducted. A random sample of FITs was examined to assess family reach.
Results: Through the family model of care, for each index patient, approximately 2.5 family members at risk were
identified and 1.6 family members were tested. The approach was instrumental in reaching children; 61% of family
members identified and tested were children. The approach also led to identifying and enrolling a high proportion
of HIV- positive partners among those tested: 71% and 89%, respectively.
Conclusions: The family model of care is a feasible approach to broaden HIV case detection and service reach.
The approach can be adapted for the local context and should continue to utilize index patient linkages, FIT
adaption, and innovative methods to package services for families in a manner that builds on family support and
enhances patient care and prevention efforts. Further efforts are needed to increase family member engagement | en |
dc.language.iso | en | en |
dc.title | Family model of HIV care and treatment: a retrospective study in Kenya | en |
dc.type | Article | en |
local.publisher | Family AIDS Care and Education Services (FACES), Research Care and Training Program, Centre for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya | en |