Publications by authors named "Geoffrey Guloba"

Introduction: Facility-based HIV testing services (HTS) have been less acceptable and accessible by adolescents, men and key populations in South Africa. Community-based HIV counselling and testing (CBCT) modalities, including mobile unit and home-based testing, have been proposed to decrease barriers to HIV testing uptake. CBCT modalities and approaches may be differentially acceptable to men and women based on age.

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Pre-exposure prophylaxis (PrEP) for HIV prevention is safe and effective in reducing HIV incidence. However, more evidence of PrEP knowledge, willingness and distribution preferences is required for scale-up among young people at-risk. To understand young people PrEP awareness, willingness and roll-out preferences.

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This article assesses the history of HIV testing among community-based HIV counselling and testing (CBCT) clients between 2014 and 2018 in 13 South African districts. Consenting clients were tested for HIV and interviewed to categorise as first-time testers or repeat testers. Of the 1 800 753 clients tested for HIV, 15.

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Article Synopsis
  • A study is being done in Sub-Saharan Africa to see if using community members as health workers can help more people get tested for HIV and linked to care.
  • They are comparing two methods: one where community members are paid for their work and another where full-time health counselors work for a fixed salary.
  • The results will help understand if the new method increases testing rates and makes it cheaper to help people who are HIV positive.
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Article Synopsis
  • The study explored the effectiveness of an index client tracing method in increasing HIV testing participation and identifying positive cases in a community-based program, compared to other recruitment strategies like mobile and home-based testing.
  • Results showed that while the index method reached a smaller overall number of clients, it was particularly successful in testing children and identifying higher proportions of HIV-positive individuals, especially females.
  • By the second year of the study, the index tracing method demonstrated significant improvements in linking identified HIV-positive individuals to care, rising from 33.3% to 78.9%.
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South Africa ranks third among 22 high burden countries in the world. TB which remains a leading cause of death causes one in five adult deaths in South Africa. An in-depth understanding of knowledge, attitudes and practices of young people towards TB is required to implement meaningful interventions.

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Introduction: Although current data projects South Africa potentially meeting the UN target to test 90% of all people living with HIV by 2020, linking them to HIV care remains a big challenge. In an effort to increase linkage to care (LTC) of HIV positive clients an innovative collaborative intervention between two non-governmental organisations was developed and implemented between 2016 and 2017. This paper investigated the outcome of this collaborative intervention.

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Introduction: Although HIV testing services (HTS) have been successfully task-shifted to lay counsellors, no model has tested the franchising of HTS to lay counsellors as independent small-scale business owners. This paper evaluates the effectiveness of a social franchisee (SF) HTS-managed pilot project compared to the Foundation for Professional Development (FPD) employee-managed HTS programme in testing and linking clients to care.

Methods: Unemployed, formally employed or own business individuals were engaged as franchisees, trained and supported to deliver HTS services under a common brand in high HIV-prevalent communities in Tshwane district between 2016 and 2017.

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