Experimental design of couples and individual VCT in three antenatal clinics in Dar es Salaam

Stan Becker, Johns Hopkins University
Rose Mlay, Muhimbili University College of Health Sciences
Hilary Schwandt, Johns Hopkins University

At three antenatal clinics in Dar es Salaam, over 1500 married women who presented and consented were randomized to two groups–those in the first were offered individual VCT (IVCT) for HIV; those in the 2nd were given a letter from the medical officer addressed to the husband asking him to come with her to the clinic for the sake of the health of the mother and baby. In IVCT, women could decide to test or not and receive the results or not. Similarly, couples who presented were offered options to counsel, test and receive results together or not. The proportion of women testing and receiving results in the couples arm was significantly lower than in the IVCT arm (39% vs. 72% respectively). This might have been anticipated because the former involved another visit to the clinic while those in the IVCT arm could be tested the same day. Nevirapine use did not differ significantly by study arm.

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Presented in Session 70: Knowledge and Attitudes towards HIV and HIV voluntary testing