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International Union Against Tuberculosis and Lung Disease, Public Health Action, 2(3), p. 172-174

DOI: 10.5588/pha.12.0092

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Rapid home-based human immunodeficiency virus testing to reduce costs in a large tuberculosis cohort study [Short communication]

Journal article published in 2013 by J. T. Galea ORCID, C. Contreras, L. Lecca ORCID, S. Shin, R. Lobatón, Z. Zhang, R. Calderón ORCID, M. Murray, M. C. Becerra
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This paper is available in a repository.

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Abstract

To reduce costs in a large tuberculosis household contact cohort study in Lima, Peru, we replaced laboratory-based human immunodeficiency virus (HIV) testing with home-based rapid HIV testing. We developed a protocol and training course to prepare staff for the new strategy; these included role-playing for home-based deployment of the Determine® HIV 1/2 Ag/Ac Combo HIV test. Although the rapid HIV test produced more false-positives, the overall cost per participant tested, refusal rate and time to confirmatory HIV testing were lower with the home-based rapid testing strategy compared to the original approach. Rapid testing could be used in similar research or routine care settings.