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NATIONAL HIV/AIDS RESEARCH AND BEST PRACTICES CONFERENCE - page 21 / 103

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21 / 103

Site

Clients Tested Positive

Total

%

M

%

F

%

0-24

25+ yrs

Static

6690

14.7

3248

10

3442

25

1384

5306

Outreach

356

11

140

8

216

16

70

286

Total

7046

14.5

3388

10

3658

24

1454

5592

The % of women demanding VCT at outreach sites is more than that at static sites (44% at outreach sites and 30% at static sites). This is, possibly, because more women than men frequent health institutions either for themselves or for their children. Serving more women at outreach sites contributes to higher prevalence rates in rural sites. An example is in Blantyre where the rate for HIV+ clients above 25 years at outreach sites was 42% while that of urban stand-alone site was 30%. One would expect lower prevalence rate (in the same age-group) in rural areas than in urban areas.

16% of clients (as compared to 8% at static site) are illiterate as observed in Blantyre statistical report. This is the cause of difference in duration of counseling process. Counselors in Blantyre observe that it takes a longer time to go through the process with outreach clients than with static site clients. Clients at outreach sites are not as open as those at static sites.

Regular and consistent community mobilization activities carried out by collaborative partners maintained levels of VCT demand at some outreach sites.

Recommendations:

1.

Increase outreach testing sites from 4 per Branch to five per branch.

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