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