Care and support is not adequate at some outreach sites, because other services are either closed or the health centre staff is busy with other services; most health centres are inadequately staffed.
At some sites, at times, there is change of counseling rooms because they are used for the provision of other services; this disrupts consistency and is inconvenient.
Regular and consistent community mobilization activities carried out by collaborative partners maintained levels of VCT demand at some outreach sites. This is true with radio adverts for stand-alone sites; when radio adverts are running, the demand is high; the demand is low when radio adverts are not running.
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.
There is higher workload for each counselor at most outreach sites than at static sites. Possibly, it is because the sites are operating once a week. The situation may improve with increased frequency of service provision per week.
1 Increase outreach testing sites from 4 per Branch to five per branch.
Increase frequency of visits to some sites that have high demand.
Increase number of counselors for outreach testing to cope up with demand.
Increase number of static sites to also start outreach testing.
Provide and compliment appropriate care and support to clients during outreach testing visit.
Encourage formation of PTC at outreach sites.
Introduce mobile outreach testing, using mobile van.