Maximizing the impact of HIV prevention efforts: Interventions for couples
Published Date:May 08 2013
Source:AIDS Care. 25(12):1569-1580.
Keywords:Africa South Of The Sahara
Couples HIV Testing And Counseling
Family Planning Services
HIV Serodiscordant Couples
Preventive Health Services
Risk Reduction Behavior
Pubmed Central ID:PMC4664148
Funding:CC999999/Intramural CDC HHS/United States
Description:Despite efforts to increase access to HIV testing and counseling services, population coverage remains low. As a result, many people in sub-Saharan Africa do not know their own HIV status or the status of their sex partner(s). Recent evidence, however, indicates that as many as half of HIV-positive individuals in ongoing sexual relationships have an HIV-negative partner and that a significant proportion of new HIV infections in generalized epidemics occur within serodiscordant couples. Integrating couples HIV testing and counseling (CHTC) into routine clinic- and community-based services can significantly increase the number of couples where the status of both partners is known. Offering couples a set of evidence-based interventions once their HIV status has been determined can significantly reduce HIV incidence within couples and if implemented with sufficient scale and coverage, potentially reduce population-level HIV incidence as well. This article describes these interventions and their potential benefits.
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