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

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.

Keywords: TB; human immunodeficiency virus; rapid testing

Document Type: Research Article

Affiliations: 1: Partners In Health, Boston, Massachusetts, USA 2: Socios En Salud, Lima, Peru 3: Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, USA 4: Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA_contents"> ">Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA

Publication date: 21 June 2013

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