- Denise Naniche
- Funded by
- Centers for Disease Control in Atlanta -Pepfar
The world is moving towards HIV testing and immediate antiretroviral therapy for all. In many areas such as Sub Saharan Africa where HIV prevalence is high, this does not only mean ensuring access to medicines but also calls for attention to each step in the continuum of care. Prior to implementation of test and start, several questions need to be addressed in the communities:
- What are the most adapted HIV testing strategies for community needs?
- What is the extent of loss to follow up after initiation of treatment?
- What are the barriers at each step of the continuum.
The overarching goal of TESFAM is to increase linkage to HIV care and treatment services after HIV testing in the community of Manhiça, a semi-rural district in Southern Mozambique.
TESFAM is a collaborative project between ISGLOBAL and the CISM (Centro de Investigação em Saúde da Manhiça), a leading African HIV research center, in alliance with Fundação Ariel Glaser contra o SIDA Pediátrico.
The project aims to assess different HIV testing and counseling approaches (voluntary testing, home based testing and provider initiated testing) in terms of their rates of linkage and retention in care as well as cost effectiveness.
In the context of tesfam, more than 10,000 homes have been visited by community health workers and a total of 15.000 people have received HIV counseling and testing in one of the three testing modalities.
The tesfam project will shed light on the specifics of care-seeking behavior for HIV care and pave the way for optimizing HIV testing and linkage strategies to close the gaps in the cascade of HIV care.
Other projectsSee Past Projects
Optimizing provider-initiated HIV testing, linkage, and retention in care in the district of Manhiça, Mozambique
Linkage and retention in care following home-based HIV testing serosurveys in Manhiça District, Southern Mozambique
Improved case detection through TB contact risk stratification by Xpert results and spatial parameters in Mozambique
Evaluation of the effect of weekly high dose rifapentine and isoniazid (3HP) vs periodic 3HP vs 6H for preventing TB among HIV-positive individuals
Measuring community prevalence among HIV exposed children in rural Southern Mozambique
Improving Maternal and Infant Health by reducing malaria risks in African women: evaluation of the safety and efficacy of dihydroartemisinin-piperaquine for intermittent preventive treatment of malaria in HIV-infected pregnant women
Integrating and decentralizing diabetes and hypertension services in Africa
Predicting the Future: Incipient Tuberculosis
2nd Generation Color Agar Plates to Diagnose MDR-Tuberculosis: a Prospective Pilot Study