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Mobile, Population-wide, Hybrid HIV Testing Strategy Increases Number of Children Tested in Rural Kenya and Uganda

Ayieko, James, MB ChB, MPH*; Chamie, Gabriel, MD, MPH; Balzer, Laura, PhD; Kwarisiima, Dalsone, MB ChB, MPH§; Kabami, Jane, MPH§; Sang, Norton, MSc*; Cohen, Craig R., MD, MPH; Bukusi, Elizabeth A., MB ChB, MMed, PhD*; Clark, Tamara D., MHS; Plenty, Albert, MS; Charlebois, Edwin D., MPH, PhD; Petersen, Maya, MD, PhD; Kamya, Moses, MB ChB, MMed, PhD§; Havlir, Diane V., MD; Ruel, Theodore, MD

The Pediatric Infectious Disease Journal: December 2018 - Volume 37 - Issue 12 - p 1279–1281
doi: 10.1097/INF.0000000000002142
HIV Reports

Efficient ways to identify children with HIV in the context of universal test-and-treat policies are needed. We evaluated a hybrid testing strategy combining mobile community and home-based HIV testing in 87,700 children across 32 rural communities in 2 East African countries. This approach resulted in 81% testing coverage of at-risk children and doubled the number of children diagnosed with HIV.

From the *Center for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya

University of California, San Francisco, California

School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts

§College of Health Sciences, Makerere University, Kampala, Uganda

School of Public Health, University of California, Berkeley, California.

Accepted for publication May 20, 2018.

Supported by Division of AIDS, National Institute of Allergey and Infectious Diseases (NIAID) of the National Institutes of Health under award numbers U01AI099959 and 5UM1AI068636 and in part by the President’s Emergency Plan for AIDS Relief, Bill and Melinda Gates Foundation, and Gilead Sciences.

E.D.C. reports grants from National Institutes of Health, during the conduct of the study. D.V.H. reports grants from National Institutes of Health, nonfinancial support from Gilead Sciences, during the conduct of the study; grants from National Institutes of Health, grants from Gates Foundation, outside the submitted work. The other authors have no conflicts of interest to disclose.

Address for correspondence: James Ayieko, MB ChB, MPH, Kenya Medical Research Institute, P.O. Box 614–40100 Kisumu, Kenya. E-mail:

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