NIMH Project Accept (HPTN 043) HIV/AIDS community mobilization (CM) to promote mobile HIV voluntary counseling and testing (MVCT) in rural communities in Northern Thailand: modifications by experience
Kawichai, S.; Celentano, D.; Srithanaviboonchai, K.; Wichajarn, M.; Pancharoen, K.; Chariyalertsak, C.; Visrutaratana, S.; Khumalo-Sakutukwa, G.; Sweat, M.; Chariyalertsak, S.; Abler, L.; Bamanyisa, C.; Beyrer, C.; Carrico, A.W.; Celentano, D.; Chariyalertsak, S.; Chingono, A.; Chovenye, L.; Coates, T.J.; Curran, K.; Donnell, D.; Eshleman, S.; Fiamma, A.ès.; Fritz, K.; Frohlich, J.; Genberg, B.; Gray, G.; Gregowski, A.; Hausler, H.; Hlavka, Z.; Hlubinka, D.; Hogan, N.M.; Joseph, P.; Jubenkanda,
Aids and Behavior 16(5): 1227-1237
2012
ISSN/ISBN: 1573-3254 PMID: 22170382 DOI: 10.1007/s10461-011-0099-4Document Number: 561829
Project Accept is a RCT designed to test the efficacy of community mobilization (CM), mobile voluntary counseling and testing (MVCT), and post-test support services (PTSS) in reducing HIV incidence in three African countries and Thailand. The intervention started in rural areas, northern Thailand in January 2006. CM initially included door-to-door visits during the daytime, small group discussions and joining organized meetings and followed by MVCT. In February 2007, CM strategy using HIV/AIDS "edutainment" (education and entertainment) during evening hours was introduced. After edutainment was initiated, the number of participants increased substantially. VCT uptake increased from 18 to 28 persons/day on average (t test; t = 7.87 P < 0.0001). Edutainment especially motivated younger people, as the median age of VCT clients decreased from 38 to 35 years old (median test; z = 6.74, P < 0.0001). Providing free MVCT in community settings along with edutainment during evening hours increased VCT uptake and was particularly attractive to younger adults.
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