Provider-initiated HIV testing in rural Haiti low rate of missed opportunities for diagnosis of HIV in a primary care clinic 英文参考文献.docVIP

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Provider-initiated HIV testing in rural Haiti low rate of missed opportunities for diagnosis of HIV in a primary care clinic 英文参考文献.doc

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Provider-initiated HIV testing in rural Haiti low rate of missed opportunities for diagnosis of HIV in a primary care clinic 英文参考文献

AIDS Research and Therapy BioMedCentral Short report Open Access Provider-initiated HIV testing in rural Haiti: low rate of missed opportunities for diagnosis of HIV in a primary care clinic Louise C Ivers*1,3, Kenneth A Freedberg2 and Joia S Mukherjee1,3 Address: 1Department of Medicine, Brigham and Womens Hospital, Harvard Medical School, Boston, USA, 2Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, USA and 3Partners In Health, Boston, USA Email: Louise C Ivers* - livers@; Kenneth A Freedberg - kfreedberg@; Joia S Mukherjee - jmukherjee@ * Corresponding author Published: 29 November 2007 Received: 19 January 2007 Accepted: 29 November 2007 AIDS Research and Therapy 2007, 4:28 doi:10.1186/1742-6405-4-28 This article is available from: /content/4/1/28 ? 2007 Ivers et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract As HIV treatment is scaled-up in resource-poor settings, the timely identification of persons with HIV infection remains an important challenge. Most people with HIV are unaware of their status, and those who are often present late in the course of their illness. Free-standing voluntary counseling and testing sites often have poor uptake of testing. We aimed to evaluate a provider- initiated HIV testing strategy in a primary care clinic in rural resource-poor Haiti by reviewing the number of visits made to clinic before an HIV test was performed in those who were ultimately found to have HIV infection. In collaboration with the Haitian Ministry of Health, a non- governmental organization (Partners In Health) scaled up HIV care in central Haiti by reinforcing primary care clinics, instituting provider-initiated H