Home‐based HIV voluntary counseling and testing in developing countries

Moses Bateganya; Omar A Abdulwadud; Susan M Kiene

doi:10.1002/14651858.CD006493.pub2

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Figure 1

Traveling HIV Tester and Counselor (De Cock 2006)

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Figure 2

A housewife undergoing HIV testing in the comfort of her home

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Figure 3

TASO Jinja counselor and tester performing HIV rapid test in the home and taking a dry blood spot for quality control

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Figure 4

Studies flow diagram

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Analysis 1.1

Comparison 1 Home and Facility Based Counseling and testing (Fylekesnes 2004), Outcome 1 Post test counseled and given the test result (Fylkesnes 2004).

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Analysis 1.2

Comparison 1 Home and Facility Based Counseling and testing (Fylekesnes 2004), Outcome 2 Pretest counseled (Fylkesnes 2004).

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Analysis 1.3

Comparison 1 Home and Facility Based Counseling and testing (Fylekesnes 2004), Outcome 3 Pretest counseled and tested (Fylkesnes 2004).

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Analysis 1.4

Comparison 1 Home and Facility Based Counseling and testing (Fylekesnes 2004), Outcome 4 Willingness to test (Willing to test out of those who were surveyed.

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Analysis 1.5

Comparison 1 Home and Facility Based Counseling and testing (Fylekesnes 2004), Outcome 5 Post test counseled and given results (Intention to treat).

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Analysis 1.6

Comparison 1 Home and Facility Based Counseling and testing (Fylekesnes 2004), Outcome 6 Post test counseled and given results (OT).

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Analysis 2.1

Comparison 2 Acceptability of HIV test results (Wolff 2005), Outcome 1 Accepted to recieve HIV test results.

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Analysis 2.2

Comparison 2 Acceptability of HIV test results (Wolff 2005), Outcome 2 Receipt of HIV test results.

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Analysis 2.3

Comparison 2 Acceptability of HIV test results (Wolff 2005), Outcome 3 Adjusted Receipt of results (Wolff).

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Table 1. Methodological Quality Assessment of Observational studies

Quality measure	Cross‐sectional	Cohort
External Validity	Extent to which results of the study provide a correct basis for applicabiliy
	Representativeness of the sample	Representativeness of the sample
	What percentage of selected individuals agreed to participate	What percentage of selected individuals agreed to participate
Internal validity	Extent to which systematic error, bias is minimised in the study
	How was HIV status determined	How was HIV status determined
Detection bias
	How was HIV status assessed	How was HIV status assessed
	How acceptance of the test assesed	How acceptance of the test assesed
Attrition bias
	Were selected patients included in the final analysis	Was follow up adequate
	Were there refusals	What proportions were lost to follow up
Selection bias
	Confirmation that positive patients were not included	Confirmation that positive patients were not included
	Was confounding handled	Was confounding handled

Table 1. Methodological Quality Assessment of Observational studies

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Comparison 1. Home and Facility Based Counseling and testing (Fylekesnes 2004)

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Post test counseled and given the test result (Fylkesnes 2004) Show forest plot	2		Risk Ratio (M‐H, Fixed, 95% CI)	Totals not selected

2 Pretest counseled (Fylkesnes 2004) Show forest plot	1		Risk Ratio (M‐H, Fixed, 95% CI)	Totals not selected

3 Pretest counseled and tested (Fylkesnes 2004) Show forest plot	1		Risk Ratio (M‐H, Fixed, 95% CI)	Totals not selected

4 Willingness to test (Willing to test out of those who were surveyed Show forest plot	1		Risk Ratio (M‐H, Random, 95% CI)	Totals not selected

5 Post test counseled and given results (Intention to treat) Show forest plot	1		Risk Ratio (M‐H, Fixed, 95% CI)	Totals not selected

6 Post test counseled and given results (OT) Show forest plot	1		Risk Ratio (M‐H, Fixed, 95% CI)	Totals not selected

Comparison 1. Home and Facility Based Counseling and testing (Fylekesnes 2004)

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Comparison 2. Acceptability of HIV test results (Wolff 2005)

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Accepted to recieve HIV test results Show forest plot	1	1868	Odds Ratio (M‐H, Fixed, 95% CI)	5.23 [4.02, 6.80]

2 Receipt of HIV test results Show forest plot	1		Odds Ratio (M‐H, Random, 95% CI)	Totals not selected

3 Adjusted Receipt of results (Wolff) Show forest plot	1		Odds Ratio (M‐H, Fixed, 95% CI)	Totals not selected

Comparison 2. Acceptability of HIV test results (Wolff 2005)

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