Location: Kakyerere parish, Mbarara District
Two high through-put Community Health Campaign in Kakyerere parish, a rural area in southwestern Uganda, took place in May 2011 and May 2012. The primary aim of this activity is to test the feasibility of universal HIV voluntary testing and counseling coupled with early linkage to HIV clinical services within a community-wide public health campaign offering multi-disease care feasibility and assesses the uptake and re-uptake of the community population. Secondary outcomes include the feasibility of estimating multiple community health parameters (the incidence of acute HIV, community HIV viral load, and the prevalence of TB, malaria, diabetes, and hypertension) using a rapid, high through-put campaign, and determining the socioeconomic status of Kakyerere parish residents according to HIV status using a household economic survey among a random selection of community health campaign participants.
The health campaign consisted of three interventions:
1) A high-throughput, multi-day, community health campaign in which all village members will be offered free and rapid HIV, malaria, TB, diabetes and hypertension screening, preventive health services (e.g. condoms, insecticide-treated bednets), and malaria and deworming treatment (in under two hours per person);
2) An on-site Linkage to Care study, offering counseling, education, and linkage to care services for all persons diagnosed with HIV or suspected TB;
3) An off-site Household Socio-economic Survey identified during the community health campaign that will take place one month following the campaign activities.
1) To conduct and achieve 85% uptake of community participation of a high-throughput community health campaign in a rural, east African setting.
1) To estimate HIV prevalence and incidence, community viral load, and the prevalence of TB, malaria, diabetes and hypertension, in a high-throughput community health campaign in Mbarara District, Uganda. 2) To assess the impact of a linkage-to-care intervention among persons diagnosed with HIV, diabetes, hypertension, or suspected-TB on follow-up rates at a local, level-IV health center (Bwizibwera HC IV).
3) To demonstrate the feasibility of point-of-care malaria diagnosis and treatment in the context of a high-throughput community health campaign.
4) To demonstrate the feasibility of active TB case-finding using rapid, PCR-based TB diagnostic testing in the context of a high-throughput community health campaign.
5) To estimate household economic indicators using a household visit and survey.
1. Chamie G, Kwarisiima D, Clark TD, Kabami J, Jain V, Geng E, Petersen ML, Thirumurthy H, Kamya MR, Havlir DV, Charlebois ED, and the SEARCH Collaboration. Leveraging rapid community-based HIV testing campaigns for non-communicable diseases in rural Uganda. PLoS One 2012;7(8):e43400. Epub 2012 Aug 20 PMID: 22916256
2. Jain V, Liegler T, Kabami J, Chamie G, Clark TD, Black D, Geng E, Kwarisiima D, Wong JK, Abdel-Mohsen M, Sonawane N, Aweeka FT, Thirumurthy H, Petersen ML, Charlebois ED, Kamya MR, Havlir DV for the SEARCH Collaboration. Assessment of Population-Based HIV RNA Levels in a Rural East African Setting Using a Fingerprick-Based Blood Collection Method. Clinical Infectious Diseases 2013 FEB;56(4):598-605. DOI: 10.1093/CID/CIS881. EPUB 2012 DEC 12. PMID: 23243180
3. Thirumurthy H, Jain V, Chamie G, Geng E, Kabami J, Kwarisiima D, Clark TD, Petersen ML, Kamya M, Charlebois E, Havlir D, and the SEARCH Collaboration. Improved employment, education, and economic outcomes in households of HIV-positive adults with high CD4 counts: evidence from a community-wide health campaign in Uganda. AIDS 2013 Feb 20;27(4):627-34. doi: 10.1097/QAD.0b013e32835c54d8. PMID: 23169332