14th ICID - Poster Abstracts - International Society for Infectious ...

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When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 27.030 Session: HIV: Epidemiology and Prevention Date: Wednesday, March 10, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation Large scale HIV survey in Cameroon by mass HIV testing mobile units: Evidence of HIV epidemic hot spot areas and high HIV vulnerability of women over time F.-X. Mbopi-Keou 1 , G. C. M. Kalla 2 , R. Guiadem 3 , H. Tchouamani 3 , R. Mbele 3 , C. Nkada 3 , E. Voundi 3 , G. Ondobo Andze 1 , I. Takoungang 4 , L. Bélec 5 , P. Ndumbe 6 , F. Angwafo III 1 1 Ministry of Health & University of Yaounde I, Yaounde, Cameroon, 2 University Teaching Hospital, Yaounde, Cameroon, 3 Ministry of Health, Yaounde, Cameroon, 4 University of Yaounde I, Yaounde, Cameroon, 5 University Rene DEscartes & Georges Pompidou University Hospital, Paris, France, 6 University of Buea, Buea, Cameroon Background: In Africa where the majority of HIV-infected adults do not know their HIV status, the use of HIV testing mobile units offers relevant public health prospects. In order to increase the HIV testing capabilities of voluntary counselling and testing centres, we developed a decentralized, large scale strategy based on bringing the needed services closer to the people, through the use of mobile units. Methods: The National Public Health Laboratory “Hygiene Mobile” acquired a van (in order to propose voluntary HIV screening) comprising separate compartments for the driver, the medical team, and laboratory facilities. The screening of HIV-specific antibodies in serum samples was carried out using SD Bioline HIV (Standard Diagnostics) & Determine (Inverness Medical Innovation). Indeterminate or positive samples were immediately retested by the ImmunoComb®II HIV 1 & 2 Bispot /Hexagon HIV. People diagnosed as HIV-infected were referred to health care centres. Results: From April 2005 to November 2008, 114 campaigns were organised in Cameroon (average of 277 volunteers tested per day). Out of 31,610 volunteers who received a pre-test counselling, 31,512 (20,330 males; 11,182 females) tested for HIV (acceptance rate of 99.7%). Their average age was 31 years. Amongst those, 31,210 (99.04%) received post-test counselling. The overall HIV prevalence was 6.06% (HIV infection in women significantly increased from 6.7 % in 2005 to 9.73% in 2008). The North West region of Cameroon was the most affected with a prevalence of 15.76% in females and 7.27% in males. Conclusion: HIV testing through mobile units likely constitutes a useful tool to promote large scale up HIV testing in sub-Saharan Africa and should be integrated into national HIV control programmes. Successive campaigns in a given area allow to evidence hot spots of the HIV epidemic, and to follow the variations of HIV prevalence over time.
When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 27.031 Session: HIV: Epidemiology and Prevention Date: Wednesday, March 10, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation Potential impact of a customized peer-facilitators training program on sexual health intervention A. Saad 1 , L. Rampal 1 , K. Sabitu 2 , H. AbdulRahman 1 , B. AbuSamah 1 , A. Awaisu 3 , A. Y. Ibrahim 4 1 Universiti Putra Malaysia, Serdang, Selangor DE, Malaysia, 2 Ahmadu Bello University , Zaria, Kaduna, Nigeria, 3 Universiti Sains Malaysia, Penang, Malaysia, 4 Infectitious Disease Hospital, Kano, Kano, Nigeria Background: The human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) epidemic remains of global significance. Targeting the youth in which most new infections occur especially in Nigeria where the second greatest burden of the epidemic lies is pivotal in HIV prevention. The use of peer facilitators to deliver an integrated sexual health intervention on HIV/AIDS and sexually transmitted infections (STI) in this age group is an important prevention strategy.This study aimed to determine the feasibility of developing and implementing a customized training program related to the delivery of an integrated HIV/AIDS and STI risk reduction intervention for peer facilitators and to evaluate its potential impact on their knowledge, attitudes, and perceived competence. Methods: We developed and delivered a structured training program and materials about HIV/AIDs and STI prevention in a university setting. The training was offered to facilitators who were planned to be involved in a larger project, known as Integrated HIV-STI Risk Reduction Program. A pretest-posttest survey of single group was conducted. Changes in scores before and after the training program in knowledge, attitude, stigma scores and perceived confidence and competence were measured. Results: Ten potential facilitators participated in the program and completed both the pretest and posttest survey questionnaire. The trainees’ median scores in HIV-related and STI knowledge, attitude and stigma scores had significantly increased compared to the baseline (HIV knowledge from 22 to 30.5; STI knowledge from 8 to 22.5; stigma scores from 5 to 9; attitude from 39 to 57, p
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