With increased coverage of
voluntary HIV counselling and testing (VCT) in Rwanda and a greater focus on
repeat testing of key populations, it is important to understand whether the
right clients are returning for repeat testing and if repeat testing is
effective at reducing risk.
We assessed the association between repeat testing
and recent sexual risk behaviours among 1852 first time or repeat HIV testing
clients in Kigali who had had sex, using data from a cross-sectional survey.
Repeat testing was associated with being female, older and type of occupation.
Multivariable analyses indicate that individuals who tested for HIV 1-2 times and 3+ times previously were more likely to have recent unprotected sex. Those with 3+
previous tests were more likely to have recently had multiple sexual partners. However, a significant decrease in HIV
prevalence is shown as individuals receive more HIV tests in their lifetime
(p < 0.001).
These findings show that individuals who report high-risk
behaviours are returning for repeat tests. However, VCT may not be successful
at addressing certain sexual risk behaviours. Therefore more intensive
counselling or additional HIV prevention services may be needed.
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By:
- 1FHI 360, Durham, North Carolina, USA rstalter@fhi360.org.
- 2FHI 360, Durham, North Carolina, USA.
- 3FHI 360, Kigali, Rwanda Human Resources for Health (HRH) Program, Ministry of Health, Kigali, Rwanda.
- 4Institute of HIV/AIDS, Disease Prevention and Control, Rwanda Biomedical Center, Kigali, Rwanda.
- 5FHI 360, Kigali, Rwanda Rwanda Healthcare Federation (RHF), Kigali, Rwanda.
- 6FHI 360, Kigali, Rwanda IntraHealth International, Chapel Hill, North Carolina, USA.
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