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การประเมินศักยภาพของการเสนอบริการให้คำปรึกษาและตรวจคัดกรองการติดเชื้อเอชไอวีเป็นบริการพื้นฐานในโรงพยาบาลชุมชนในประเทศไทย

dc.contributor.authorYot Teerawattananonen_US
dc.contributor.authorYuwadee Leelukhanaveeraen_US
dc.contributor.authorPiya Hanvoravongchaien_US
dc.contributor.authorMontarat Thavorncharoensapen_US
dc.contributor.authorLily Ingsrisawangen_US
dc.contributor.authorSripen Tantivessen_US
dc.contributor.authorUsa Chaikledkaewen_US
dc.contributor.authorNarin Hiransuthikulen_US
dc.contributor.authorChewanan Leartpiriyasuwaten_US
dc.contributor.otherHealth Intervention and Technology Assessment Programen_US
dc.contributor.otherInternational Health Policy Programen_US
dc.date.accessioned2010-03-09T09:05:24Zen_US
dc.date.accessioned2557-04-15T08:41:34Z
dc.date.available2010-03-09T09:05:24Zen_US
dc.date.available2557-04-15T08:41:34Z
dc.date.issued2009-03en_US
dc.identifier.isbn97861100440en_US
dc.identifier.urihttp://hdl.handle.net/11228/2899en_US
dc.description.abstractWHO and UNAIDS advocated healthcare providers to consider provider-initiated HIV counseling and testing for clients attending healthcare facilities. However, there is a lack of evidence, concerning the effectiveness of such interventions in Thailand and other settings with large outbreaks of the HIV epidemic, needed to support policy decisions. A clusterrandomization trial with pre-post test design was conducted to assess the effectiveness of provider-initiated voluntary HIV counseling and testing compared with the current practice in which HIV testing is provided upon the client’s request. Sixteen district hospitals (clusters) with high- and low-HIV prevalence were randomly assigned to either receiving the new intervention or the current practice with a 1:1 allocation ratio. Patients aged between 13-64 years, receiving ambulatory care in the participating hospitals, were eligible. The main outcome measures were the acceptance rate of HIV testing and the HIV detection rate. During the first 8-week baseline period, there was no significant difference between the control and experimental clusters on the acceptance rate and HIV detection. However, after the 8-week intervention period, the acceptance rate and HIV detection rate in the experimental clusters was significantly higher than those of the control clusters. The results from the generalised estimating equations and multilevel modeling also confirmed the findings. Economic appraisal alongside this study suggested that the intervention is very costeffective under the Thai health care setting.en_US
dc.description.sponsorshipThe global development network,Tha Thai health promotion foundation,The health systems research instituteen_US
dc.format.extent2160763 bytesen_US
dc.format.mimetypeapplication/pdfen_US
dc.language.isoenen_US
dc.publisherHealth Intervention and Technology Assessment Programen_US
dc.rightsHealth Intervention and Technology Assessment Programen_US
dc.titleThe potential of provider-initiated voluntary HIV counseling and testing at health care settings in Thailanden_US
dc.title.alternativeการประเมินศักยภาพของการเสนอบริการให้คำปรึกษาและตรวจคัดกรองการติดเชื้อเอชไอวีเป็นบริการพื้นฐานในโรงพยาบาลชุมชนในประเทศไทยen_US
dc.typeTechnical Reporten_US
dc.email.authorYot.t@hitap.neten_US
dc.email.authorsirpon@hsri.or.then_US
dc.subject.keywordHIVen_US
dc.subject.keywordเอชไอวีen_US
dc.subject.keywordการตรวจคัดกรองen_US
.custom.citationYot Teerawattananon, Yuwadee Leelukhanaveera, Piya Hanvoravongchai, Montarat Thavorncharoensap, Lily Ingsrisawang, Sripen Tantivess, Usa Chaikledkaew, Narin Hiransuthikul and Chewanan Leartpiriyasuwat. "The potential of provider-initiated voluntary HIV counseling and testing at health care settings in Thailand." 2009. <a href="http://hdl.handle.net/11228/2899">http://hdl.handle.net/11228/2899</a>.
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