Predictors of linkage to care following community-based HIV counseling and testing in rural Kenya

Academic Article


  • Despite innovations in HIV counseling and testing (HCT), important gaps remain in understanding linkage to care. We followed a cohort diagnosed with HIV through a community-based HCT campaign that trained persons living with HIV/AIDS (PLHA) as navigators. Individual, interpersonal, and institutional predictors of linkage were assessed using survival analysis of selfreported time to enrollment. Of 483 persons consenting to follow-up, 305 (63.2%) enrolled in HIV care within 3 months. Proportions linking to care were similar across sexes, barring a sub-sample of men aged 18-25 years who were highly unlikely to enroll. Men were more likely to enroll if they had disclosed to their spouse, and women if they had disclosed to family. Women who anticipated violence or relationship breakup were less likely to link to care. Enrollment rates were significantly higher among participants receiving a PLHA visit, suggesting that a navigator approach may improve linkage from communitybased HCT campaigns. © Springer Science+Business Media, LLC 2011.
  • Authors

    Published In

  • AIDS and Behavior  Journal
  • Digital Object Identifier (doi)

    Author List

  • Hatcher AM; Turan JM; Leslie HH; Kanya LW; Kwena Z; Johnson MO; Shade SB; Bukusi EA; Doyen A; Cohen CR
  • Start Page

  • 1295
  • End Page

  • 1307
  • Volume

  • 16
  • Issue

  • 5