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A Switch to Opt-Out HTC Triples Testing Uptake among MC Clients in Gambella, Ethiopia

A Switch to Opt-Out HTC Triples Testing Uptake among MC Clients in Gambella, Ethiopia . Authors: Yassir Abduljewad Abebe Shume Kelly Curran Ephrem Daniel Samuel Mengistu Tigistu Adamu. Background: Gambella. Total population: 343,525 Location: 777 km west of Addis Ababa

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A Switch to Opt-Out HTC Triples Testing Uptake among MC Clients in Gambella, Ethiopia

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  1. A Switch to Opt-Out HTC Triples Testing Uptake among MC Clients in Gambella, Ethiopia Authors: Yassir Abduljewad AbebeShume Kelly Curran Ephrem Daniel Samuel Mengistu Tigistu Adamu

  2. Background: Gambella • Total population: 343,525 • Location: 777 km west of Addis Ababa • HIV prevalence: 2.4% • Male circumcision (MC) prevalence: 46% • HIV prevalence is 4 times higher among uncircumcised men • MMC services started in October 2009 at 3 sites in Gambella

  3. Issue Intervention In February, the MMC training package was revised with an “opt-out” approach for HIV Testing and Counseling (HTC). HTC was integrated into monitoring and evaluation (M&E) tools. Client flow for MC services was redefined. 14 providers were trained using the revised training package and oriented to the new approach. • Between October 2009 and January 2010, only 196 of the 778 (25.2%) MC clients over age 15 were tested for HIV: • A traditional VCT approach was used to test MC clients

  4. Results After introducing the opt-out approach, in February 2010, testing uptake among MC clients increased to 77% (815 of 1,058 men age 15 and above). Percentage of Adult MC Clients Tested and Counseled for HIV in Gambella, by Testing Method

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