This training, to be paid for by SMNC, will include helping CMWs develop a business plan for their home-based clinics, develop a loan repayment plan and a mechanism to track contributions and use of the Mamta Fund for emergency transport.
There is limited evidence regarding the cost effectiveness of home-based versus clinic based rescreening for sexually transmitted infections.
To our knowledge, this is the first European prospective study investigating the effect of systematic recall on retesting and positivity rates at an STI clinic comparing home-based versus clinic-based testing.
37, 38 A third approach suggests that the most effective solution to low testing prevalence is to substitute home-based for clinic-based tests.
Use of mobile clinics has been successful elsewhere,, and they have been shown to attract a greater proportion of first-time HIV testers than home-based and clinic-based testing.
The choice of home-based or clinic-based interventions, communication in the participants' chosen language(s) and trusting relationships between participants and dietitians contributed to the high retention rate.
A disparity between the home-based and clinic-based test group was that we sent an additional reminder to those who had received a testkit at home and did not use it, thereby introducing a bias favouring participation in the home-based test group.
Computerized randomisation into home group (home-based testing) or clinic group (STI clinic-based testing) was done using an anonymous list of ID numbers and sex of participants.
Pregnant women and their male partners preferred home-based compared to clinic or VCT-center based male partner HTC.
Agreement between methods is further illustrated by Bland/Altman plots (Figure 1), which show that, when compared to MEMS data or home-based pill counts, clinic pill counts and VAS consistently estimated higher adherence with almost no data above the zero line.
The programs were estimated to be able to bring about 38.5% (home-based), 40.6% (clinic-based) and 40.3% (home plus clinic-based) reduction in recurrent bed utilization.
