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. 2012 Aug 20;7(8):e43400. doi: 10.1371/journal.pone.0043400

Table 1. High Throughput Kakyerere Parish Community Health Campaign Services.

Service Category Service Population
Diagnosis HIV antibody testinga All participants
Point-of-care CD4+ testingb HIV+ participants
TB symptom screeningc All participants
Near point-of-care TB sputum screeningd HIV+ participants
Malaria screeninge Participants reporting fever in the past 24 hoursm
Diabetes screeningf Adult participants
Hypertension screeningg Adult participants
Prevention Pre- and Post-test counseling for HIV, suspected TB, malaria, hypertension, and diabetes All participants
TMP/SMX –30 day supplyh HIV+ participants
Male condoms Adult participants
Vitamin A 200,000 IUi Children: 6 months –5 years
Insecticide-treated bed netsj All households
Treatment Artemether-Lumefantrinek Malaria+ participants
Mebendazole 500 mgl Children: 1–5 years
Referral Routine scheduled appointments to a local health centre Participants with HIV, Suspected TB, Diabetes, or Hypertension
Rapid appointments (<2 weeks) with expedited ART initiation HIV+ and CD4≤100 cells/µL
a

Serial testing algorithm, Uganda National Policy Guidelines for HIV Voluntary Testing and Counseling. [9] HIV rapid test kits: Determine HIV-1/HIV-2 (Abbot); HIV-1/2 Stat-Pak assay; and Uni-Gold HIV Rapid test.

b

PIMA CD4 (Inverness). Indeterminate CD4+ cell count results were repeated once. Participants with two indeterminate CD4 results were counseled to undergo clinic-based CD4 cell count testing.

c

HIV+: WHO symptom screening algorithm (current cough, fever, sweats or weight loss) [28]; HIV-: cough >2 weeks.

d

Xpert MTB/RIF Assay (Cepheid) and direct fluorescent microscopy. Indeterminate Xpert assay results were repeated one time.

e

Paracheck Pf (P. falciparum) Rapid Test (Orchid Biomedical Systems).

f

Random blood glucose ≥11.1 mmol/L [32], HemoCue (Quest Diagnostics).

g

Systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg. [33] All blood pressure measures were performed using automated, electronic pressure cuffs, with small, normal and large cuff sizes available. Blood pressure measures were performed one time; any participant with a positive screen underwent two repeat measurements, including one manual blood pressure cuff measurement.

h

WHO guidelines on co-trimoxazole prophylaxis for HIV-related infections [34].

i

WHO guidelines on vitamin A supplementation [35].

j

Distributed to all parish households after completion of the campaign.

k

For treating uncomplicated malaria. Severe malaria cases were provided transport to the nearest government hospital.

l

WHO/Unicef guidelines, 2004 [36].

m

Cases of fever with hypotension were provided immediate transport to the nearest government hospital. HIV-uninfected participants with non-malarial fever were counseled to seek further evaluation at the nearest government clinic.