Presented by Stephen Asiimwe, Uganda.

Asiimwe S.1, Muganzi E.1, Tumwesigye E.1, Achom M.2, Tappero J.2

1Integrated Community Based Initiatives (ICOBI), Bushenyi, Uganda, 2Centers for Disease Control and Prevention (CDC), Kampala, Uganda

Objectives: Unprotected sexual intercourse among HIV1 sero discordant individuals in communities with high HIV prevalence may increase the risk of HIV transmission. We assess the risk factors and HIV incidence among HIV discordant couples in rural Uganda.
Methods: We conducted a descriptive analysis of HIV1 counseling and testing (CT) results of individuals identified among clients counseled as couples in the full-access, district-wide door-door home-based CT program conducted in Bushenyi District of Uganda, during January 2005-December 2006.
Results: Among 67,511 individuals couple counseled, 1,074 (1.6%) were concordant HIV1-positive and 1,797 (2.8%) were discordant (Discordance rate of 62.6%). The median age among the discordant was 39 years (inter-quartile range IQR 32-48) in males and 30 years (IQR 25-39) in females respectively. Among the sexually-active discordants who reported on condom use in the past 3 months (N=829; 47.9%), 744 (89.7%) had not used a condom. In the 19 month follow-up period, 18 incident HIV1 cases out of 326 HIV1-negative individuals re-tested were identified (incidence of 3.5% per year).
Conclusions: In Bushenyi District, discordance is frequent whereas condom use in discordant partnerships is low. The HIV1 incidence among individuals practicing unprotected sexual intercourse in discordant relationships is high. More preventive strategies in addition to promotion of condom use need to be initiated to protect the uninfected in these high-risk partnerships.

Sydney – IAS 2007
Abstract no. 2007_TUPDB12

Suggested Citation
AsiimweS., et al. Door-door home-based VCT reveals high HIV incidence among HIV-discordant couple members, Uganda. Poster discussion: Sydney – IAS 2007: Abstract no. TUPDB12