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Scaling Up HIV Voluntary Counseling and Testing in Africa

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  • Peter Glick

    (Cornell University)

Abstract

Although there is a widespread belief that scaling up HIV voluntary counseling and testing (VCT) programs in Africa will have large prevention benefits through reductions in risk behaviors, these claims are difficult to establish from existing evaluations of VCT. Considerations from behavioral models and the available data suggest that as VCT coverage expands, marginal program effects are likely to decline owing to changes in the degree of client selectivity, and that potential uptake among those at highest risk is uncertain. The article also assesses two other common perceptions about VCT in Africa: that a policy of promoting couples-oriented VCT would be more successful than one emphasizing individual testing and that VCT demand and prevention impacts will be enhanced where scaling up is accompanied by the provision of antiretroviral drugs.

Suggested Citation

  • Peter Glick, 2005. "Scaling Up HIV Voluntary Counseling and Testing in Africa," Evaluation Review, , vol. 29(4), pages 331-357, August.
    • Handle: RePEc:sae:evarev:v:29:y:2005:i:4:p:331-357
    DOI: 10.1177/0193841X05276437
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    References listed on IDEAS

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    Cited by:

    1. Peter J. Glick & David E. Sahn, 2008. "Are Africans Practicing Safer Sex? Evidence from Demographic and Health Surveys for Eight Countries," Economic Development and Cultural Change, University of Chicago Press, vol. 56(2), pages 397-439, January.

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