Home-based HIV Testing and Counseling: Program Components and Approaches

Home-based HIV testing and counseling (HBHTC) holds promise for increasing the uptake of HIV testing and counseling (HTC) in particular settings. HBHTC is one counseling and testing model that has been shown to overcome some of the known barriers of HTC, has high acceptability and uptake among clients, and ensures the likelihood of receiving HIV test results. The expansion and scale-up of HTC services has raised concerns over the quality and standardization of HBHTC. Furthermore, at present there exist no international guidelines on HBHTC to assist countries implementing this as a strategy.

AIDSTAR-One, in collaboration with the President’s Emergency Plan for AIDS Relief (PEPFAR) Technical Working Group on Counseling and Testing, the U.S. Agency for International Development (USAID), and the U.S. Centers for Disease Control and Prevention (CDC), convened a technical consultation on HBHTC from November 3 to 5, 2009, in Nairobi, Kenya. The meeting’s 40 participants were primarily PEPFAR HBHTC program implementers in Kenya and Uganda. The report summarizes implementers’ experiences and expertise, identifying key features of their HBHTC programs, the challenges and strategic approaches, the lessons learned, and suggestions for new and ongoing HBHTC programs.

View Report: pdf HBHTC: Program Approaches and Components Technical Consultation Report (PDF, 254 KB)

Photo Gallery


Day 1 Day 2 Day 3

TASO-Uganda Home-Based HIV Counseling & Testing Program
(PDF, 1 MB)
Presented by Alex Mujuni Rwab's and Emilio Odongo, TASO

The APHIA II Western Experience
(PDF, 688 KB)
Presented by Beth Barasa, APHIA II Western

Integrating Prevention with Positive into Existing Community/Home-based Care and Support Programs
(PDF, 244 KB)
Presented by Ugo Amanyeiwe, USAID

Voices on the Ground:
Experiences of HBHCT
in Uganda

(PDF, 431 KB)
Presented by Teddy Nabwire Chimulwa, SCOT

Overview of Quality
Assurance (QA)/Quality
Control (QC) and Waste

(PDF, 389 KB)
Presented by Muhereza Willis, ICOBI

Universal Access to HTC: Possible or Pipe Dream?
(PDF, 1.85)
Presented by G. Muthumbi, G. Ariya, C. Karari, B. Ulo, S. Adudans, IMC

Why Choose Home-Based HTC as a Strategy?
(PDF, 575 KB)
Presented by Peter Cherutich, NASCOP

"The Index Client Model"
(PDF, 2.67 MB)
Presented by Tom Ondimu, APHIA II Rift Valley

Building Partnerships,
Transforming Lives

(PDF, 1.02 MB)
Presented by Peter Shikuku, LVCT

Laying the Foundation: Why Choose HBCT as a Strategy?
(PDF, 31.7 KB)
Presented by Tumwesigye T. Benson, Ugandan MOH

Voices on the Ground:
Experiences of HBCT in

(PDF, 829 KB)
Presented by Manase
Amollo and Fillet Lugalia, KEMRI/CDC

AMPATH Experience
(PDF, 2.58 MB)
Presented by Samson Ndege, AMPATH

Voices on the Ground: Experiences of HBHCT in Uganda
(PDF, 3.73 MB)
Presented by Fred Kusaasira, ICOVI

Quality Assurance: The Road to Quality Lab Results
(PDF, 182 KB)
Presented by Nelly Akinyi
Clement, CDC/Kenya

Home-based Testing and Counseling
(PDF, 3.36 MB)
Presented by Rose A. Oyoo, TYP

Operational Manual for HTC Community-Based Services
(PDF, 32.5 KB)
Presented by Merina S. Lekorere, NASCOP


What We Have at Our Disposal: Home-Based HIV Counselling and Testing (HBHCT) Tools
(PDF, 946 KB)
Presented by Janet Kabatebe Bahizi, SCOT