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Text to Change: SMS reminders double HIV testing


Short text messages can be used to increase HIV awareness and double the number of people who go for HIV testing, a survey has stated. According to the results of a survey conducted by Text to change, an SMS quiz and reminder sent to respondents led to an increase in the number of people who went for HIV testing.

The SMS campaign was conducted in February 2010 in Lira (Northern part of Uganda). The survey documents that after sending SMS questions and reminders in the second week of February, 398 HIV tests were carried out at the Lira AIDS Information Centre, twice the number compared with 185 in the first week of February.

The survey was conducted among 7,000 people in Lira with an average age of 28.Among those surveyed majority had sufficient knowledge on issues surrounding HIV and family planning. However, only 44 percent had been tested of HIV in the past year.

During the survey conducted by Text to Change, in partnership with Deutscher Entwicklungsdients (DED), more than 145,000 people in the North Western region of Uganda were asked via radio broadcasts to subscribe to the Text to Change HIV/AIDS SMS Quiz. A record 96% of participants in the survey stated that the survey helped them gain new knowledge on HIV and related issues.  Ralf Westhageman from DED Lira, stated:

“Both AIC and DED were surprised with the excellent results in terms of program participation and uptake of HCT services. People in Lira liked this programme so much. Even until today we get an enquiry to continue with it. Together with the Town Council, we never expected such a high number (7,000) of subscribers to take part and get involved. In short, it is without doubt, that we can call it “the most successful HIV Programme in Lira to date”.

Participants received seven questions on HIV/AIDS issues and three on family planning. One of the questions asked was: Would you think of getting an HIV test? YES or NO to improve participants’ knowledge, an SMS confirming whether their responses were correct was sent. Participants, who replied an incorrect answer, received additional information on HIV.

The survey indicates that on average, 74% of all questions sent via SMS were answered correctly a clear sign that majority of participants are somewhat knowledgeable in regard to HIV and related issues.

This marked an increased level of awareness compared to the 2006 Domestic Household Survey where only 28% of women and 36% of men had any comprehensive awareness of HIV/AIDS. Men formed the majority of the respondents -81%. Generally women were much more likely to answer correctly on questions regarding their higher chances of becoming infected with HIV whereas men answered correctly on the issue of a woman transmitting HIV to her baby during pregnancy or breastfeeding.

The objective of the study was to improve HIV/AIDS awareness and to increase the number of people going for testing services in Lira in order to increase the awareness of one’s HIV status and to encourage people to seek early treatment and care in order to decrease further HIV transmission. Lira-town has an estimated 80,000 inhabitants according to the results of the 2002 census and approximately 145,000 people living in the wider district. The high mobile penetration in East Africa has placed the use of SMS as an appropriate means of disseminating information due to easy access and simplicity in use.

Click on this link to the Text to Change website for the full research paper.

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