%PDF-1.6
%
1 0 obj
<>
endobj
2 0 obj
<>stream
Victoria Simms, Ethel Dauya, Subathira Dakshina, Tsitsi Bandason, Grace McHugh, Shungu Munyati, Prosper Chonzi, Katharina Kranzer, Getrude Ncube, Collen Masimirembwa, Roslyn Thelingwani, Tsitsi Apollo, Richard Hayes, Helen A. Weiss, Rashida A. Ferrand
Community burden of undiagnosed HIV infection among adolescents in Zimbabwe following primary healthcare-based provider-initiated HIV testing and counselling: A cross-sectional survey
www.plosmedicine.org
www.plosmedicine.org
endstream
endobj
3 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 12 0 R/Contents 13 0 R/TrimBox[0 0 612 792]>>
endobj
12 0 obj
[14 0 R]
endobj
14 0 obj
<>/Border[0 0 0]/A 15 0 R>>
endobj
15 0 obj
<>
endobj
13 0 obj
<>stream
q
0.955 g
0 w
199.9998 452.9996 m
575.9997 452.9996 l
575.9997 82.9998 l
199.9998 82.9998 l
f*
0.45 0.36 0.35 0.01 k
575.9997 477.9995 m
199.9998 477.9995 l
199.9998 478.4995 l
575.9997 478.4995 l
f*
0 g
1 j
1 J
9.5 0 0 9.5 200.0125 707.7543 cm
BT
/F0 1 Tf
1 TL
-0.0042 Tc
0 0 Td
(children)Tj
3.6701 0 Td
(in)Tj
0.9846 0 Td
(3,397)Tj
2.6914 0 Td
(households)Tj
5.2695 0 Td
(agreed)Tj
3.2941 0 Td
(to)Tj
1.0444 0 Td
(participate)Tj
4.7741 0 Td
(in)Tj
0.9846 0 Td
(the)Tj
1.5934 0 Td
(survey,)Tj
3.4135 0 Td
(and)Tj
1.8679 0 Td
(141)Tj
1.8679 0 Td
(were)Tj
2.3632 0 Td
(HIV)Tj
1.8738 0 Td
(positive.)Tj
-35.6925 -1.474 Td
(HIV)Tj
1.8738 0 Td
(prevalence)Tj
5.0486 0 Td
(was)Tj
1.9813 0 Td
(2.6%)Tj
2.4825 0 Td
(\(95%)Tj
2.5244 0 Td
(CI)Tj
1.2174 0 Td
(2.2%3.1%\),)Tj
5.89 0 Td
(and)Tj
1.8679 0 Td
(over)Tj
2.1424 0 Td
(a)Tj
0.7698 0 Td
(third)Tj
2.1364 0 Td
(of)Tj
1.0444 0 Td
(participants)Tj
5.2754 0 Td
(with)Tj
1.9753 0 Td
(HIV)Tj
-36.2296 -1.474 Td
(were)Tj
2.3631 0 Td
(undiagnosed)Tj
5.8662 0 Td
(\(37.7%;)Tj
3.6343 0 Td
(95%)Tj
2.2021 0 Td
(CI)Tj
1.2114 0 Td
(29.8%46.2%)Tj
6.1646 0 Td
(\).)Tj
0.8236 0 Td
(Similarly,)Tj
4.2251 0 Td
(among)Tj
3.2464 0 Td
(the)Tj
1.5933 0 Td
(subsample)Tj
5.0009 0 Td
(of)Tj
-36.331 -1.474 Td
(2,643)Tj
2.6914 0 Td
(\(48.2%\))Tj
3.688 0 Td
(participants)Tj
5.2694 0 Td
(with)Tj
1.9753 0 Td
(a)Tj
0.7698 0 Td
(urine)Tj
2.411 0 Td
(test)Tj
1.8201 0 Td
(result,)Tj
2.9122 0 Td
(34.7%)Tj
3.0256 0 Td
(of)Tj
1.0444 0 Td
(those)Tj
2.6436 0 Td
(living)Tj
2.4587 0 Td
(with)Tj
1.9753 0 Td
(HIV)Tj
1.8798 0 Td
(were)Tj
2.3572 0 Td
(undi-)Tj
-36.9218 -1.474 Td
(agnosed)Tj
4.0102 0 Td
(\(95%)Tj
2.5243 0 Td
(CI)Tj
1.2174 0 Td
(23.5%47.9%\).)Tj
6.9882 0 Td
(Based)Tj
3.0256 0 Td
(on)Tj
1.3188 0 Td
(extrapolation)Tj
5.8722 0 Td
(from)Tj
2.202 0 Td
(the)Tj
1.5994 0 Td
(survey)Tj
3.133 0 Td
(sample)Tj
3.4075 0 Td
(to)Tj
1.0503 0 Td
(the)Tj
-36.3489 -1.474 Td
(community,)Tj
5.2873 0 Td
(we)Tj
1.4859 0 Td
(estimated)Tj
4.5116 0 Td
(that)Tj
1.8738 0 Td
(PITC)Tj
2.4885 0 Td
(over)Tj
2.1424 0 Td
(2)Tj
0.7699 0 Td
(years)Tj
2.6377 0 Td
(identified)Tj
4.1654 0 Td
(between)Tj
3.9565 0 Td
(18%)Tj
2.1961 0 Td
(and)Tj
1.8679 0 Td
(42%)Tj
2.2021 0 Td
(of)Tj
1.0443 0 Td
(previ-)Tj
-36.6294 -1.474 Td
(ously)Tj
2.5243 0 Td
(undiagnosed)Tj
5.8721 0 Td
(children)Tj
3.6701 0 Td
(in)Tj
0.9847 0 Td
(the)Tj
1.5934 0 Td
(community.)Tj
5.2873 0 Td
(The)Tj
1.9276 0 Td
(main)Tj
2.3632 0 Td
(limitation)Tj
4.1117 0 Td
(is)Tj
0.9309 0 Td
(that)Tj
1.8739 0 Td
(prevalence)Tj
5.0486 0 Td
(of)Tj
1.0503 0 Td
(undi-)Tj
-37.2381 -1.474 Td
(agnosed)Tj
4.0102 0 Td
(HIV)Tj
1.8739 0 Td
(was)Tj
1.9812 0 Td
(defined)Tj
3.4553 0 Td
(using)Tj
2.578 0 Td
(a)Tj
0.7698 0 Td
(combination)Tj
5.544 0 Td
(of)Tj
1.0503 0 Td
(3)Tj
0.7639 0 Td
(measures)Tj
4.5712 0 Td
(\(OMT,)Tj
3.0435 0 Td
(self-report,)Tj
4.9531 0 Td
(and)Tj
1.862 0 Td
(urine)Tj
-36.4564 -1.474 Td
(test\),)Tj
2.4288 0 Td
(none)Tj
2.4109 0 Td
(of)Tj
1.0444 0 Td
(which)Tj
2.7451 0 Td
(were)Tj
2.3632 0 Td
(perfect.)Tj
ET
Q
q
1 j
1 J
0 w
11.4998 0 0 11.4998 200.0125 550.4881 cm
BT
/F2 1 Tf
1 TL
-0.0035 Tc
0 0 Td
(Conclusions)Tj
ET
Q
q
1 j
1 J
0 w
9.5 0 0 9.5 200.0125 533.4803 cm
BT
/F0 1 Tf
1 TL
-0.0042 Tc
0 0 Td
(Facility-based)Tj
6.3137 0 Td
(approaches)Tj
5.3829 0 Td
(are)Tj
1.647 0 Td
(inadequate)Tj
5.1024 0 Td
(in)Tj
0.9846 0 Td
(achieving)Tj
4.3863 0 Td
(universal)Tj
4.1714 0 Td
(coverage)Tj
4.2847 0 Td
(of)Tj
1.0444 0 Td
(HIV)Tj
1.8798 0 Td
(testing)Tj
-35.1972 -1.474 Td
(among)Tj
3.2464 0 Td
(older)Tj
2.4109 0 Td
(children)Tj
3.6701 0 Td
(and)Tj
1.8619 0 Td
(adolescen)Tj
4.5056 0 Td
(ts.)Tj
1.2711 0 Td
(Alternative,)Tj
5.162 0 Td
(community-)Tj
5.1262 0 Td
(based)Tj
2.9122 0 Td
(approaches)Tj
5.3829 0 Td
(are)Tj
-35.5493 -1.474 Td
(required)Tj
3.8312 0 Td
(to)Tj
1.0384 0 Td
(meet)Tj
2.4169 0 Td
(the)Tj
1.5874 0 Td
(Joint)Tj
2.3035 0 Td
(United)Tj
3.0673 0 Td
(Nations)Tj
3.5627 0 Td
(Programme)Tj
5.3888 0 Td
(on)Tj
1.3129 0 Td
(HIV/AIDS)Tj
4.4638 0 Td
(\(UNAIDS\))Tj
4.6249 0 Td
(target)Tj
2.7452 0 Td
(of)Tj
1.0383 0 Td
(diag-)Tj
-37.3813 -1.468 Td
(nosing)Tj
3.127 0 Td
(90%)Tj
2.1961 0 Td
(of)Tj
1.0503 0 Td
(those)Tj
2.6377 0 Td
(living)Tj
2.4587 0 Td
(with)Tj
1.9753 0 Td
(HIV)Tj
1.8798 0 Td
(by)Tj
1.2651 0 Td
(2020)Tj
2.411 0 Td
(in)Tj
0.9846 0 Td
(this)Tj
1.7605 0 Td
(age)Tj
1.8619 0 Td
(group.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 209.9905 435.0047 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Author)Tj
3.137 0 Td
(summary)Tj
ET
Q
q
1 j
1 J
0 w
11.4998 0 0 11.4998 209.9905 405.0141 cm
BT
/F2 1 Tf
1 TL
-0.0035 Tc
0 0 Td
(Why)Tj
2.3219 0 Td
(was)Tj
2.0952 0 Td
(this)Tj
1.9868 0 Td
(study)Tj
2.8691 0 Td
(done?)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 209.9905 383.0173 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
()Tj
0.7823 0 Td
(In)Tj
1.1112 0 Td
(Zimbabwe,)Tj
4.6885 0 Td
(older)Tj
2.296 0 Td
(children)Tj
3.5546 0 Td
(are)Tj
1.4457 0 Td
(rarely)Tj
2.5228 0 Td
(tested)Tj
2.5512 0 Td
(for)Tj
1.3889 0 Td
(HIV,)Tj
2.2451 0 Td
(and)Tj
1.7291 0 Td
(thus,)Tj
2.16 0 Td
(they)Tj
1.9275 0 Td
(do)Tj
1.2529 0 Td
(not)Tj
1.5761 0 Td
(access)Tj
2.6475 0 Td
(the)Tj
-33.0971 -1.3039 Td
(care)Tj
1.8709 0 Td
(they)Tj
1.9275 0 Td
(need.)Tj
-4.5807 -1.8992 Td
()Tj
0.7823 0 Td
(For)Tj
1.6271 0 Td
(2)Tj
0.6973 0 Td
(years)Tj
2.262 0 Td
(in)Tj
1.0375 0 Td
(7)Tj
0.6917 0 Td
(clinics)Tj
2.7609 0 Td
(in)Tj
1.0318 0 Td
(Harare,)Tj
3.2485 0 Td
(every)Tj
2.347 0 Td
(child)Tj
2.2111 0 Td
(aged)Tj
2.0749 0 Td
(615)Tj
2.16 0 Td
(years)Tj
2.2677 0 Td
(who)Tj
1.9389 0 Td
(came)Tj
2.3187 0 Td
(into)Tj
1.8425 0 Td
(the)Tj
1.4683 0 Td
(clinic)Tj
-31.9859 -1.2982 Td
(was)Tj
1.7008 0 Td
(offered)Tj
3.05 0 Td
(an)Tj
1.2019 0 Td
(HIV)Tj
2.0183 0 Td
(test.)Tj
-8.7533 -1.8992 Td
()Tj
0.7823 0 Td
(The)Tj
1.7802 0 Td
(aim)Tj
1.7461 0 Td
(of)Tj
1.0148 0 Td
(this)Tj
1.6724 0 Td
(study)Tj
2.3868 0 Td
(was)Tj
1.7007 0 Td
(to)Tj
1.0262 0 Td
(find)Tj
1.8482 0 Td
(out)Tj
1.5533 0 Td
(how)Tj
1.9389 0 Td
(effective)Tj
3.5093 0 Td
(the)Tj
1.474 0 Td
(clinic)Tj
2.3924 0 Td
(testing)Tj
2.8857 0 Td
(had)Tj
1.7064 0 Td
(been)Tj
2.126 0 Td
(in)Tj
1.0318 0 Td
(finding)Tj
-31.7932 -1.304 Td
(undiagnosed)Tj
5.3575 0 Td
(children.)Tj
ET
Q
q
1 j
1 J
0 w
11.4998 0 0 11.4998 209.9905 273.9968 cm
BT
/F2 1 Tf
1 TL
-0.0035 Tc
0 0 Td
(What)Tj
2.6522 0 Td
(did)Tj
1.7205 0 Td
(the)Tj
1.7107 0 Td
(researchers)Tj
5.8123 0 Td
(do)Tj
1.4445 0 Td
(and)Tj
1.9867 0 Td
(find?)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 209.9905 252 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
()Tj
0.7823 0 Td
(The)Tj
1.7802 0 Td
(researchers)Tj
4.7168 0 Td
(did)Tj
1.542 0 Td
(a)Tj
0.652 0 Td
(house-to-house)Tj
6.4176 0 Td
(survey)Tj
2.8176 0 Td
(in)Tj
1.0318 0 Td
(Harare)Tj
3.0217 0 Td
(and)Tj
1.7291 0 Td
(tested)Tj
2.5569 0 Td
(children)Tj
3.5546 0 Td
(aged)Tj
2.0693 0 Td
(817)Tj
-31.8896 -1.2982 Td
(years)Tj
2.262 0 Td
(for)Tj
1.389 0 Td
(HIV)Tj
2.0239 0 Td
(using)Tj
2.3868 0 Td
(an)Tj
1.2019 0 Td
(oral)Tj
1.7801 0 Td
(test.)Tj
-11.826 -1.8992 Td
()Tj
0.7823 0 Td
(Of)Tj
1.2529 0 Td
(these)Tj
2.2564 0 Td
(817-year-olds,)Tj
6.4176 0 Td
(2.6%)Tj
2.1543 0 Td
(were)Tj
2.1203 0 Td
(HIV)Tj
2.0239 0 Td
(positive,)Tj
3.5376 0 Td
(and)Tj
1.7292 0 Td
(38%)Tj
1.9332 0 Td
(of)Tj
1.0148 0 Td
(them)Tj
2.2847 0 Td
(had)Tj
1.7121 0 Td
(not)Tj
1.576 0 Td
(been)Tj
-30.013 -1.3039 Td
(diagnosed.)Tj
-0.7823 -1.8992 Td
()Tj
0.7823 0 Td
(Children)Tj
3.7984 0 Td
(with)Tj
1.9956 0 Td
(HIV)Tj
2.0239 0 Td
(were)Tj
2.1203 0 Td
(less)Tj
1.6101 0 Td
(likely)Tj
2.3584 0 Td
(to)Tj
1.0205 0 Td
(have)Tj
2.0636 0 Td
(been)Tj
2.1203 0 Td
(diagnosed)Tj
4.2803 0 Td
(if)Tj
0.7766 0 Td
(they)Tj
1.9219 0 Td
(were)Tj
2.126 0 Td
(13)Tj
1.1679 0 Td
(years)Tj
2.2677 0 Td
(of)Tj
1.0148 0 Td
(age)Tj
-32.6663 -1.2983 Td
(or)Tj
1.0998 0 Td
(over,)Tj
2.1997 0 Td
(were)Tj
2.126 0 Td
(in)Tj
1.0318 0 Td
(good)Tj
2.228 0 Td
(health,)Tj
2.9027 0 Td
(and)Tj
1.7291 0 Td
(both)Tj
2.0636 0 Td
(their)Tj
2.1033 0 Td
(parents)Tj
3.1748 0 Td
(were)Tj
2.1259 0 Td
(alive.)Tj
ET
Q
q
1 j
1 J
0 w
11.4998 0 0 11.4998 209.9905 142.9795 cm
BT
/F2 1 Tf
1 TL
-0.0035 Tc
0 0 Td
(What)Tj
2.6522 0 Td
(do)Tj
1.4445 0 Td
(these)Tj
2.8051 0 Td
(findings)Tj
4.0967 0 Td
(mean?)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 209.9905 120.9826 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
()Tj
0.7823 0 Td
(In)Tj
1.1112 0 Td
(order)Tj
2.4208 0 Td
(to)Tj
1.0204 0 Td
(diagnose)Tj
3.7587 0 Td
(all)Tj
1.1452 0 Td
(children)Tj
3.5546 0 Td
(with)Tj
1.9956 0 Td
(HIV,)Tj
2.2507 0 Td
(it)Tj
0.7824 0 Td
(is)Tj
0.8504 0 Td
(not)Tj
1.576 0 Td
(enough)Tj
3.2145 0 Td
(to)Tj
1.0261 0 Td
(test)Tj
1.6044 0 Td
(every)Tj
2.3471 0 Td
(child)Tj
2.211 0 Td
(who)Tj
-30.8691 -1.2982 Td
(comes)Tj
2.7553 0 Td
(to)Tj
1.0261 0 Td
(a)Tj
0.652 0 Td
(clinic,)Tj
2.6248 0 Td
(because)Tj
3.3165 0 Td
(some)Tj
2.3301 0 Td
(HIV-positive)Tj
5.4708 0 Td
(children)Tj
3.5547 0 Td
(either)Tj
2.5341 0 Td
(do)Tj
1.2529 0 Td
(not)Tj
1.5761 0 Td
(visit)Tj
1.8652 0 Td
(a)Tj
0.6519 0 Td
(clinic)Tj
2.3981 0 Td
(often)Tj
-32.0086 -1.2983 Td
(or)Tj
1.0998 0 Td
(do)Tj
1.2529 0 Td
(not)Tj
1.5761 0 Td
(go)Tj
1.1905 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.6577 0 Td
(guardian)Tj
3.7927 0 Td
(able)Tj
1.8312 0 Td
(to)Tj
1.0261 0 Td
(give)Tj
1.8312 0 Td
(consent)Tj
3.3278 0 Td
(for)Tj
1.389 0 Td
(them)Tj
2.2904 0 Td
(to)Tj
1.0204 0 Td
(take)Tj
1.8766 0 Td
(an)Tj
1.2018 0 Td
(HIV)Tj
2.0183 0 Td
(test.)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 134.7591 23.6976 re
W* n
q
134.7024 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 230.3433 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Communit)Tj
4.4858 0 Td
(y)Tj
0.7158 0 Td
(burden)Tj
3.274 0 Td
(of)Tj
1.0417 0 Td
(adolescen)Tj
4.4717 0 Td
(t)Tj
0.4961 0 Td
(undiagnos)Tj
4.5213 0 Td
(ed)Tj
1.311 0 Td
(HIV)Tj
1.8709 0 Td
(after)Tj
2.1827 0 Td
(provider-init)Tj
5.1166 0 Td
(iated)Tj
2.3457 0 Td
(HIV)Tj
1.8709 0 Td
(testing)Tj
3.111 0 Td
(in)Tj
0.978 0 Td
(primary)Tj
3.5008 0 Td
(care)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
95.811 34.9228 m
254.3811 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Medicine)Tj
4.1457 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.1371/)Tj
4.6418 0 Td
(journal.pmed.1)Tj
6.4984 0 Td
(002360)Tj
0 g
4.2662 0 Td
(July)Tj
1.9701 0 Td
(25,)Tj
1.5874 0 Td
(2017)Tj
33.2861 0 Td
(2)Tj
0.7654 0 Td
(/)Tj
0.496 0 Td
(15)Tj
/F8 1 Tf
-0.025 Tc
-66.402 84.0904 Td
(data)Tj
1.7929 0 Td
(collection)Tj
3.7347 0 Td
(and)Tj
1.5945 0 Td
(analysis)Tj
2.9622 0 Td
(,)Tj
0.4464 0 Td
(decision)Tj
3.2883 0 Td
(to)Tj
0.9496 0 Td
(publish,)Tj
3.1465 0 Td
(or)Tj
-17.9151 -1.3748 Td
(preparation)Tj
4.4433 0 Td
(of)Tj
0.9496 0 Td
(the)Tj
1.3677 0 Td
(manuscript.)Tj
/F7 1 Tf
-6.7606 -2.126 Td
(Competing)Tj
4.3795 0 Td
(interests)Tj
3.3307 0 Td
(:)Tj
/F8 1 Tf
0.4819 0 Td
(The)Tj
1.5875 0 Td
(authors)Tj
3.0401 0 Td
(have)Tj
1.963 0 Td
(declared)Tj
-14.7827 -1.3749 Td
(that)Tj
1.6228 0 Td
(no)Tj
1.1693 0 Td
(competing)Tj
4.1599 0 Td
(interests)Tj
3.3874 0 Td
(exist.)Tj
/F7 1 Tf
-10.3394 -2.126 Td
(Abbreviati)Tj
3.9118 0 Td
(ons:)Tj
/F8 1 Tf
1.8425 0 Td
(ART,)Tj
2.0339 0 Td
(antiretrovi)Tj
3.7205 0 Td
(ral)Tj
1.141 0 Td
(therapy;)Tj
3.2173 0 Td
(ARV,)Tj
-15.867 -1.3748 Td
(antiretrovi)Tj
3.7205 0 Td
(ral;)Tj
1.3677 0 Td
(BRTI,)Tj
2.289 0 Td
(Biomed)Tj
2.8346 0 Td
(ical)Tj
1.4528 0 Td
(Research)Tj
3.6922 0 Td
(and)Tj
-15.3568 -1.3748 Td
(Training)Tj
3.2315 0 Td
(Institute)Tj
2.9976 0 Td
(;)Tj
0.4465 0 Td
(CEA,)Tj
1.9701 0 Td
(census)Tj
2.8488 0 Td
(enumeration)Tj
4.8898 0 Td
(area;)Tj
-16.3843 -1.3748 Td
(HTC,)Tj
2.0338 0 Td
(HIV)Tj
1.5874 0 Td
(testing)Tj
2.7142 0 Td
(and)Tj
1.5874 0 Td
(counselli)Tj
3.2599 0 Td
(ng;)Tj
1.3961 0 Td
(OMT,)Tj
2.2536 0 Td
(oral)Tj
-14.8324 -1.3748 Td
(mucosal)Tj
3.3803 0 Td
(transud)Tj
2.8205 0 Td
(ate;)Tj
1.5449 0 Td
(PHC,)Tj
2.0835 0 Td
(primary)Tj
3.0968 0 Td
(health)Tj
2.4591 0 Td
(clinic;)Tj
-15.3851 -1.3748 Td
(PITC,)Tj
2.2252 0 Td
(provider-)Tj
3.3732 0 Td
(initiated)Tj
3.104 0 Td
(testing)Tj
2.7142 0 Td
(and)Tj
1.5874 0 Td
(counselli)Tj
3.2599 0 Td
(ng;)Tj
-16.2639 -1.3748 Td
(PMTCT,)Tj
3.196 0 Td
(preventio)Tj
3.4371 0 Td
(n)Tj
0.6945 0 Td
(of)Tj
0.9496 0 Td
(mother-to-)Tj
4.0252 0 Td
(child)Tj
1.9772 0 Td
(HIV)Tj
-14.2796 -1.3749 Td
(transmission;)Tj
5.2512 0 Td
(TB,)Tj
1.4457 0 Td
(tuberculos)Tj
3.9118 0 Td
(is;)Tj
1.063 0 Td
(STROB)Tj
2.6929 0 Td
(E,)Tj
-14.3646 -1.3748 Td
(Strengthenin)Tj
4.748 0 Td
(g)Tj
0.6945 0 Td
(the)Tj
1.3677 0 Td
(Reporting)Tj
3.8764 0 Td
(of)Tj
0.9497 0 Td
(Observationa)Tj
4.8685 0 Td
(l)Tj
-16.5048 -1.3748 Td
(Studies)Tj
2.9834 0 Td
(in)Tj
0.8859 0 Td
(Epidemiolog)Tj
4.5921 0 Td
(y;)Tj
0.8717 0 Td
(UNAIDS,)Tj
3.5079 0 Td
(Joint)Tj
2.041 0 Td
(United)Tj
-14.882 -1.3748 Td
(Nations)Tj
3.0472 0 Td
(Programm)Tj
4.0111 0 Td
(e)Tj
0.6449 0 Td
(on)Tj
1.1693 0 Td
(HIV/AIDS;)Tj
3.9614 0 Td
(USD,)Tj
2.1402 0 Td
(US)Tj
1.3323 0 Td
(dollar;)Tj
-16.3064 -1.3748 Td
(WHO,)Tj
2.4236 0 Td
(World)Tj
2.4732 0 Td
(Health)Tj
2.5725 0 Td
(Organization;)Tj
5.0741 0 Td
(ZENITH,)Tj
-12.5434 -1.3748 Td
(Zimbabwe)Tj
4.0677 0 Td
(Study)Tj
2.374 0 Td
(for)Tj
1.2544 0 Td
(Enhancing)Tj
4.0961 0 Td
(Testing)Tj
2.9339 0 Td
(and)Tj
-14.7261 -1.3748 Td
(Improving)Tj
4.0464 0 Td
(Treatment)Tj
4.004 0 Td
(of)Tj
0.9425 0 Td
(HIV)Tj
1.5945 0 Td
(in)Tj
0.8859 0 Td
(Children.)Tj
ET
Q
endstream
endobj
16 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 17 0 R/Contents 18 0 R/TrimBox[0 0 612 792]>>
endobj
17 0 obj
[19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R]
endobj
19 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref001)>>
endobj
20 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref002)>>
endobj
21 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref001)>>
endobj
22 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref003)>>
endobj
23 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref004)>>
endobj
24 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref006)>>
endobj
25 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref007)>>
endobj
26 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref008)>>
endobj
27 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref010)>>
endobj
28 0 obj
<>/Border[0 0 0]/A 29 0 R>>
endobj
29 0 obj
<>
endobj
18 0 obj
[30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R]
endobj
30 0 obj
<>stream
q
0.955 g
0 w
199.9998 713.9999 m
575.9997 713.9999 l
575.9997 653 l
199.9998 653 l
f*
0.83 0.64 0.02 0 k
344.863 582.9165 m
349.6252 582.9165 l
h
f*
445.7197 543.9118 m
450.4819 543.9118 l
h
f*
484.5543 517.9465 m
489.3165 517.9465 l
h
f*
536.7685 491.9244 m
541.5307 491.9244 l
h
f*
362.0409 465.9024 m
366.8031 465.9024 l
h
f*
371.9622 465.9024 m
376.7244 465.9024 l
h
f*
430.9228 426.8976 m
435.6283 426.8976 l
h
f*
287.1496 361.9276 m
291.9118 361.9276 l
h
f*
297.0709 361.9276 m
306.5953 361.9276 l
h
f*
0 g
1 j
1 J
10 0 0 10 209.9905 696.9826 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
()Tj
0.7823 0 Td
(Other)Tj
2.5909 0 Td
(methods,)Tj
3.9061 0 Td
(such)Tj
2.0636 0 Td
(as)Tj
1.0148 0 Td
(community-based)Tj
7.4891 0 Td
(testing)Tj
2.8799 0 Td
(or)Tj
1.0999 0 Td
(targeted)Tj
3.4582 0 Td
(tracing,)Tj
3.2542 0 Td
(must)Tj
2.228 0 Td
(be)Tj
1.1509 0 Td
(tried)Tj
2.1089 0 Td
(to)Tj
-33.2445 -1.2982 Td
(reach)Tj
2.3981 0 Td
(the)Tj
1.474 0 Td
(children)Tj
3.5546 0 Td
(who)Tj
1.9389 0 Td
(cannot)Tj
2.9764 0 Td
(be)Tj
1.1508 0 Td
(tested)Tj
2.5569 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.4683 0 Td
(clinic.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 613.9842 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Introduction)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 596.9763 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Worldwide,)Tj
4.9662 0 Td
(an)Tj
1.2019 0 Td
(estimated)Tj
4.0705 0 Td
(1.8)Tj
1.4003 0 Td
(million)Tj
3.1181 0 Td
(children)Tj
3.5546 0 Td
(under)Tj
2.6192 0 Td
(the)Tj
1.474 0 Td
(age)Tj
1.5421 0 Td
(of)Tj
1.0148 0 Td
(15)Tj
1.1678 0 Td
(years)Tj
2.2678 0 Td
(are)Tj
1.4456 0 Td
(living)Tj
2.4718 0 Td
(with)Tj
1.9956 0 Td
(HIV,)Tj
-34.3103 -1.2982 Td
(90%)Tj
1.9275 0 Td
(of)Tj
1.0148 0 Td
(them)Tj
2.2904 0 Td
(in)Tj
1.0318 0 Td
(sub-Saharan)Tj
5.193 0 Td
(Africa)Tj
2.6872 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
(].)Tj
1.6044 0 Td
(The)Tj
1.7802 0 Td
(incidence)Tj
4.0762 0 Td
(of)Tj
1.0148 0 Td
(HIV)Tj
2.0182 0 Td
(infection)Tj
3.7928 0 Td
(in)Tj
1.0374 0 Td
(infants)Tj
2.9651 0 Td
(has)Tj
1.542 0 Td
(fallen)Tj
-33.9758 -1.2983 Td
(substantially)Tj
5.2043 0 Td
(over)Tj
1.9729 0 Td
(the)Tj
1.474 0 Td
(past)Tj
1.8255 0 Td
(decade)Tj
2.9821 0 Td
(because)Tj
3.3221 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(scale-up)Tj
3.5036 0 Td
(of)Tj
1.0148 0 Td
(interventions)Tj
5.5388 0 Td
(for)Tj
1.3833 0 Td
(prevention)Tj
4.5808 0 Td
(of)Tj
-35.2854 -1.3039 Td
(mother-to-child)Tj
6.667 0 Td
(HIV)Tj
2.0182 0 Td
(transmission)Tj
5.3688 0 Td
(\(PMTCT\),)Tj
4.4617 0 Td
(but)Tj
1.5534 0 Td
(coverage)Tj
3.719 0 Td
(of)Tj
1.0148 0 Td
(PMTCT)Tj
3.5603 0 Td
(programmes)Tj
5.3065 0 Td
(remains)Tj
-33.6697 -1.2983 Td
(suboptimal,)Tj
4.9265 0 Td
(with)Tj
2.0013 0 Td
(150,000)Tj
3.2995 0 Td
(infants)Tj
2.965 0 Td
(infected)Tj
3.4186 0 Td
(worldwide)Tj
4.4617 0 Td
(in)Tj
1.0318 0 Td
(2015)Tj
2.1259 0 Td
([)Tj
0.83 0.64 0.02 0 k
(2)Tj
0 g
(].)Tj
1.5988 0 Td
(Importantly,)Tj
5.2837 0 Td
(an)Tj
1.2019 0 Td
(estimated)Tj
-32.3147 -1.2982 Td
(51%)Tj
1.9275 0 Td
(of)Tj
1.0148 0 Td
(children)Tj
3.5546 0 Td
(living)Tj
2.4718 0 Td
(with)Tj
1.9956 0 Td
(HIV)Tj
2.0239 0 Td
(were)Tj
2.1203 0 Td
(not)Tj
1.5761 0 Td
(receiving)Tj
3.8607 0 Td
(antiretroviral)Tj
5.5162 0 Td
(therapy)Tj
3.2428 0 Td
(\(ART\))Tj
2.8177 0 Td
(in)Tj
1.0374 0 Td
(2015,)Tj
-33.1594 -1.2983 Td
(mainly)Tj
2.9876 0 Td
(because)Tj
3.3222 0 Td
(of)Tj
1.0148 0 Td
(low)Tj
1.6555 0 Td
(rates)Tj
2.1089 0 Td
(of)Tj
1.0148 0 Td
(HIV)Tj
2.0239 0 Td
(testing)Tj
2.88 0 Td
(and,)Tj
1.9559 0 Td
(hence,)Tj
2.795 0 Td
(underdiagnosis)Tj
6.3552 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
(].)Tj
-26.9176 -1.3039 Td
(HIV)Tj
2.0239 0 Td
(testing)Tj
2.8856 0 Td
(for)Tj
1.3833 0 Td
(HIV-exposed)Tj
5.5956 0 Td
(infants)Tj
2.965 0 Td
(is)Tj
0.8504 0 Td
(available)Tj
3.668 0 Td
(as)Tj
1.0148 0 Td
(part)Tj
1.8425 0 Td
(of)Tj
1.0148 0 Td
(PMTCT)Tj
3.5546 0 Td
(programs,)Tj
4.2917 0 Td
(but)Tj
1.5533 0 Td
(only)Tj
1.9786 0 Td
(51%)Tj
-35.8183 -1.2983 Td
(of)Tj
1.0147 0 Td
(HIV-exposed)Tj
5.5956 0 Td
(infants)Tj
2.965 0 Td
(access)Tj
2.6476 0 Td
(early)Tj
2.1486 0 Td
(infant)Tj
2.6079 0 Td
(diagnosis)Tj
3.9571 0 Td
(in)Tj
1.0375 0 Td
(high-HIV-burden)Tj
7.4154 0 Td
(countries)Tj
3.9458 0 Td
([)Tj
0.83 0.64 0.02 0 k
(3)Tj
0 g
(],)Tj
1.6044 0 Td
(and)Tj
-34.9396 -1.2982 Td
(diagnosis)Tj
3.9571 0 Td
(mainly)Tj
2.9877 0 Td
(occurs)Tj
2.8346 0 Td
(in)Tj
1.0375 0 Td
(healthcare)Tj
4.3313 0 Td
(facilities)Tj
3.4923 0 Td
(when)Tj
2.4037 0 Td
(children)Tj
3.5603 0 Td
(present)Tj
3.1635 0 Td
(with)Tj
1.9955 0 Td
(symptomatic)Tj
5.4199 0 Td
(dis-)Tj
-35.1834 -1.304 Td
(ease)Tj
1.8595 0 Td
(in)Tj
1.0374 0 Td
(later)Tj
1.9899 0 Td
(childhood)Tj
4.286 0 Td
(and)Tj
1.7291 0 Td
(adolescence)Tj
4.9606 0 Td
([)Tj
0.83 0.64 0.02 0 k
(4)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
(].)Tj
2.5965 0 Td
(Since)Tj
2.3585 0 Td
(2007,)Tj
2.347 0 Td
(the)Tj
1.4684 0 Td
(World)Tj
2.8403 0 Td
(Health)Tj
2.914 0 Td
(Organization)Tj
-30.3872 -1.2982 Td
(\(WHO\))Tj
3.3788 0 Td
(has)Tj
1.5421 0 Td
(recommended)Tj
6.0377 0 Td
(provider-initiated)Tj
7.3417 0 Td
(HIV)Tj
2.0239 0 Td
(testing)Tj
2.88 0 Td
(and)Tj
1.7291 0 Td
(counselling)Tj
4.7849 0 Td
(\(PITC\))Tj
3.0727 0 Td
(in)Tj
1.0375 0 Td
(high-)Tj
-33.8284 -1.2983 Td
(HIV-prevalence)Tj
6.6386 0 Td
(settings,)Tj
3.4696 0 Td
(whereby)Tj
3.6113 0 Td
(HIV)Tj
2.0183 0 Td
(testing)Tj
2.8857 0 Td
(is)Tj
0.8447 0 Td
(offered)Tj
3.05 0 Td
(proactively)Tj
4.6205 0 Td
(to)Tj
1.0204 0 Td
(all)Tj
1.1509 0 Td
(clients)Tj
2.7893 0 Td
(attending)Tj
4.0308 0 Td
(a)Tj
-36.1301 -1.3039 Td
(healthcare)Tj
4.3313 0 Td
(facility)Tj
2.897 0 Td
(regardless)Tj
4.2065 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(reason)Tj
2.8629 0 Td
(for)Tj
1.389 0 Td
(attendance)Tj
4.5808 0 Td
([)Tj
0.83 0.64 0.02 0 k
(7)Tj
0 g
(].)Tj
1.5987 0 Td
(PITC)Tj
2.3924 0 Td
(thus)Tj
1.9332 0 Td
(utilises)Tj
2.9764 0 Td
(the)Tj
1.4683 0 Td
(opportu-)Tj
-33.1197 -1.2983 Td
(nity)Tj
1.7858 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.6576 0 Td
(client)Tj
2.4264 0 Td
(presenting)Tj
4.4447 0 Td
(to)Tj
1.0262 0 Td
(a)Tj
0.6519 0 Td
(healthcare)Tj
4.3313 0 Td
(facility)Tj
2.897 0 Td
(to)Tj
1.0262 0 Td
(offer)Tj
2.0976 0 Td
(HIV)Tj
2.0239 0 Td
(testing)Tj
2.88 0 Td
(and)Tj
1.7291 0 Td
(counselling)Tj
4.7849 0 Td
(\(HTC\))Tj
-33.7774 -1.2982 Td
(and)Tj
1.7291 0 Td
(decrease)Tj
3.6056 0 Td
(the)Tj
1.474 0 Td
(burden)Tj
3.1238 0 Td
(of)Tj
1.0148 0 Td
(undiagnosed)Tj
5.3574 0 Td
(HIV)Tj
2.024 0 Td
(infection.)Tj
-17.1325 -1.2983 Td
(However,)Tj
4.0818 0 Td
(PITC)Tj
2.3925 0 Td
(relies)Tj
2.313 0 Td
(on)Tj
1.2756 0 Td
(healthcare)Tj
4.3256 0 Td
(workers)Tj
3.4356 0 Td
(offering)Tj
3.3789 0 Td
(HIV)Tj
2.0239 0 Td
(testing.)Tj
3.1068 0 Td
(Healthcare)Tj
4.5694 0 Td
(workers)Tj
-32.0993 -1.3039 Td
(often)Tj
2.2847 0 Td
(offer)Tj
2.0976 0 Td
(HTC)Tj
2.262 0 Td
(to)Tj
1.0262 0 Td
(children)Tj
3.5546 0 Td
(selectively)Tj
4.2406 0 Td
(based)Tj
2.4718 0 Td
(on)Tj
1.2756 0 Td
(their)Tj
2.1089 0 Td
(perception)Tj
4.5184 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(client's)Tj
3.0047 0 Td
(HIV)Tj
2.0239 0 Td
(risk)Tj
1.7121 0 Td
(and)Tj
-35.0643 -1.2983 Td
(logistical)Tj
3.736 0 Td
(constraints)Tj
4.6374 0 Td
([)Tj
0.83 0.64 0.02 0 k
(8)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(10)Tj
0 g
(].)Tj
3.0671 0 Td
(In)Tj
1.1112 0 Td
(addition,)Tj
3.8211 0 Td
(such)Tj
2.0636 0 Td
(an)Tj
1.2019 0 Td
(approach)Tj
3.9514 0 Td
(is)Tj
0.8447 0 Td
(limited)Tj
3.0728 0 Td
(to)Tj
1.0261 0 Td
(individuals)Tj
4.6488 0 Td
(attending)Tj
-33.1821 -1.2982 Td
(health)Tj
2.6758 0 Td
(facilities)Tj
3.498 0 Td
(and,)Tj
1.9559 0 Td
(for)Tj
1.3833 0 Td
(children,)Tj
3.7814 0 Td
(to)Tj
1.0261 0 Td
(those)Tj
2.3357 0 Td
(who)Tj
1.9389 0 Td
(attend)Tj
2.7496 0 Td
(with)Tj
2.0012 0 Td
(a)Tj
0.652 0 Td
(guardian)Tj
3.7984 0 Td
(able)Tj
1.8255 0 Td
(to)Tj
1.0261 0 Td
(provide)Tj
3.2882 0 Td
(consent)Tj
-33.9361 -1.304 Td
(for)Tj
1.3832 0 Td
(the)Tj
1.4741 0 Td
(child)Tj
2.211 0 Td
(to)Tj
1.0261 0 Td
(undergo)Tj
3.5886 0 Td
(HIV)Tj
2.024 0 Td
(testing.)Tj
3.1067 0 Td
(Hence,)Tj
3.0331 0 Td
(PITC)Tj
2.3924 0 Td
(may)Tj
1.9275 0 Td
(not)Tj
1.5761 0 Td
(provide)Tj
3.2882 0 Td
(high)Tj
2.0069 0 Td
(enough)Tj
3.2201 0 Td
(coverage)Tj
3.719 0 Td
(of)Tj
-35.977 -1.2982 Td
(HIV)Tj
2.0182 0 Td
(testing)Tj
2.8857 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4683 0 Td
(population)Tj
4.5921 0 Td
(level.)Tj
2.2394 0 Td
(This)Tj
1.9842 0 Td
(is)Tj
0.8504 0 Td
(particularly)Tj
4.8132 0 Td
(important)Tj
4.2803 0 Td
(for)Tj
1.3833 0 Td
(children,)Tj
3.7814 0 Td
(as)Tj
1.0148 0 Td
(facility-based)Tj
-32.2637 -1.2983 Td
(PITC)Tj
2.3924 0 Td
(is)Tj
0.8504 0 Td
(often)Tj
2.2847 0 Td
(their)Tj
2.1089 0 Td
(only)Tj
1.9729 0 Td
(route)Tj
2.3471 0 Td
(to)Tj
1.0261 0 Td
(access)Tj
2.6476 0 Td
(HTC.)Tj
2.4888 0 Td
(Our)Tj
1.8652 0 Td
(hypothesis)Tj
4.4617 0 Td
(was)Tj
1.7008 0 Td
(that)Tj
1.7801 0 Td
(most)Tj
2.2053 0 Td
(undiagnosed)Tj
5.3575 0 Td
(chil-)Tj
-35.4895 -1.3039 Td
(dren)Tj
2.0919 0 Td
(would)Tj
2.7099 0 Td
(present)Tj
3.1635 0 Td
(to)Tj
1.0261 0 Td
(a)Tj
0.652 0 Td
(PHC)Tj
2.211 0 Td
(over)Tj
1.9785 0 Td
(a)Tj
0.652 0 Td
(2-year)Tj
2.7326 0 Td
(period,)Tj
3.0557 0 Td
(and)Tj
1.7291 0 Td
(combined)Tj
4.2463 0 Td
(with)Tj
1.9956 0 Td
(optimised)Tj
4.2122 0 Td
(PITC)Tj
2.3925 0 Td
(to)Tj
-34.8489 -1.2983 Td
(overcome)Tj
4.1498 0 Td
(facility-level)Tj
5.04 0 Td
(barriers,)Tj
3.5546 0 Td
(this)Tj
1.6725 0 Td
(would)Tj
2.7155 0 Td
(result)Tj
2.4492 0 Td
(in)Tj
1.0318 0 Td
(a)Tj
0.6576 0 Td
(high)Tj
2.0069 0 Td
(proportion)Tj
4.6318 0 Td
(\(at)Tj
1.2926 0 Td
(least)Tj
1.9842 0 Td
(80%90%\))Tj
4.4901 0 Td
(of)Tj
-35.6766 -1.2982 Td
(HIV-positive)Tj
5.4651 0 Td
(children)Tj
3.5603 0 Td
(being)Tj
2.4264 0 Td
(identified.)Tj
4.286 0 Td
(This)Tj
1.9899 0 Td
(study)Tj
2.3868 0 Td
(aimed)Tj
2.6929 0 Td
(to)Tj
1.0261 0 Td
(estimate)Tj
3.5433 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4684 0 Td
(community)Tj
4.8869 0 Td
(level)Tj
-34.6845 -1.304 Td
(the)Tj
1.4683 0 Td
(coverage)Tj
3.7247 0 Td
(of)Tj
1.0148 0 Td
(HIV)Tj
2.0182 0 Td
(testing)Tj
2.8857 0 Td
(provided)Tj
3.8154 0 Td
(by)Tj
1.1792 0 Td
(a)Tj
0.6576 0 Td
(PITC)Tj
2.3925 0 Td
(strategy)Tj
3.3278 0 Td
(with)Tj
1.9956 0 Td
(opt-out)Tj
3.2258 0 Td
(testing)Tj
2.88 0 Td
(in)Tj
1.0375 0 Td
(primary)Tj
-31.6231 -1.2982 Td
(healthcare)Tj
4.3313 0 Td
(clinics)Tj
2.7552 0 Td
(for)Tj
1.3833 0 Td
(older)Tj
2.2961 0 Td
(children)Tj
3.5546 0 Td
(and)Tj
1.7348 0 Td
(adolescents)Tj
4.7735 0 Td
(in)Tj
1.0318 0 Td
(Harare,)Tj
3.2485 0 Td
(Zimbabwe.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 217.0204 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Methods)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 200.0125 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Ethical)Tj
2.9876 0 Td
(approval)Tj
3.6964 0 Td
(for)Tj
1.389 0 Td
(the)Tj
1.4683 0 Td
(study)Tj
2.3924 0 Td
(was)Tj
1.6951 0 Td
(obtained)Tj
3.7361 0 Td
(from)Tj
2.2053 0 Td
(the)Tj
1.4684 0 Td
(Medical)Tj
3.4355 0 Td
(Research)Tj
3.8041 0 Td
(Council)Tj
3.4072 0 Td
(of)Tj
1.0148 0 Td
(Zimbabwe)Tj
-32.7002 -1.3039 Td
(\(MRCZ/A/1676\))Tj
6.9221 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(Ethics)Tj
2.6646 0 Td
(Committees)Tj
5.1023 0 Td
(of)Tj
1.0148 0 Td
(Harare)Tj
3.0217 0 Td
(City)Tj
1.9049 0 Td
(Health)Tj
2.914 0 Td
(Services,)Tj
3.6453 0 Td
(the)Tj
1.4684 0 Td
(Biomedical)Tj
-31.8612 -1.2982 Td
(Research)Tj
3.804 0 Td
(and)Tj
1.7291 0 Td
(Training)Tj
3.7361 0 Td
(Institute)Tj
3.583 0 Td
(\(BRTI\))Tj
3.05 0 Td
(\(AP)Tj
1.8028 0 Td
(108/2012\),)Tj
4.4447 0 Td
(and)Tj
1.7348 0 Td
(the)Tj
1.4684 0 Td
(London)Tj
3.3958 0 Td
(School)Tj
2.9084 0 Td
(of)Tj
1.0148 0 Td
(Hygiene)Tj
-32.6719 -1.2983 Td
(and)Tj
1.7291 0 Td
(Tropical)Tj
3.6 0 Td
(Medicine)Tj
3.9911 0 Td
(\(6305\).)Tj
-8.124 -1.2983 Td
(Between)Tj
3.6056 0 Td
(January)Tj
3.3165 0 Td
(2013)Tj
2.126 0 Td
(and)Tj
1.7291 0 Td
(January)Tj
3.3222 0 Td
(2015,)Tj
2.3471 0 Td
(children)Tj
3.5546 0 Td
(aged)Tj
2.0693 0 Td
(6)Tj
0.6973 0 Td
(to)Tj
1.0261 0 Td
(15)Tj
1.1679 0 Td
(years)Tj
2.2677 0 Td
(attending)Tj
4.0308 0 Td
(primary)Tj
-32.4564 -1.3039 Td
(healthcare)Tj
4.3313 0 Td
(clinics)Tj
2.7552 0 Td
(\(PHCs\))Tj
3.2485 0 Td
(for)Tj
1.389 0 Td
(any)Tj
1.6554 0 Td
(reason)Tj
2.863 0 Td
(in)Tj
1.0374 0 Td
(7)Tj
0.6974 0 Td
(communities)Tj
5.4821 0 Td
(in)Tj
1.0375 0 Td
(southwest)Tj
4.2066 0 Td
(Harare)Tj
3.0217 0 Td
(were)Tj
2.1203 0 Td
(offered)Tj
-33.8454 -1.2982 Td
(PITC.)Tj
2.6078 0 Td
(Every)Tj
2.4831 0 Td
(child)Tj
2.1997 0 Td
(who)Tj
1.9332 0 Td
(attended)Tj
3.6907 0 Td
(with)Tj
1.9843 0 Td
(a)Tj
0.6462 0 Td
(guardian,)Tj
4.0082 0 Td
(was)Tj
1.6895 0 Td
(not)Tj
1.5647 0 Td
(in)Tj
1.0261 0 Td
(HIV)Tj
2.0126 0 Td
(care,)Tj
2.0863 0 Td
(and)Tj
1.7178 0 Td
(had)Tj
1.7007 0 Td
(not)Tj
1.5647 0 Td
(had)Tj
1.7008 0 Td
(a)Tj
0.6407 0 Td
(docu-)Tj
-35.2571 -1.2983 Td
(mented)Tj
3.2598 0 Td
(HIV)Tj
2.0239 0 Td
(test)Tj
1.5987 0 Td
(within)Tj
2.812 0 Td
(the)Tj
1.474 0 Td
(last)Tj
1.559 0 Td
(6)Tj
0.6917 0 Td
(months)Tj
3.2825 0 Td
(was)Tj
1.7008 0 Td
(offered)Tj
3.05 0 Td
(HIV)Tj
2.0183 0 Td
(testing)Tj
2.8856 0 Td
(by)Tj
1.1792 0 Td
(clinic)Tj
2.3981 0 Td
(staff,)Tj
2.1147 0 Td
(supported)Tj
4.2689 0 Td
(by)Tj
-36.3172 -1.3039 Td
(the)Tj
1.4683 0 Td
(study)Tj
2.3867 0 Td
(team.)Tj
2.4265 0 Td
(A)Tj
0.9014 0 Td
(guardian)Tj
3.7927 0 Td
(was)Tj
1.7008 0 Td
(defined)Tj
3.2258 0 Td
(as)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(main)Tj
2.2904 0 Td
(caregiver,)Tj
4.0819 0 Td
(as)Tj
1.0148 0 Td
(determined)Tj
4.8529 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.4683 0 Td
(clinic)Tj
2.3981 0 Td
(staff.)Tj
-35.6709 -1.2983 Td
(National)Tj
3.6906 0 Td
(HIV)Tj
2.024 0 Td
(testing)Tj
2.8799 0 Td
(guidelines)Tj
4.2747 0 Td
(were)Tj
2.1259 0 Td
(followed,)Tj
3.8721 0 Td
(and)Tj
1.7348 0 Td
(the)Tj
1.4684 0 Td
(test)Tj
1.5987 0 Td
(results)Tj
2.8119 0 Td
(were)Tj
2.1203 0 Td
(available)Tj
3.6681 0 Td
(within)Tj
2.8119 0 Td
(20)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 134.7591 23.6976 re
W* n
q
134.7024 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 230.3433 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Communit)Tj
4.4858 0 Td
(y)Tj
0.7158 0 Td
(burden)Tj
3.274 0 Td
(of)Tj
1.0417 0 Td
(adolescen)Tj
4.4717 0 Td
(t)Tj
0.4961 0 Td
(undiagnos)Tj
4.5213 0 Td
(ed)Tj
1.311 0 Td
(HIV)Tj
1.8709 0 Td
(after)Tj
2.1827 0 Td
(provider-init)Tj
5.1166 0 Td
(iated)Tj
2.3457 0 Td
(HIV)Tj
1.8709 0 Td
(testing)Tj
3.111 0 Td
(in)Tj
0.978 0 Td
(primary)Tj
3.5008 0 Td
(care)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
95.811 34.9228 m
254.3811 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Medicine)Tj
4.1457 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.1371/)Tj
4.6418 0 Td
(journal.pmed.1)Tj
6.4984 0 Td
(002360)Tj
0 g
4.2662 0 Td
(July)Tj
1.9701 0 Td
(25,)Tj
1.5874 0 Td
(2017)Tj
33.2861 0 Td
(3)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
31 0 obj
<>stream
endstream
endobj
32 0 obj
<>stream
endstream
endobj
33 0 obj
<>stream
endstream
endobj
34 0 obj
<>stream
endstream
endobj
35 0 obj
<>stream
endstream
endobj
36 0 obj
<>stream
endstream
endobj
37 0 obj
<>stream
endstream
endobj
38 0 obj
<>stream
endstream
endobj
39 0 obj
<>stream
endstream
endobj
40 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
41 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 42 0 R/Contents 43 0 R/TrimBox[0 0 612 792]>>
endobj
42 0 obj
[44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R]
endobj
44 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref011)>>
endobj
45 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref009)>>
endobj
46 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref011)>>
endobj
47 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref009)>>
endobj
48 0 obj
<>/Border[0 0 0]/Dest(Rpmed.1002360.ref011)>>
endobj
49 0 obj
<>/Border[0 0 0]/A 50 0 R>>
endobj
50 0 obj
<>
endobj
43 0 obj
[51 0 R 52 0 R 53 0 R 54 0 R 55 0 R]
endobj
51 0 obj
<>stream
q
0.83 0.64 0.02 0 k
238.0535 706.337 m
247.578 706.337 l
h
f*
300.189 667.3323 m
304.8945 667.3323 l
h
f*
413.4614 654.3496 m
422.9858 654.3496 l
h
f*
376.4409 615.3449 m
381.2031 615.3449 l
h
f*
383.4709 615.3449 m
392.9953 615.3449 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(minutes)Tj
3.4639 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(].)Tj
2.0749 0 Td
(Children)Tj
3.7984 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.6576 0 Td
(positive)Tj
3.3165 0 Td
(test)Tj
1.5988 0 Td
(who)Tj
1.9389 0 Td
(lived)Tj
2.1373 0 Td
(locally)Tj
2.7779 0 Td
(were)Tj
2.126 0 Td
(offered)Tj
3.0444 0 Td
(HIV)Tj
2.0239 0 Td
(care)Tj
1.8708 0 Td
(and)Tj
1.7348 0 Td
(invited)Tj
-34.5597 -1.3039 Td
(to)Tj
1.0261 0 Td
(enrol)Tj
2.313 0 Td
(into)Tj
1.8425 0 Td
(a)Tj
0.652 0 Td
(cohort)Tj
2.8573 0 Td
(study.)Tj
2.6135 0 Td
(Following)Tj
4.218 0 Td
(initial)Tj
2.5511 0 Td
(low)Tj
1.6555 0 Td
(levels)Tj
2.3754 0 Td
(of)Tj
1.0148 0 Td
(testing,)Tj
3.1067 0 Td
(an)Tj
1.2019 0 Td
(opt-out)Tj
3.2258 0 Td
(HTC)Tj
2.262 0 Td
(approach)Tj
-32.9156 -1.2982 Td
(was)Tj
1.6894 0 Td
(adopted)Tj
3.4526 0 Td
(in)Tj
1.0261 0 Td
(July)Tj
1.7688 0 Td
(2013,)Tj
2.3414 0 Td
(and)Tj
1.7235 0 Td
(supplemental)Tj
5.5785 0 Td
(staff)Tj
1.8822 0 Td
(and)Tj
1.7235 0 Td
(test)Tj
1.593 0 Td
(kits)Tj
1.6384 0 Td
(were)Tj
2.1147 0 Td
(provided)Tj
3.8097 0 Td
(to)Tj
1.0148 0 Td
(improve)Tj
3.5773 0 Td
(testing)Tj
-34.9339 -1.2983 Td
(rates)Tj
2.1089 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4684 0 Td
(study)Tj
2.3867 0 Td
(clinics)Tj
2.761 0 Td
([)Tj
0.83 0.64 0.02 0 k
(9)Tj
0 g
(].)Tj
1.5987 0 Td
(The)Tj
1.7801 0 Td
(uptake,)Tj
3.1465 0 Td
(prevalence,)Tj
4.7111 0 Td
(and)Tj
1.7292 0 Td
(yield)Tj
2.1373 0 Td
(of)Tj
1.0148 0 Td
(HIV)Tj
2.0239 0 Td
(testing)Tj
2.88 0 Td
(at)Tj
0.9524 0 Td
(clinics)Tj
2.7609 0 Td
(during)Tj
-34.4123 -1.2983 Td
(the)Tj
1.4683 0 Td
(PITC)Tj
2.3924 0 Td
(programme)Tj
4.9493 0 Td
(have)Tj
2.0579 0 Td
(been)Tj
2.126 0 Td
(reported)Tj
3.6567 0 Td
(previously)Tj
4.3539 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(].)Tj
2.075 0 Td
(Briefly,)Tj
3.0784 0 Td
(of)Tj
1.0148 0 Td
(10,673)Tj
2.8233 0 Td
(clinic)Tj
2.3924 0 Td
(attendees)Tj
-32.3884 -1.3039 Td
(aged)Tj
2.0692 0 Td
(615)Tj
2.1657 0 Td
(years)Tj
2.262 0 Td
(over)Tj
1.9786 0 Td
(the)Tj
1.4683 0 Td
(2-year)Tj
2.7269 0 Td
(period)Tj
2.8347 0 Td
(who)Tj
1.9388 0 Td
(were)Tj
2.126 0 Td
(not)Tj
1.5704 0 Td
(in)Tj
1.0375 0 Td
(HIV)Tj
2.0239 0 Td
(care)Tj
1.8709 0 Td
(or)Tj
1.0998 0 Td
(recently)Tj
3.4072 0 Td
(tested)Tj
2.5512 0 Td
(and)Tj
1.7348 0 Td
(who)Tj
-34.8659 -1.2982 Td
(attended)Tj
3.702 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.6519 0 Td
(guardian)Tj
3.7984 0 Td
(able)Tj
1.8312 0 Td
(to)Tj
1.0261 0 Td
(provide)Tj
3.2882 0 Td
(consent)Tj
3.3278 0 Td
(to)Tj
1.0262 0 Td
(test,)Tj
1.8255 0 Td
(8,468)Tj
2.3471 0 Td
(\(79.3%\))Tj
3.3108 0 Td
(underwent)Tj
4.5751 0 Td
(HTC,)Tj
2.4888 0 Td
(and)Tj
-35.1947 -1.2983 Td
(among)Tj
2.9933 0 Td
(these,)Tj
2.4775 0 Td
(the)Tj
1.474 0 Td
(HIV)Tj
2.0182 0 Td
(prevalence)Tj
4.4901 0 Td
(was)Tj
1.6951 0 Td
(5.1%)Tj
2.1543 0 Td
([)Tj
0.83 0.64 0.02 0 k
(9)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(].)Tj
-16.1063 -1.3039 Td
(Following)Tj
4.2236 0 Td
(the)Tj
1.4683 0 Td
(2)Tj
0.6973 0 Td
(years)Tj
2.262 0 Td
(of)Tj
1.0148 0 Td
(optimised)Tj
4.2066 0 Td
(PITC,)Tj
2.6192 0 Td
(a)Tj
0.6577 0 Td
(community-based)Tj
7.489 0 Td
(survey)Tj
2.812 0 Td
(was)Tj
1.7008 0 Td
(conducted)Tj
4.4277 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
-35.807 -1.2983 Td
(7)Tj
0.6916 0 Td
(communities)Tj
5.4878 0 Td
(to)Tj
1.0205 0 Td
(estimate)Tj
3.549 0 Td
(the)Tj
1.4683 0 Td
(prevalence)Tj
4.4844 0 Td
(of)Tj
1.0148 0 Td
(undiagnosed)Tj
5.3574 0 Td
(HIV)Tj
2.0239 0 Td
(among)Tj
2.9934 0 Td
(children)Tj
3.5603 0 Td
(aged)Tj
2.0693 0 Td
(8)Tj
0.6916 0 Td
(to)Tj
1.0262 0 Td
(17)Tj
-35.4385 -1.2983 Td
(years)Tj
2.262 0 Td
(and)Tj
1.7291 0 Td
(investigate)Tj
4.4617 0 Td
(the)Tj
1.474 0 Td
(impact)Tj
2.9764 0 Td
(of)Tj
1.0148 0 Td
(PITC.)Tj
2.6192 0 Td
(This)Tj
1.9899 0 Td
(age)Tj
1.542 0 Td
(group)Tj
2.6079 0 Td
(was)Tj
1.7007 0 Td
(selected)Tj
3.3449 0 Td
(to)Tj
1.0261 0 Td
(ensure)Tj
2.8744 0 Td
(exposure)Tj
3.8154 0 Td
(over)Tj
-35.4385 -1.3039 Td
(the)Tj
1.4683 0 Td
(whole)Tj
2.6078 0 Td
(intervention)Tj
5.1761 0 Td
(period.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 535.6913 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Sampling)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 518.6834 cm
BT
/F5 1 Tf
1 TL
-0.014 Tc
0 0 Td
(The)Tj
1.7517 0 Td
(sampling)Tj
3.7985 0 Td
(frame)Tj
2.5058 0 Td
(was)Tj
1.6724 0 Td
(a)Tj
0.6406 0 Td
(list)Tj
1.355 0 Td
(of)Tj
0.9921 0 Td
(census)Tj
2.8063 0 Td
(enumeration)Tj
5.278 0 Td
(areas)Tj
2.1941 0 Td
(\(CEAs\))Tj
3.118 0 Td
(in)Tj
1.0148 0 Td
(the)Tj
1.44 0 Td
(study)Tj
2.3414 0 Td
(communities)Tj
-30.9087 -1.2982 Td
(defined)Tj
3.1577 0 Td
(as)Tj
0.9921 0 Td
(the)Tj
1.44 0 Td
(smallest)Tj
3.3279 0 Td
(delimited)Tj
3.9345 0 Td
(census)Tj
2.8062 0 Td
(sampling)Tj
3.7984 0 Td
(area)Tj
1.8425 0 Td
(used)Tj
2.0183 0 Td
(for)Tj
1.355 0 Td
(the)Tj
1.4399 0 Td
(2012)Tj
2.0863 0 Td
(National)Tj
3.6113 0 Td
(Census.)Tj
3.2599 0 Td
(CEAs)Tj
-35.07 -1.2983 Td
(tagged)Tj
2.7722 0 Td
(with)Tj
1.9559 0 Td
(the)Tj
1.44 0 Td
(census)Tj
2.8063 0 Td
(geocode)Tj
3.4299 0 Td
(for)Tj
1.3549 0 Td
(private)Tj
2.914 0 Td
(housing)Tj
3.3562 0 Td
(were)Tj
2.0806 0 Td
(selected)Tj
3.2712 0 Td
(from)Tj
2.1657 0 Td
(the)Tj
1.44 0 Td
(7)Tj
0.6859 0 Td
(communities)Tj
5.3688 0 Td
(using)Tj
-35.0416 -1.3039 Td
(simple)Tj
2.7949 0 Td
(random)Tj
3.3675 0 Td
(sampling.)Tj
4.0139 0 Td
(All)Tj
1.3663 0 Td
(households)Tj
4.6374 0 Td
(in)Tj
1.0148 0 Td
(the)Tj
1.44 0 Td
(selected)Tj
3.2655 0 Td
(CEAs)Tj
2.4604 0 Td
(were)Tj
2.0807 0 Td
(enumerated.)Tj
5.1363 0 Td
(Any)Tj
1.8765 0 Td
(household)Tj
-33.4542 -1.2983 Td
(with)Tj
1.9558 0 Td
(at)Tj
0.9355 0 Td
(least)Tj
1.9275 0 Td
(1)Tj
0.686 0 Td
(member)Tj
3.5263 0 Td
(aged)Tj
2.0296 0 Td
(8)Tj
0.6859 0 Td
(to)Tj
1.0092 0 Td
(17)Tj
1.1508 0 Td
(years)Tj
2.211 0 Td
(was)Tj
1.6725 0 Td
(defined)Tj
3.1521 0 Td
(as)Tj
0.9978 0 Td
(eligible.)Tj
3.2031 0 Td
(Children)Tj
3.7134 0 Td
(were)Tj
2.0806 0 Td
(not)Tj
1.5477 0 Td
(eligible)Tj
2.982 0 Td
(if)Tj
-35.4668 -1.2982 Td
(they)Tj
1.8821 0 Td
(were)Tj
2.0863 0 Td
(not)Tj
1.5421 0 Td
(staying)Tj
2.9763 0 Td
(in)Tj
1.0148 0 Td
(the)Tj
1.44 0 Td
(household)Tj
4.286 0 Td
(or)Tj
1.0828 0 Td
(not)Tj
1.542 0 Td
(available)Tj
3.5773 0 Td
(at)Tj
0.9298 0 Td
(the)Tj
1.44 0 Td
(time)Tj
1.9899 0 Td
(of)Tj
0.9921 0 Td
(enumeration)Tj
5.2838 0 Td
(and)Tj
1.7007 0 Td
(for)Tj
1.355 0 Td
(the)Tj
-35.121 -1.3039 Td
(following)Tj
3.8891 0 Td
(2)Tj
0.6859 0 Td
(weeks.)Tj
2.7723 0 Td
(All)Tj
1.3663 0 Td
(eligible)Tj
2.9877 0 Td
(children)Tj
3.4752 0 Td
(were)Tj
2.0807 0 Td
(invited)Tj
2.9366 0 Td
(to)Tj
1.0092 0 Td
(participate.)Tj
4.5751 0 Td
(Written)Tj
3.3221 0 Td
(informed)Tj
3.8948 0 Td
(consent)Tj
-32.995 -1.2983 Td
(from)Tj
2.1656 0 Td
(the)Tj
1.44 0 Td
(guardian)Tj
3.7134 0 Td
(was)Tj
1.6724 0 Td
(obtained)Tj
3.651 0 Td
(for)Tj
1.3549 0 Td
(all)Tj
1.1169 0 Td
(participants,)Tj
5.057 0 Td
(except)Tj
2.7099 0 Td
(for)Tj
1.3549 0 Td
(emancipated)Tj
5.2271 0 Td
(minors)Tj
3.033 0 Td
(\(defined)Tj
3.4866 0 Td
(as)Tj
-35.9827 -1.2983 Td
(those)Tj
2.2847 0 Td
(who)Tj
1.9105 0 Td
(were)Tj
2.0806 0 Td
(married,)Tj
3.583 0 Td
(were)Tj
2.0806 0 Td
(living)Tj
2.4094 0 Td
(with)Tj
1.9559 0 Td
(sexual)Tj
2.6192 0 Td
(partners,)Tj
3.6794 0 Td
(had)Tj
1.6837 0 Td
(children,)Tj
3.6907 0 Td
(or)Tj
1.0772 0 Td
(were)Tj
2.0806 0 Td
(heads)Tj
2.4435 0 Td
(of)Tj
0.9977 0 Td
(house-)Tj
-34.5767 -1.2982 Td
(holds\))Tj
2.6702 0 Td
(who)Tj
1.9048 0 Td
(were)Tj
2.0863 0 Td
(able)Tj
1.7915 0 Td
(to)Tj
1.0035 0 Td
(consent)Tj
3.2598 0 Td
(independently.)Tj
6.0604 0 Td
(Age-appropriate,)Tj
6.8712 0 Td
(written)Tj
3.0387 0 Td
(assent)Tj
2.5852 0 Td
(was)Tj
1.6724 0 Td
(obtained)Tj
-32.944 -1.304 Td
(from)Tj
2.1656 0 Td
(survey)Tj
2.7496 0 Td
(participants)Tj
4.8415 0 Td
(prior)Tj
2.2054 0 Td
(to)Tj
1.0034 0 Td
(recruitment.)Tj
5.0967 0 Td
(Two)Tj
1.9956 0 Td
(different)Tj
3.5659 0 Td
(assent)Tj
2.5852 0 Td
(forms)Tj
2.5172 0 Td
(\(1)Tj
1.0148 0 Td
(for)Tj
1.3549 0 Td
(812-year-olds)Tj
-31.0958 -1.2982 Td
(and)Tj
1.7007 0 Td
(1)Tj
0.686 0 Td
(for)Tj
1.355 0 Td
(those)Tj
2.2847 0 Td
(aged)Tj
2.0352 0 Td
(1317)Tj
2.5852 0 Td
(years\))Tj
2.5455 0 Td
(with)Tj
1.9559 0 Td
(information)Tj
4.9719 0 Td
(about)Tj
2.4435 0 Td
(the)Tj
1.44 0 Td
(survey)Tj
2.7496 0 Td
(appropriate)Tj
4.7678 0 Td
(to)Tj
1.0091 0 Td
(the)Tj
1.44 0 Td
(level)Tj
-33.9701 -1.2983 Td
(of)Tj
0.9921 0 Td
(understanding)Tj
5.9413 0 Td
(were)Tj
2.0807 0 Td
(used)Tj
2.0239 0 Td
(to)Tj
1.0034 0 Td
(obtain)Tj
2.7213 0 Td
(assent.)Tj
2.8006 0 Td
(Verbal)Tj
2.8403 0 Td
(assent)Tj
2.5852 0 Td
(with)Tj
1.9559 0 Td
(an)Tj
1.1848 0 Td
(independent)Tj
5.1647 0 Td
(witness)Tj
3.0898 0 Td
(was)Tj
-34.384 -1.3039 Td
(obtained)Tj
3.651 0 Td
(if)Tj
0.754 0 Td
(the)Tj
1.44 0 Td
(participant)Tj
4.49 0 Td
(was)Tj
1.6668 0 Td
(not)Tj
1.5477 0 Td
(able)Tj
1.7858 0 Td
(to)Tj
1.0091 0 Td
(sign)Tj
1.8198 0 Td
(the)Tj
1.44 0 Td
(assent)Tj
2.5852 0 Td
(form.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 320.9952 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Data)Tj
2.3102 0 Td
(collection)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 303.9874 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(An)Tj
1.4513 0 Td
(appointment)Tj
5.3971 0 Td
(was)Tj
1.7008 0 Td
(made)Tj
2.4264 0 Td
(to)Tj
1.0262 0 Td
(visit)Tj
1.8651 0 Td
(the)Tj
1.4684 0 Td
(eligible)Tj
3.0671 0 Td
(child)Tj
2.211 0 Td
(at)Tj
0.9524 0 Td
(home.)Tj
2.7269 0 Td
(Up)Tj
1.474 0 Td
(to)Tj
1.0262 0 Td
(2)Tj
0.6916 0 Td
(repeat)Tj
2.6872 0 Td
(visits)Tj
2.2337 0 Td
(were)Tj
2.1203 0 Td
(made)Tj
2.4265 0 Td
(if)Tj
-36.9522 -1.2982 Td
(the)Tj
1.4683 0 Td
(child)Tj
2.211 0 Td
(was)Tj
1.7008 0 Td
(not)Tj
1.576 0 Td
(available.)Tj
3.8891 0 Td
(An)Tj
1.4514 0 Td
(interviewer-adminis)Tj
8.1127 0 Td
(tered)Tj
2.262 0 Td
(questionnaire)Tj
5.7033 0 Td
(with)Tj
2.0012 0 Td
(electronic)Tj
4.1499 0 Td
(data)Tj
-34.5257 -1.2983 Td
(entry)Tj
2.313 0 Td
(was)Tj
1.7008 0 Td
(used)Tj
2.0579 0 Td
(to)Tj
1.0262 0 Td
(record)Tj
2.8459 0 Td
(sociodemographic)Tj
7.5685 0 Td
(details)Tj
2.7779 0 Td
(and)Tj
1.7291 0 Td
(history)Tj
3.0104 0 Td
(of)Tj
1.0148 0 Td
(HIV)Tj
2.0183 0 Td
(testing)Tj
2.8856 0 Td
(and)Tj
1.7291 0 Td
(treatment.)Tj
-32.6775 -1.3039 Td
(The)Tj
1.7801 0 Td
(location)Tj
3.4526 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(home)Tj
2.5001 0 Td
(was)Tj
1.6952 0 Td
(recorded)Tj
3.7984 0 Td
(using)Tj
2.3867 0 Td
(latitude)Tj
3.2485 0 Td
(and)Tj
1.7291 0 Td
(longitude.)Tj
4.2576 0 Td
(Patient-held)Tj
5.125 0 Td
(records)Tj
3.2032 0 Td
(and)Tj
-35.6596 -1.2983 Td
(documentation)Tj
6.3495 0 Td
(of)Tj
1.0148 0 Td
(previous)Tj
3.651 0 Td
(HIV)Tj
2.0183 0 Td
(test)Tj
1.6044 0 Td
(results)Tj
2.8062 0 Td
(and)Tj
1.7348 0 Td
(treatment)Tj
4.1329 0 Td
(were)Tj
2.1203 0 Td
(used)Tj
2.0636 0 Td
(to)Tj
1.0262 0 Td
(confirm)Tj
3.4412 0 Td
(the)Tj
1.474 0 Td
(informa-)Tj
-33.4372 -1.2982 Td
(tion)Tj
1.8425 0 Td
(provided.)Tj
4.0365 0 Td
(All)Tj
1.4003 0 Td
(participants)Tj
4.9549 0 Td
(underwent)Tj
4.5751 0 Td
(anonymised)Tj
5.1137 0 Td
(HIV)Tj
2.0182 0 Td
(testing)Tj
2.8857 0 Td
(with)Tj
1.9955 0 Td
(an)Tj
1.2019 0 Td
(oral)Tj
1.7802 0 Td
(mucosal)Tj
3.5376 0 Td
(tran-)Tj
-35.3421 -1.3039 Td
(sudate)Tj
2.7892 0 Td
(\(OMT\))Tj
3.1521 0 Td
(test)Tj
1.5988 0 Td
(\(Oraquick,)Tj
4.5637 0 Td
(Orasure)Tj
3.4526 0 Td
(Technologies,)Tj
5.76 0 Td
(Pennsylvania,)Tj
5.7202 0 Td
(United)Tj
3.0217 0 Td
(States\).)Tj
3.0784 0 Td
(Those)Tj
2.6533 0 Td
(with)Tj
-35.79 -1.2983 Td
(no)Tj
1.2755 0 Td
(documentary)Tj
5.5559 0 Td
(evidence)Tj
3.7134 0 Td
(of)Tj
1.0148 0 Td
(an)Tj
1.2018 0 Td
(HIV)Tj
2.0183 0 Td
(test)Tj
1.6044 0 Td
(were)Tj
2.1203 0 Td
(given)Tj
2.3811 0 Td
(written)Tj
3.1124 0 Td
(information)Tj
5.074 0 Td
(about)Tj
2.4945 0 Td
(HIV)Tj
2.0239 0 Td
(testing)Tj
-33.5903 -1.2983 Td
(and)Tj
1.7291 0 Td
(were)Tj
2.1203 0 Td
(given)Tj
2.3811 0 Td
(a)Tj
0.6519 0 Td
(voucher)Tj
3.4583 0 Td
(to)Tj
1.0261 0 Td
(access)Tj
2.6475 0 Td
(diagnostic)Tj
4.3144 0 Td
(HIV)Tj
2.0239 0 Td
(testing)Tj
2.88 0 Td
(at)Tj
0.9524 0 Td
(a)Tj
0.6576 0 Td
(local)Tj
2.075 0 Td
(PHC)Tj
2.211 0 Td
(using)Tj
2.3867 0 Td
(standard)Tj
3.7247 0 Td
(clinic)Tj
-35.24 -1.3039 Td
(procedures.)Tj
4.8982 0 Td
(The)Tj
1.7801 0 Td
(OMT)Tj
2.4718 0 Td
(result)Tj
2.4491 0 Td
(window)Tj
3.4356 0 Td
(was)Tj
1.7008 0 Td
(covered)Tj
3.3505 0 Td
(with)Tj
2.0013 0 Td
(a)Tj
0.6519 0 Td
(sticker)Tj
2.863 0 Td
(that)Tj
1.7745 0 Td
(was)Tj
1.7008 0 Td
(only)Tj
1.9785 0 Td
(removed)Tj
3.7474 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
-35.8353 -1.2983 Td
(trial)Tj
1.8368 0 Td
(office.)Tj
2.6419 0 Td
(The)Tj
1.7801 0 Td
(HIV)Tj
2.0239 0 Td
(test)Tj
1.5988 0 Td
(results)Tj
2.8119 0 Td
(were)Tj
2.1203 0 Td
(delinked)Tj
3.685 0 Td
(from)Tj
2.2054 0 Td
(personal)Tj
3.6283 0 Td
(identifiers,)Tj
4.4844 0 Td
(and)Tj
1.7348 0 Td
(therefore,)Tj
4.0762 0 Td
(an)Tj
-34.6278 -1.2982 Td
(individual's)Tj
4.8642 0 Td
(test)Tj
1.5987 0 Td
(results)Tj
2.812 0 Td
(could)Tj
2.4491 0 Td
(not)Tj
1.576 0 Td
(be)Tj
1.1509 0 Td
(identified)Tj
4.0592 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.4683 0 Td
(study)Tj
2.3924 0 Td
(team)Tj
2.194 0 Td
(or)Tj
1.0999 0 Td
(be)Tj
1.1508 0 Td
(made)Tj
2.4208 0 Td
(available)Tj
3.668 0 Td
(to)Tj
-34.0835 -1.2983 Td
(participants.)Tj
1.1962 -1.3039 Td
(In)Tj
1.1111 0 Td
(June)Tj
2.0523 0 Td
(2015,)Tj
2.3471 0 Td
(a)Tj
0.6519 0 Td
(participant)Tj
4.5978 0 Td
(with)Tj
1.9956 0 Td
(documented)Tj
5.2497 0 Td
(evidence)Tj
3.7134 0 Td
(of)Tj
1.0148 0 Td
(taking)Tj
2.7269 0 Td
(ART)Tj
2.1373 0 Td
(was)Tj
1.7008 0 Td
(noted)Tj
2.5228 0 Td
(to)Tj
1.0261 0 Td
(have)Tj
2.058 0 Td
(a)Tj
-36.1018 -1.2983 Td
(false-negative)Tj
5.6352 0 Td
(HIV)Tj
2.0239 0 Td
(test)Tj
1.5987 0 Td
(result,)Tj
2.6759 0 Td
(probably)Tj
3.7644 0 Td
(due)Tj
1.7008 0 Td
(to)Tj
1.0205 0 Td
(viral)Tj
1.9955 0 Td
(suppression.)Tj
5.2101 0 Td
(The)Tj
1.7801 0 Td
(study)Tj
2.3925 0 Td
(team)Tj
2.194 0 Td
(made)Tj
2.4264 0 Td
(the)Tj
-34.418 -1.2982 Td
(decision)Tj
3.5432 0 Td
(to)Tj
1.0262 0 Td
(collect)Tj
2.7892 0 Td
(urine)Tj
2.3585 0 Td
(samples)Tj
3.3788 0 Td
(for)Tj
1.389 0 Td
(measurement)Tj
5.6693 0 Td
(of)Tj
1.0148 0 Td
(antiretroviral)Tj
5.5161 0 Td
(\(ARV\))Tj
2.897 0 Td
(levels)Tj
2.3754 0 Td
(from)Tj
2.2054 0 Td
(all)Tj
1.1452 0 Td
(par-)Tj
-35.3081 -1.3039 Td
(ticipants)Tj
3.6339 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4684 0 Td
(remaining)Tj
4.3653 0 Td
(CEAs,)Tj
2.7212 0 Td
(which)Tj
2.6532 0 Td
(was)Tj
1.6951 0 Td
(enacted)Tj
3.2995 0 Td
(from)Tj
2.2054 0 Td
(9)Tj
0.6973 0 Td
(July)Tj
1.7802 0 Td
(2015.)Tj
2.347 0 Td
(Participants)Tj
5.0003 0 Td
(were)Tj
2.1203 0 Td
(pro-)Tj
-35.0246 -1.2983 Td
(vided)Tj
2.4207 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.652 0 Td
(disposable)Tj
4.3766 0 Td
(plastic)Tj
2.7666 0 Td
(container)Tj
4.0422 0 Td
(in)Tj
1.0318 0 Td
(which)Tj
2.6532 0 Td
(to)Tj
1.0262 0 Td
(void)Tj
1.9729 0 Td
(urine.)Tj
2.5851 0 Td
(A)Tj
0.9015 0 Td
(minimum)Tj
4.2916 0 Td
(of)Tj
1.0148 0 Td
(10)Tj
1.1735 0 Td
(ml)Tj
1.2869 0 Td
(of)Tj
1.0148 0 Td
(urine)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 134.7591 23.6976 re
W* n
q
134.7024 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 230.3433 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Communit)Tj
4.4858 0 Td
(y)Tj
0.7158 0 Td
(burden)Tj
3.274 0 Td
(of)Tj
1.0417 0 Td
(adolescen)Tj
4.4717 0 Td
(t)Tj
0.4961 0 Td
(undiagnos)Tj
4.5213 0 Td
(ed)Tj
1.311 0 Td
(HIV)Tj
1.8709 0 Td
(after)Tj
2.1827 0 Td
(provider-init)Tj
5.1166 0 Td
(iated)Tj
2.3457 0 Td
(HIV)Tj
1.8709 0 Td
(testing)Tj
3.111 0 Td
(in)Tj
0.978 0 Td
(primary)Tj
3.5008 0 Td
(care)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
95.811 34.9228 m
254.3811 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Medicine)Tj
4.1457 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.1371/)Tj
4.6418 0 Td
(journal.pmed.1)Tj
6.4984 0 Td
(002360)Tj
0 g
4.2662 0 Td
(July)Tj
1.9701 0 Td
(25,)Tj
1.5874 0 Td
(2017)Tj
33.2861 0 Td
(4)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
52 0 obj
<>stream
endstream
endobj
53 0 obj
<>stream
endstream
endobj
54 0 obj
<>stream
endstream
endobj
55 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
56 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 58 0 R/Contents 59 0 R/TrimBox[0 0 612 792]>>
endobj
57 0 obj
<>
endobj
60 0 obj
<>
endobj
63 0 obj
<>stream
MinionPro-Regular 6 )
H? HD H\ ' - 3 > H N T Z ` j q t { +2=CIU[cnz~
"(.9CIOU[elov|&-8>DPV^iuy &+/49@DGLPU[]_ahjmru|
&-4;BIPW^elsz
")07>ELSZahov} %,3:AHOV]dkry#/;JTey ! ( / 6 = D K R Y ` g n u |
$
+
2
9
@
G
N
U
\
c
j
q
x
'.5<CJQX_fmt{ #*18?FMT[bkry
"
)
0
7
>
E
J
O
W
d
q
v
$+29@GNU\cjqx '.5<CJQX_fmt{ #*18?FMT[bipw~
&-4;BIPW^elsz !(/6=DOVcpuz-B\v$<Tdy*5@Tanz!2>O_fmt{ $-6?HQZclu~ )2;DMV^gpy $-6?HQZclu~ )2;DM\enwcommaaccentAbreveAmacronAogonekAEacuteCacuteCcaronCcircumflexCdotaccentDcaronDcroatEbreveEcaronEdotaccentEmacronEngEogonekGbreveGcircumflexGcommaaccentGdotaccentHbarHcircumflexIbreveIJImacronIogonekItildeJcircumflexKcommaaccentLacuteLcaronLcommaaccentLdotNacuteNcaronNcommaaccentObreveOhungarumlautOmacronOslashacuteRacuteRcaronRcommaaccentSacuteScedillaScircumflexScommaaccentTbarTcaronTcommaaccentUbreveUhungarumlautUmacronUogonekUringUtildeWacuteWcircumflexWdieresisWgraveYcircumflexYgraveZacuteZdotaccentIdotaccentabreveamacronaogonekaeacutecacuteccaronccircumflexcdotaccentdcarondcroatebreveecaronedotaccentemacronengeogonekgbrevegcircumflexgcommaaccentgdotaccenthbarhcircumflexibreveijimacroniogonekitildejcircumflexkcommaaccentlacutelcaronlcommaaccentldotnacutencaronncommaaccentobreveohungarumlautomacronoslashacuteracutercaronrcommaaccentsacutescedillascircumflexscommaaccenttbartcarontcommaaccentubreveuhungarumlautumacronuogonekuringutildewacutewcircumflexwdieresiswgraveycircumflexygravezacutezdotaccentkgreenlandiclongsnapostrophetonosdieresistonosAlphaBetaGammaDeltaEpsilonZetaEtaThetaIotaKappaLambdaMuNuXiOmicronPiRhoSigmaTauUpsilonPhiChiPsiOmegaAlphatonosEpsilontonosEtatonosIotatonosIotadieresisOmicrontonosUpsilontonosUpsilondieresisOmegatonosuni1FBBuni1F09uni1F0Duni1F0Buni1F0Funi1FB8uni1FBAuni1FBCuni1F89uni1F8Duni1F8Buni1F8Funi1F88uni1F8Cuni1F8Auni1F8Euni1F08uni1F0Cuni1F0Auni1F0Euni1FB9uni1FC9uni1F19uni1F1Duni1F1Buni1FC8uni1F18uni1F1Cuni1F1Auni1FCBuni1F29uni1F2Duni1F2Buni1F2Funi1FCAuni1FCCuni1F99uni1F9Duni1F9Buni1F9Funi1F98uni1F9Cuni1F9Auni1F9Euni1F28uni1F2Cuni1F2Auni1F2Euni1FDBuni1F39uni1F3Duni1F3Buni1F3Funi1FD8uni1FDAuni1F38uni1F3Cuni1F3Auni1F3Euni1FD9uni1FFBuni1F69uni1F6Duni1F6Buni1F6Funi1FFAuni1FFCuni1FA9uni1FADuni1FABuni1FAFuni1FA8uni1FACuni1FAAuni1FAEuni1F68uni1F6Cuni1F6Auni1F6Euni1FF9uni1F49uni1F4Duni1F4Buni1FF8uni1F48uni1F4Cuni1F4Auni1FECuni1FEBuni1F59uni1F5Duni1F5Buni1F5Funi1FE8uni1FEAuni1FE9alphabetagammadeltaepsilonzetaetathetaiotakappalambdanuxiomicronpirhosigmatauupsilonphichipsiomegaalphatonosepsilontonosetatonosiotatonosiotadieresisomicrontonosupsilontonosupsilondieresisomegatonosiotadieresistonosupsilondieresistonosuni03C2uni0374uni0375uni037Euni03D0uni03DAuni03DEuni03E0uni03F0uni1FBDuni1FBEuni1FC1uni1FCDuni1FCEuni1FCFuni1FDDuni1FDEuni1FDFuni1FEDuni1FEEuni1FFEuni1F00uni1F01uni1F02uni1F03uni1F04uni1F05uni1F06uni1F07uni1F10uni1F11uni1F12uni1F13uni1F14uni1F15uni1F20uni1F21uni1F22uni1F23uni1F24uni1F25uni1F26uni1F27uni1F30uni1F31uni1F32uni1F33uni1F34uni1F35uni1F36uni1F37uni1F40uni1F41uni1F42uni1F43uni1F44uni1F45uni1F50uni1F51uni1F52uni1F53uni1F54uni1F55uni1F56uni1F57uni1F60uni1F61uni1F62uni1F63uni1F64uni1F65uni1F66uni1F67uni1F70uni1F71uni1F72uni1F73uni1F74uni1F75uni1F76uni1F77uni1F78uni1F79uni1F7Auni1F7Buni1F7Cuni1F7Duni1F80uni1F81uni1F82uni1F83uni1F84uni1F85uni1F86uni1F87uni1F90uni1F91uni1F92uni1F93uni1F94uni1F95uni1F96uni1F97uni1FA0uni1FA1uni1FA2uni1FA3uni1FA4uni1FA5uni1FA6uni1FA7uni1FB0uni1FB1uni1FB2uni1FB3uni1FB6uni1FB7uni1FC2uni1FC3uni1FC4uni1FC6uni1FC7uni1FD0uni1FD1uni1FD2uni1FD3uni1FD6uni1FD7uni1FE0uni1FE1uni1FE2uni1FE3uni1FE4uni1FE5uni1FE6uni1FF2uni1FF3uni1FF4uni1FF6uni1FF7uni1FB4uni1FE7uniEFD5anoteleiauni03D1uni03D5uni03D6franclirapesetaEuroafii61289estimatedpartialdiffproductsummationuni2219radicalinfinityintegralapproxequalnotequallessequalgreaterequallozengeuni02C9uniEFEDuniEFEEuniEFF1uniEFF2uniEFF3uniEFF5uniEFF7AcuteCaronDieresisDieresisAcuteDieresisGraveGraveHungarumlautMacroncyrBrevecyrFlexdblGravecyrbrevecyrflexdblgravedieresisacutedieresisgraveuniF635uniF637uniF638uniF639uniF6DCuniF63AuniF63BuniF63CuniF63DuniF63EuniF63FuniF640uniF641uniF642uniF628uniF643uniF644uniF645uniF646uniF647uniF648uniF649uniF64AuniF64BuniF64CuniF64DuniF64EuniF64FuniF650uniF651uniF652uniF653uniF654uniF655uniF656uniF657uniF658uniF659uniF65AuniF65BuniF65CuniF65DuniF65EuniF65FuniF660uniF629uniF62AuniF62BuniF62CuniF62DuniF661uniF662uniF663uniF664uniF665uniF666uniF667uniF668uniF669uniF66AuniF66BuniF66CuniF62EuniF62FuniF630uniF631uniF632uniF66DuniF66EuniF66FuniF670uniF671uniF672uniF673uniF674uniF675uniF676uniF677uniF678uniF679uniF67AuniF67BuniF67CuniF67DuniF67EuniF67FuniF680uniF681uniF682uniF683uniF684uniF685uniF686uniF687uniF688uniF689uniF68AuniF68BuniF68CuniF68DuniF68EuniF68FuniF690uniF691uniF692uniF693uniF694uniF695uniF696uniF697uniF698uniF699uniF69AuniF69BuniF69CuniF69DuniF69EuniF69FuniF6A0uniF6A1uniF6A2uniF6A3uniF6A4uniF6A5uniF6A6uniF6A7uniF6A8uniF6A9uniF6AAuniF6ABuniF6ACuniF6ADuniF6AEuniF6AFuniF6B0uniF6B1uniF6B2uniF6B3uniF6B4uniF6B5uniF6B6uniF6B7uniF6B8uniF6B9uniF6BAuniF6BBuniF6BCuniF6BDuniF633c_hc_kc_tf_bf_f_bf_f_hf_f_kf_f_tf_hf_jf_f_jf_kf_ts_puniFB06T_hlongs_blongs_hlongs_ilongs_klongs_llongs_longsuniFB05longs_longs_ilongs_longs_la.ende.endm.endn.endr.endK.altR.altk.altcaron.altcommaaccent.altpeseta.altAlphaiotasub.altAlphaiotasubasper.altAlphaiotasubasperacute.altAlphaiotasubaspergrave.altAlphaiotasubaspertilde.altAlphaiotasublenis.altAlphaiotasublenisacute.altAlphaiotasublenisgrave.altAlphaiotasublenistilde.altEtaiotasub.altEtaiotasubasper.altEtaiotasubasperacute.altEtaiotasubaspergrave.altEtaiotasubaspertilde.altEtaiotasublenis.altEtaiotasublenisacute.altEtaiotasublenisgrave.altEtaiotasublenistilde.altOmegaiotasub.altOmegaiotasubasper.altOmegaiotasubasperacute.altOmegaiotasubaspergrave.altOmegaiotasubaspertilde.altOmegaiotasublenis.altOmegaiotasublenisacute.altOmegaiotasublenisgrave.altOmegaiotasublenistilde.altEuro.fittedcent.fittedcolonmonetary.fitteddollar.fittedflorin.fittedfranc.fittedlira.fittednumbersign.fittedsterling.fittedyen.fittedEuro.oldstylecolonmonetary.oldstyleestimated.oldstyleflorin.oldstylefranc.oldstylelira.oldstylenumbersign.oldstylesterling.oldstyleyen.oldstylefranc.taboldstylelira.taboldstyleorn.001orn.002orn.003orn.004orn.005orn.006orn.007orn.008orn.009orn.010orn.011orn.012orn.013orn.014orn.015orn.016orn.017orn.018orn.019orn.020orn.021orn.022orn.023afii10023afii10031afii10022afii10049T_h.caronafii10070afii10196afii10026afii10021afii10846afii10193afii10107afii10024afii10195afii10041afii10037afii10109afii10053afii10045afii10108afii10040afii10104afii10036afii10078afii10074afii10060afii10046afii10052afii10087afii10050afii10145afii10057afii10059afii10146afii10088afii10101afii10054afii10058Rholenisafii10025afii10099afii10068afii10035afii10048afii10089afii10105afii10085afii10020afii10077afii10106afii10019afii10076afii10110afii10100afii10090afii10028afii10095afii10147afii10066afii10098afii10082afii10061afii10103afii10102afii10083afii10027afii10072afii10039afii61352afii10069afii10094afii10038afii10034afii10148afii10032afii10194afii10033afii10075afii10017afii10081afii10056afii10084afii10044afii10030afii10051afii10047afii10018afii10080afii10042afii10071afii10029afii10062afii10065afii10097T_h.commaaccentafii10096afii10079afii10091afii10093afii10064afii10043afii10092uni2215uni021Bafii10073afii10067uni00A0uni021Aafii10086afii10055uni0394uni03BCuni03A9uni00ADCopyright 2000 Adobe Systems Incorporated. All Rights Reserved. U.S. Patent Des. 337,604.Minion is either a registered trademark or a trademark of Adobe Systems Incorporated in the United States and/or other countries.Minion Pro RegularMinion Pro% i WZ5:`v22> % I
/
2
I
o
#3p~U
D
e
!o#]emE %<Jeov~EMfjtFp|,S-AZ0=DK +^&7NQy(/S_dl 5Rk$=Valsz"'-@T_gos{ ) . > N ^ d n v ~ !!!!'!3!?!H!Q!Z!]!c!i!n!s!x!!!!!!!!!!!!!"""#"'"3"?"K"W"c"k"s"{""""""""""""""c&oEr^7 JB@H *W2c~sp&m!1= 4:$kYyywRvzwrZnon?˘iNUddLoLݪ
~}}vywS6vO(Zp^TrǕ؍8x`?NYwUVYWE}zyMhummR~Kfowx}|txcBzuyBpOwTxql[LPҩy}~Bxxhzqlc#T0@9
5/j,X^M8Uruuoquvqiff{bE<H8XUo^bb_rMG'Н=[W}yQSSۚ$P|TzTyT'
ajqyzx||rrpwttozpj`lWHrʥaiqyo
|rqpxt@tpyqjalVHr]yt/m'mDx]pIsn8AgmxpQAz4wv~s}~vstzf|oęgfeoszvwzxu$wny|YgJO-ʆea]>9+ZhchAB_\?#^|m[5v-<<[FL LHHq˂~XxAo4uFabfqaf%f+rrs}ǔcqW "* ڟŇՊvx|po~}wUJN<0o-כtzr[ {"!coч~^o]/6'orsBp0ZlZqRoGt{_Fpq|iiMkTratap`DabuvCICpAϦ{~{lpˇBDDpӐ qoكtYoNU)gI_Z`yӔodžF/INlw71oC
ŸԱȗГnoՆ3$811xrdcQD:0] ;hJjp~djmplXhZfYxnmmyf^#MR:AgszvT]jjZ?_ynZQ{sNHyZdƨ]O틯֯}ޣDyZ{kvumofFMk_VYЄ#ms^@L A_!Z Z|蒯}~rqyg|usqrwgmazԬqbfZBoل5|%69o<3oZMZJuׇ3c T{ddmvrjY_VpŇkrkGpφ}8Fgsmy]pWSy/OBR7WXjfeolw}v84o~}xUGP~72pC
~㿊IK
NϪb98IPq
`y[~XsłI\FL
ދ.R۲vhl_@oۅ8(85oq͗ƫ>(3XOG7]_\i^%"Ba:Jy.}eu}|wzq]is|~ґϐuCDDEp
ؑ~P|xhcMp^},
qkuGuzwv~s}~ust}e{nęgfR5BcH
蠓`
i
`c
v
y
蠚}xsnyvrpyh&T~Y|S|Q4xrqxvrpyhrqVVrm