GJW5YUGW
type: UserItem
resource: Practices and Obstacles to Provider-Initiated HIV Testing and Counseling (PITC) Among Healthcare Providers in Côte d’Ivoire
access date: 2020-08-24 16:29:38
repository: Springer Link
rights: All rights reserved

Practices and Obstacles to Provider-Initiated HIV Testing and Counseling (PITC) Among Healthcare Providers in Côte d’Ivoire
type: AcademicArticle
abstract: Practices of Provider-Initiated HIV Testing and Counseling (PITC) remains suboptimal in Côte d’Ivoire. The aim of this survey was to identify the practices and obstacles to PITC among healthcare professionals in Côte d'Ivoire. A nationally representative cross-sectional survey was conducted in 2018 by telephone among three separate samples of midwives, nurses and physicians practicing in Côte d'Ivoire. The number of HIV tests proposed during consultation in the month preceding the survey was collected for each professional. Factors associated with the number of proposed tests were identified through ordinal logistic regression models. A total of 298 midwives, 308 nurses and 289 physicians were interviewed. Midwives proposed the test more frequently, followed by nurses and physicians. Among midwives, a higher number of proposed tests was associated with the perception that HIV testing does not require specific consent compared to other diseases (aOR 4.00 [95% CI 1.37–14.29]). Among nurses, having received HIV training and the presence of community HIV counselors were associated with a higher number of proposed tests (aOR 2.01 [1.31–3.09] and aOR 1.75 [1.14–2.70], respectively). For physicians, the presence of a voluntary testing center was associated with a higher number of proposed tests (aOR 1.69 [1.01–2.86]). PITC practices and barriers differed across professions. Beyond improving environmental opportunities such as dedicated staff or services, strengthening the motivations and capabilities of healthcare professionals to propose testing could improve PITC coverage.
doi: 10.1007/s10461-020-02923-0
language: en
creator: Person
author list: Person
author list: for the ANRS 12323 DOD-CI Study Group
creator: for the ANRS 12323 DOD-CI Study Group
is part of: Issue
  date: 2020-05-24
  is part of: AIDS and Behavior
    type: Journal
    short title: AIDS Behav
    issn: 1573-3254

Person
given name: Maxime
surname: Inghels

Person
given name: Arsène Kra
surname: Kouassi

Person
given name: Serge
surname: Niangoran

Person
given name: Anne
surname: Bekelynck

Person
given name: Séverine
surname: Carillon

Person
given name: Lazare
surname: Sika

Person
given name: Christine
surname: Danel

Person
given name: Mariatou
surname: Kone

Person
given name: Annabel
surname: Desgrees du Lou

Person
given name: Joseph
surname: Larmarange

for the ANRS 12323 DOD-CI Study Group
type: Organization