Practices and Obstacles to Provider-Initiated HIV Testing and Counseling (PITC) Among Healthcare Providers in Côte d’Ivoire
type: Article
item type: journalArticle
is part of: AIDS and Behavior
authors: Person
  surname: Inghels
  given name: Maxime
authors: Person
  surname: Kouassi
  given name: Arsène Kra
authors: Person
  surname: Niangoran
  given name: Serge
authors: Person
  surname: Bekelynck
  given name: Anne
authors: Person
  surname: Carillon
  given name: Séverine
authors: Person
  surname: Sika
  given name: Lazare
authors: Person
  surname: Danel
  given name: Christine
authors: Person
  surname: Kone
  given name: Mariatou
authors: Person
  surname: Desgrees du Lou
  given name: Annabel
authors: Person
  surname: Larmarange
  given name: Joseph
authors: Person
  surname: for the ANRS 12323 DOD-CI Study Group
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.
date: 2020-05-24
date submitted: 2020-08-24 16:29:38
language: en
library catalog: Springer Link
rights: All rights reserved

AIDS and Behavior
type: Journal
alternative: AIDS Behav
identifier: DOI 10.1007/s10461-020-02923-0
identifier: ISSN 1573-3254