Outreach strategies of HIV testing in Côte d’Ivoire: Community providers under pressure
type: Article
item type: journalArticle
is part of: Sante Publique
publisher: S.F.S.P.
authors: Person
  surname: Kouadio
  given name: Brou Alexis
authors: Person
  surname: Carillon
  given name: Séverine
authors: Person
  surname: Bekelynck
  given name: Anne
authors: Person
  surname: Assi
  given name: Adjoa Nelly Assoumou
authors: Person
  surname: Danel
  given name: Christine
authors: Person
  surname: Ouantchi
  given name: Honoré
authors: Person
  surname: Doumbia
  given name: Mohamed
authors: Person
  surname: Koné
  given name: Mariatou
authors: Person
  surname: Larmarange
  given name: Joseph
authors: Person
  surname: Équipe projet DOD-CI ANRS 12323
abstract: Background: Outreach HIV testing strategies have significantly contributed to the increase in the number of people knowing their HIV status in sub-Saharan Africa. This article analyzes the articulation of donor and field constraints on the implementation of outreach HIV testing strategies in Côte d’Ivoire.Methods: Qualitative research was conducted in three health districts (Man, Cocody-Bingerville and Aboisso) in Côte d’Ivoire in 2015-2016, through in-depth interviews with community providers, local leaders and people tested and through observation of outreach HIV testing activities.Results: Implementing organizations feel “under pressure” to meet donors’ objectives that are deemed unattainable, as well as the lack of training and funding. As a result, providers do not observe systematically the rules of the “three Cs” (counselling, informed consent, confidentiality), and propose testing to individuals who are “off-target” (in terms of locations and populations).Discussion: Implementing NGOs experience two types of constraints those resulting from the functioning of international aid (inadequate funding compared to actual costs, objectives too high, the important chain of intermediaries) and those related to the local context (spaces not adapted to guarantee confidentiality and the professional activity of target populations).Conclusion: The pressure that is exerted at different levels on implementing NGOs is detrimental to the quality of HIV testing. It is now essential to develop a more qualitative approach in defining strategies and evaluation criteria.
date: 2020-06-29
pages: 103-111
citation key: kouadioOutreachStrategiesHIV2020
date submitted: 2021-12-17 16:22:39
short title: Outreach strategies of HIV testing in Côte d’Ivoire
language: fr
library catalog: www.cairn-int.info
rights: All rights reserved
description: Bibliographie_available: 0 Cairndomain: www.cairn-int.info Cite Par_available: 0

Sante Publique
type: Journal
volume: 32
number: 1
identifier: DOI 10.3917/spub.201.0103
identifier: ISSN 0995-3914