Cascade of Provider-Initiated Human Immunodeficiency Virus Testing and Counselling at Specific Life Events (Pregnancy, Sexually Transmitted Infections, Marriage) in Côte dʼIvoire:
type: Article
item type: journalArticle
is part of: Sexually Transmitted Diseases
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: Desgrées du Loû
  given name: Annabel
authors: Person
  surname: Larmarange
  given name: Joseph
abstract: BACKGROUND: Despite the implementation of Provider Initiated Testing and Counselling (PITC) in 2009, PITC coverage remains low in Cote d'Ivoire. The purpose of this study is to determine whether an human immunodeficiency virus (HIV) test was offered and performed at specific life events where PITC is recommended by national guidelines. METHODS: In 2017, a cross-sectional telephone survey was conducted among a representative sample of 3,867 adults from the general population in Côte d'Ivoire. The occurrences of the following events over the past 5 years were documented: pregnancy (event A) or partner's pregnancy (event B) of the last child, sexually transmitted infection (event C) and marriage (event D). For each of these events, participants were asked (i) if they consulted a health care professional, (ii) if they were offered an HIV test during that consultation and (iii) if they accepted it. RESULTS: Consulting a health care provider was reported by 94.9%, 58.3%, 70.3% and 19.1% of those who reported events A, B, C and D respectively. In case of medical consultations following events A, B, C and D, respectively 70.1%, 33.1%, 28.1%, and 78.8% of individuals were offered an HIV test. The testing acceptance was high regardless of the event. Overall, testing coverage was 63.7%, 16.9%, 13.4% and 14.5% for events A, B, C and D respectively. CONCLUSIONS: Increasing HIV testing coverage in Côte d'Ivoire requires (i) facilitating attendance to health services in case of sexually transmitted infections, marriage and pregnancy-for men-and (ii) strengthening routine testing offer on these occasions.
date: 2020-01
pages: 54-61
date submitted: 2020-03-18 16:08:18
short title: Cascade of Provider-Initiated Human Immunodeficiency Virus Testing and Counselling at Specific Life Events (Pregnancy, Sexually Transmitted Infections, Marriage) in Côte dʼIvoire
language: en
library catalog: Crossref

Sexually Transmitted Diseases
type: Journal
volume: 47
number: 1
identifier: DOI 10.1097/OLQ.0000000000001084
identifier: ISSN 0148-5717