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Inghels M, Kouassi AK, Niangoran S, Bekelynck A, Carillon S, Sika L, Danel C, Kone M, Desgrees du Lou A, Larmarange J. Practices and Obstacles to Provider-Initiated HIV Testing and Counseling (PITC) Among Healthcare Providers in Côte d'Ivoire. AIDS Behav 2020; 24:3491-3500. [PMID: 32449115 PMCID: PMC7667140 DOI: 10.1007/s10461-020-02923-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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.
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Affiliation(s)
- Maxime Inghels
- Lincoln International Institute for Rural Health (LIIRH), University of Lincoln, Brayford Pool, Lincoln, Lincolnshire, LN6 7TS, UK.
- Centre Population et Développement (UMR 196 Paris Descartes - IRD), SageSud (ERL INSERM 1244), Institut de Recherche Pour Le Développement, Paris, France.
| | - Arsène Kra Kouassi
- Programme PAC-CI/ANRS, Centre Hospitalier Universitaire de Treichville, Abidjan, Ivory Coast
| | - Serge Niangoran
- Programme PAC-CI/ANRS, Centre Hospitalier Universitaire de Treichville, Abidjan, Ivory Coast
| | - Anne Bekelynck
- Centre Population et Développement (UMR 196 Paris Descartes - IRD), SageSud (ERL INSERM 1244), Institut de Recherche Pour Le Développement, Paris, France
- Programme PAC-CI/ANRS, Centre Hospitalier Universitaire de Treichville, Abidjan, Ivory Coast
| | - Séverine Carillon
- Centre Population et Développement (UMR 196 Paris Descartes - IRD), SageSud (ERL INSERM 1244), Institut de Recherche Pour Le Développement, Paris, France
| | - Lazare Sika
- École Nationale Supérieure de Statistique et d'Economie Appliquée (ENSEA), Abidjan, Ivory Coast
| | - Christine Danel
- Programme PAC-CI/ANRS, Centre Hospitalier Universitaire de Treichville, Abidjan, Ivory Coast
- Centre Inserm 1219, Université de Bordeaux, Bordeaux, France
| | - Mariatou Kone
- Institut D'Ethno-Sociologie (IES), Abidjan, Ivory Coast
| | - Annabel Desgrees du Lou
- Centre Population et Développement (UMR 196 Paris Descartes - IRD), SageSud (ERL INSERM 1244), Institut de Recherche Pour Le Développement, Paris, France
| | - Joseph Larmarange
- Centre Population et Développement (UMR 196 Paris Descartes - IRD), SageSud (ERL INSERM 1244), Institut de Recherche Pour Le Développement, Paris, France
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