Provider-initiated HIV testing and counseling: increased uptake in two public community health centers in South Africa and implications for scale-up.
PLoS One
; 6(11): e27293, 2011.
Article
em En
| MEDLINE
| ID: mdl-22114668
ABSTRACT
BACKGROUND:
International guidance recommends the scale up of routinely recommended, offered, and delivered health care provider-initiated HIV testing and counseling (PITC) to increase the proportion of persons who know their HIV status. We compared HIV test uptake under PITC to provider-referral to voluntary counseling and testing (VCT referral) in two primary health centers in South Africa.METHODS:
Prior to introducing PITC, clinical providers were instructed to refer systematically selected study participants to VCT. After PITC and HIV rapid test training, providers were asked to recommend, offer and provide HIV testing to study participants during the clinical consultation. Participants were interviewed before and after their consultation to assess their HIV testing experiences.RESULTS:
HIV test uptake increased under PITC (OR 2.85, 95% CI 1.71, 4.76), and more patients felt providers answered their questions on HIV (104/141 [74%] versus 73/118 [62%] for VCT referral; p 0.04). After three months, only 4/106 (3.8%) HIV-positive patients had registered for onsite HIV treatment. Providers found PITC useful, but tested very few patients (range 0-15).CONCLUSION:
PITC increased the uptake of HIV testing compared with referral to onsite VCT, and patients reported a positive response to PITC. However, providing universal PITC will require strong leadership to train and motivate providers, and interventions to link HIV-positive persons to HIV treatment centers.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sorodiagnóstico da AIDS
/
Infecções por HIV
/
Programas de Rastreamento
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Pessoal de Saúde
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Centros Comunitários de Saúde
/
Aconselhamento
/
Política de Saúde
Tipo de estudo:
Clinical_trials
/
Guideline
/
Prognostic_studies
/
Screening_studies
Limite:
Adolescent
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Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Africa
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article