EJ7ZVN5C
type: UserItem
resource: Cascade of provider-initiated HIV testing and counselling at specific life events (pregnancy, STIs, marriage plan) in Côte d’Ivoire
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Cascade of provider-initiated HIV testing and counselling at specific life events (pregnancy, STIs, marriage plan) in Côte d’Ivoire
type: Article
abstract: Aim In Côte d’Ivoire, only 57.8% of women and 37.0% of men have been HIV-tested at least once, which is insufficient to control the epidemic. The objective of this study is to describe at a population level if an HIV test was offered and performed at specific life-events where provider-initiated HIV testing is recommended. Method/Issue A cross-sectional telephone survey was conducted in 2017 among a representative sample of 3 867 individuals from the general population in Côte d'Ivoire. For each individual, the occurrence of the following events over the past 5 years was documented: birth of a child, Sexually Transmitted Infections—STIs, marriage. For each of these events, they were asked (i) if they have consulted a health professional, (ii) if they were offered an HIV test during that consultation and (iii) if they accepted it. The factors associated with each of these three steps were analyzed in separate logistic regression models stratified by type of event. Results/Comments While 63.7% of women were HIV-tested during their last pregnancy, only 16.9% of men were tested during their partner’s last pregnancy and this proportion fell to 13.4% for people with an STI and 14.5% for people who got married. These levels of HIV testing were mainly driven by a lack of medical consultation (except for pregnant women) and a lack of testing proposal (except for pre-marital check-up). Testing acceptability was high. Discussion Improving HIV testing coverage in Côte d’Ivoire requires (i) facilitating attendance to health services in case of STIs, marriage plans and pregnancy—for men—and (ii) strengthening routine testing proposal during these occasions.
presented at: AIDS Impact
citation key: inghelsCascadeProviderinitiatedHIV2019
creator: Person
author list: Person
is part of: Proceedings
  publisher: poster
    type: Organization
    locality name: London
  date: 2019-07-30

Person
given name: Maxime
surname: Inghels

Person
given name: Arsène
surname: Kra Kouassi

Person
given name: Serge
surname: Niangoran

Person
given name: Anne
surname: Bekelynck

Person
given name: Séverine
surname: Carillon

Person
given name: Christine
surname: Danel

Person
given name: Lazare
surname: Sika

Person
given name: Mariatou
surname: Koné

Person
given name: Annabel
surname: Desgrées du Loû

Person
given name: Joseph
surname: Larmarange