UIJGLJCU
type: UserItem
resource: Effect of organizational models of provider-initiated testing and counseling (PITC) in health facilities on adult HIV testing coverage in sub-Saharan Africa
access date: 2020-01-06 10:14:16
repository: Taylor and Francis+NEJM
rights: All rights reserved
tagged: AutoTag
  label: HIV testing
tagged: AutoTag
  label: Provider initiated testing and counseling
tagged: AutoTag
  label: Sub-Saharan Africa
tagged: AutoTag
  label: organizational models
tagged: AutoTag
  label: testing cover

Effect of organizational models of provider-initiated testing and counseling (PITC) in health facilities on adult HIV testing coverage in sub-Saharan Africa
type: AcademicArticle
abstract: The purpose of this paper is to identify which Provider-Initiated HIV Testing and Counseling (PITC) organizational models are the most efficient to maximize testing coverage. We conducted a systematic literature review to identify published articles that evaluated routine PITC programs implemented in adult health facilities in Sub-Saharan Africa. We considered only articles measuring PITC offer, PITC acceptability and PITC coverage. Adjusted meta-regression models were performed to measure the association between PITC offer, acceptability and coverage with PITC organizational model. A total of 30 articles were included in the meta-analysis. Overall, 85.4% [95%CI: 77.2–93.5] of patients were offered a test, and 87.1% [82.4–91.7] accepted the test resulting in a PITC coverage of 74.3% [66–82.6]. Four types of PITC organizational models were identified: PITC initiated and performed during the consultation (model A), PITC initiated before consultation (model B), PITC referred on-site (model C) and PITC referred off-site (model D). Compared to model A, model B had a similar coverage (aOR: 1.02 [0.82–1.26]). However, coverage was lower for model C (aOR: 0.81 [0.68–0.97]) and model D (aOR: 0.58 [0.44–0.77]). Initiating the testing process before or during medical consultation is recommended for maximizing testing coverage among patients.
pages: 163-169
doi: 10.1080/09540121.2019.1626339
citation key: inghelsEffectOrganizationalModels2020
PMID: 31163976
creator: Person
author list: Person
is part of: Issue
  date: 2020-02-01
  volume: 32
  issue: 2
  is part of: AIDS Care
    type: Journal
    issn: 0954-0121

Person
given name: Maxime
surname: Inghels

Person
given name: S.
surname: Carillon, Séverine

Person
given name: Annabel
surname: Desgrées du Loû

Person
given name: Joseph
surname: Larmarange