Details

Autor(en) / Beteiligte

• Inghels, Maxime
• Kouassi, Arsène Kra
• Niangoran, Serge
• Bekelynck, Anne
• Carillon, Séverine
• Sika, Lazare
• Danel, Christine
• Kone, Mariatou
• du Loû, Annabel Desgrées
• Larmarange, Joseph

Titel

Cascade of Provider-Initiated Human Immunodeficiency Virus Testing and Counselling at Specific Life Events (Pregnancy, Sexually Transmitted Infections, Marriage) in Côte dʼIvoire

Ist Teil von

• Sexually transmitted diseases, 2020-01, Vol.47 (1), p.54-61

Ort / Verlag

United States: Copyright American Sexually Transmitted Diseases Association

Erscheinungsjahr

2020

Link zum Volltext

Quelle

Electronic Journals Library

Beschreibungen/Notizen

• BACKGROUNDDespite the implementation of Provider Initiated Testing and Counselling (PITC) in 2009, PITC coverage remains low in Cote dʼIvoire. 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. METHODSIn 2017, a cross-sectional telephone survey was conducted among a representative sample of 3,867 adults from the general population in Côte dʼIvoire. The occurrences of the following events over the past 5 years were documentedpregnancy (event A) or partnerʼs 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. RESULTSConsulting 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. CONCLUSIONSIncreasing HIV testing coverage in Côte dʼIvoire 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.