Maxime Inghels1, Arsène Kra Kouassi2, Serge Niangoran2, Anne Bekelynck1,2, Séverine Carillon1, Lazare Sika3, Christine Danel2,4, Mariatou Kone5, Annabel Desgrées du Loû1, Joseph Larmarange1. 1. From the Centre Population et Développement (UMR 196 Paris Descartes IRD), SageSud (ERL INSERM 1244), Institut de Recherche pour le Développement. 2. Programme PAC-CI/ANRS, Centre Hospitalier Universitaire de Treichville, Abidjan, Côte d'Ivoire. 3. École Nationale Supérieure de Statistique et d'Economie Appliquée (ENSEA), Abidjan, Côte d'Ivoire. 4. Centre Inserm 1219, Université de Bordeaux, Bordeaux, France. 5. Institut d'Ethno-Sociologie (IES), Abidjan, Côte d'Ivoire, Paris, France.
Abstract
BACKGROUND: Despite the implementation of Provider Initiated Testing and Counselling (PITC) in 2009, PITC coverage remains low in Cote d'Ivoire. 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. METHODS: In 2017, a cross-sectional telephone survey was conducted among a representative sample of 3,867 adults from the general population in Côte d'Ivoire. The occurrences of the following events over the past 5 years were documented: pregnancy (event A) or partner's 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. RESULTS: Consulting 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. CONCLUSIONS: Increasing HIV testing coverage in Côte d'Ivoire 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.
BACKGROUND: Despite the implementation of Provider Initiated Testing and Counselling (PITC) in 2009, PITC coverage remains low in Cote d'Ivoire. 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. METHODS: In 2017, a cross-sectional telephone survey was conducted among a representative sample of 3,867 adults from the general population in Côte d'Ivoire. The occurrences of the following events over the past 5 years were documented: pregnancy (event A) or partner's 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. RESULTS: Consulting 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. CONCLUSIONS: Increasing HIV testing coverage in Côte d'Ivoire 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.
Authors: Sokhna Boye; Seydou Bouaré; Odette Ky-Zerbo; Nicolas Rouveau; Arlette Simo Fotso; Marc d'Elbée; Romain Silhol; Mathieu Maheu-Giroux; Anthony Vautier; Guillaume Breton; Abdelaye Keita; Anne Bekelynck; Alice Desclaux; Joseph Larmarange; Dolorès Pourette Journal: Front Public Health Date: 2021-05-19
Authors: Pascal Agbadi; Jerry John Nutor; Ernest Darkwah; Henry Ofori Duah; Precious Adade Duodu; Robert Kaba Alhassan; Kimberly Baltzell Journal: Int J Environ Res Public Health Date: 2020-08-05 Impact factor: 3.390