Barriers and facilitators associated with HIV testing uptake in South African health facilities offering HIV Counselling and Testing
Barriers and facilitators associated with HIV testing uptake in South African health facilities offering HIV Counselling and Testing
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DOI：
10.1016/j.hsag.2015.11.001
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发表时间：
2016-01-01
期刊：
影响因子：
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通讯作者：
Mwisongo, Aziza
中科院分区：
文献类型：
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作者：
Mohlabane, Neo;Tutshana, Bomkazi;Mwisongo, Aziza
背景资料：南非将艾滋病毒咨询和检测扩大到4 500个公共卫生设施，并在移动的和非医疗场所提供服务，目的是增加艾滋病毒咨询和检测的接受率。然而，有些人仍然从来没有一个HIV test.Objective：一个HCT调查进行，以确定艾滋病毒检测的障碍和促进因素在SouthAfrica.Methods：一个横断面调查67 HCT提供卫生设施在8个南非省份进行。对在现场访视当天未进行HIV检测的个人（n = 489）进行了关于HCT服务意识、HIV检测史和HIV检测障碍的访谈。频率运行描述样本的特点，艾滋病毒检测的障碍和促进因素。双变量和多变量Logistic回归被用来确定从未测试过的HIV与社会人口统计学，HCT服务的认识和类型的HCT facility.Results：在所有18.1%的参与者从来没有一个HIV检测之间的关联。艾滋病毒检测的主要障碍包括害怕知道自己的艾滋病毒检测结果或人们可能会说什么、害羞或尴尬、避免向卫生工作者透露个人信息以及害怕死亡。在多变量分析中，年龄在55岁及以上，不建议进行HIV检测的年龄组与从未进行过HIV检测相关。HIV检测的潜在促进因素包括社区或家庭HIV检测，为那些谁测试HIV，强制性HIV检测和披露HIV状态的人谁测试HIV positive.Conclusion：HCT的好处，其中包括减少HIV传播，艾滋病毒的护理和治疗的可用性需要强调，以提高HCT摄取。卫生工作者还需要向所有参加提供这项服务的卫生机构的个人推荐HCT。(c)2015作者Elsevier B的出版服务。五、代表约翰内斯堡大学。这是一个CC BY-NC-ND许可下的开放获取文章。
Background: The scale-up of HIV Counselling and Testing (HCT) in South Africa to 4500 public health facilities and the service's provision in mobile and non-medical sites was aimed at increasing HCT uptake. However, some people still have never had an HIV test.Objective: An HCT survey was carried out to ascertain barriers and facilitators for HIV testing in South Africa.Methods: A cross-sectional survey of 67 HCT-offering health facilities in 8 South African provinces was undertaken. Individuals (n = 489) who had not tested for HIV on the day of the site visit were interviewed on awareness of HCT services, HIV testing history and barriers to HIV testing. Frequencies were run to describe the sample characteristics, barriers and facilitators to HIV testing. Bivariate and multivariate logistic regression was used to identify the association between never tested for HIV with socio-demographics, awareness of HCT services and type of HCT facilities.Results: In all 18.1% participants never had an HIV test. Major barriers to HCT uptake comprise being scared of finding out one's HIV test result or what people may say, shyness or embarrassment, avoidance of divulging personal information to health workers and fear of death. In multivariate analysis the age group 55 years and older, and not being recommended to have an HIV test were associated with never had an HIV test. Potential facilitators for HIV testing include community or household HIV testing, providing incentives for those who test for HIV, mandatory HIV testing and disclosure of HIV status by those who test HIV positive.Conclusion: The benefits of HCT which include the reduction of HIV transmission, the availability of HIV care and treatment needs to be emphasized to enhance HCT uptake. Health workers also need to recommend HCT to all individuals attending health facilities offering this service. (c) 2015 The Authors. Publishing services by Elsevier B. V. on behalf of Johannesburg University. This is an open access article under the CC BY-NC-ND license.