@article{fdi:010060557,
  title = {{S}ocio-economic determinants of {HIV} testing and counselling : a comparative study in four {A}frican countries},
  author = {{O}bermeyer, {C}. {M}. and {N}euman, {M}. and {H}ardon, {A}. and {D}esclaux, {A}lice and {W}anyenze, {R}. and {K}y-{Z}erbo, {O}. and {C}herutich, {P}. and {N}amakhoma, {I}.},
  editor = {},
  language = {{ENG}},
  abstract = {{OBJECTIVES} {R}esearch indicates that individuals tested for {HIV} have higher socio-economic status than those not tested, but less is known about how socio-economic status is associated with modes of testing. {W}e compared individuals tested through provider-initiated testing and counselling ({PITC}), those tested through voluntary counselling and testing ({VCT}) and those never tested. {METHODS} {C}ross-sectional surveys were conducted at health facilities in {B}urkina {F}aso, {K}enya, {M}alawi and {U}ganda, as part of the {M}ulti-country {A}frican {T}esting and {C}ounselling for {HIV} ({MATCH}) study. {A} total of 3659 clients were asked about testing status, type of facility of most recent test and socio-economic status. {T}wo outcome measures were analysed: ever tested for {HIV} and mode of testing. {W}e compared {VCT} at stand-alone facilities and {PITC}, which includes integrated facilities where testing is provided with medical care, and prevention of mother-to-child transmission ({PMTCT}) facilities. {T}he determinants of ever testing and of using a particular mode of testing were analysed using modified {P}oisson regression and multinomial logistic analyses. {RESULTS} {H}igher socio-economic status was associated with the likelihood of testing at {VCT} rather than other facilities or not testing. {T}here were no significant differences in socio-economic characteristics between those tested through {PITC} (integrated and {PMTCT} facilities) and those not tested. {CONCLUSIONS} {P}rovider-initiated modes of testing make testing accessible to individuals from lower socio-economic groups to a greater extent than traditional {VCT}. {E}xpanding testing through {PMTCT} reduces socio-economic obstacles, especially for women. {C}ontinued efforts are needed to encourage testing and counselling among men and the less affluent.},
  keywords = {{HIV} ; testing ; sub-{S}aharan {A}frica ; socio-economic ; access ; voluntary counselling and testing ; provider-initiated testing and counselling ; {BURKINA} {FASO} ; {KENYA} ; {MALAWI} ; {UGANDA}},
  booktitle = {},
  journal = {{T}ropical {M}edicine and {I}nternational {H}ealth},
  volume = {18},
  numero = {9},
  pages = {1110--1118},
  ISSN = {1360-2276},
  year = {2013},
  DOI = {10.1111/tmi.12155},
  URL = {https://www.documentation.ird.fr/hor/fdi:010060557},
}