@article{fdi:010062645,
  title = {{E}thical considerations of providers and clients on {HIV} testing campaigns in {B}urkina {F}aso},
  author = {{D}esclaux, {A}lice and {K}y-{Z}erbo, {O}. and {S}ome, {J}. {F}. and {O}bermeyer, {C}. {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {C}ampaigns have been conducted in a number of low {HIV} prevalence {A}frican settings, as a strategy to expand {HIV} testing, and it is important to assess the extent to which individual rights and quality of care are protected during campaigns. {I}n this article we investigate provider and client perceptions of ethical issues, including whether they think that accessibility of counseling and testing sites during campaigns may hinder confidentiality. {M}ethods: {T}o examine how campaigns have functioned in {B}urkina {F}aso, we undertook a qualitative study based on individual interviews and focus group discussions with 52 people (providers and clients tested during or outside campaigns and individuals never tested). {T}hematic analysis was performed on discourse about perceptions and experiences of {HIV}-testing campaigns, quality of care and individual rights. {R}esults: {R}espondents value testing accessibility and attractiveness during campaigns; clients emphasize convenience, ripple effect, the sense of not being alone, and the anonymity resulting from high attendance. {C}onfronted with numerous clients, providers develop context-specific strategies to ensure consent, counseling, confidentiality and retention in the testing process, and they adapt to workplace arrangements, local resources and social norms. {C}lients appreciate the quality of care during campaigns. {H}owever, new ethical issues arise about confidentiality and accessibility. {C}onfidentiality of {HIV}-status may be jeopardized due to local social norms that encourage people to share their results with others, when {HIV}-positive people may not wish to do so. {P}roviders' ethical concerns are consistent with {WHO} norms known as the '5 {C}s,' though articulated differently. {C}lients and providers value the accessibility of testing for all during campaigns, and consider it an ethical matter. {T}he study yields insights on the way global norms are adapted or negotiated locally. {C}onclusions: {F}uture global recommendations for {HIV} testing and counseling campaigns should consider accessibility and propose ways for testing services to respond to new ethical issues related to high demand.},
  keywords = {{HIV} ; {T}esting campaign ; {E}thics ; {B}urkina {F}aso ; {I}ndividual rights ; {G}lobal norms ; {S}tigma ; {A}frica ; {BURKINA} {FASO}},
  booktitle = {},
  journal = {{B}mc {I}nternational {H}ealth and {H}uman {R}ights},
  volume = {14},
  numero = {},
  pages = {art. 27 [12 ]},
  ISSN = {1472-698{X}},
  year = {2014},
  DOI = {10.1186/1472-698x-14-27},
  URL = {https://www.documentation.ird.fr/hor/fdi:010062645},
}