@article{fdi:010076093,
  title = {{E}ffect of organizational models of provider-initiated testing and counseling ({PITC}) in health facilities on adult {HIV} testing coverage in sub-{S}aharan {A}frica},
  author = {{I}nghels, {M}. and {C}arillon, {S}everine and {D}esgr{\'e}es du {L}oû, {A}nnabel and {L}armarange, {J}oseph},
  editor = {},
  language = {{ENG}},
  abstract = {{T}he purpose of this paper is to identify which {P}rovider-{I}nitiated {HIV} {T}esting and {C}ounseling ({PITC}) organizational models are the most efficient to maximize testing coverage. {W}e conducted a systematic literature review to identify published articles that evaluated routine {PITC} programs implemented in adult health facilities in {S}ub-{S}aharan {A}frica. {W}e considered only articles measuring {PITC} offer, {PITC} acceptability and {PITC} coverage. {A}djusted meta-regression models were performed to measure the association between {PITC} offer, acceptability and coverage with {PITC} organizational model. {A} total of 30 articles were included in the meta-analysis. {O}verall, 85.4% [95%{CI}: 77.2-93.5] of patients were offered a test, and 87.1% [82.4-91.7] accepted the test resulting in a {PITC} coverage of 74.3% [66-82.6]. {F}our types of {PITC} organizational models were identified: {PITC} initiated and performed during the consultation (model {A}), {PITC} initiated before consultation (model {B}), {PITC} referred on-site (model {C}) and {PITC} referred off-site (model {D}). {C}ompared to model {A}, model {B} had a similar coverage (a{OR}: 1.02 [0.82-1.26]). {H}owever, coverage was lower for model {C} (a{OR}: 0.81 [0.68-0.97]) and model {D} (a{OR}: 0.58 [0.44-0.77]). {I}nitiating the testing process before or during medical consultation is recommended for maximizing testing coverage among patients.},
  keywords = {{P}rovider initiated testing and counseling ; {HIV} testing ; testing cover ; organizational models ; {S}ub-{S}aharan {A}frica ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{AIDS} {C}are},
  volume = {32},
  numero = {2},
  pages = {163--169},
  ISSN = {0954-0121},
  year = {2020},
  DOI = {10.1080/09540121.2019.1626339},
  URL = {https://www.documentation.ird.fr/hor/fdi:010076093},
}