%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Inghels, M.
%A Carillon, Severine
%A Desgrées du Loû, Annabel
%A Larmarange, Joseph
%T Effect of organizational models of provider-initiated testing and counseling (PITC) in health facilities on adult HIV testing coverage in sub-Saharan Africa
%D 2020
%L fdi:010076093
%G ENG
%J AIDS Care
%@ 0954-0121
%K Provider initiated testing and counseling ; HIV testing ; testing cover ; organizational models ; Sub-Saharan Africa
%K AFRIQUE SUBSAHARIENNE
%M ISI:000472360900001
%N 2
%P 163-169
%R 10.1080/09540121.2019.1626339
%U https://www.documentation.ird.fr/hor/fdi:010076093
%> https://www.documentation.ird.fr/intranet/publi/2019/07/010076093.pdf
%V 32
%W Horizon (IRD)
%X The purpose of this paper is to identify which Provider-Initiated HIV Testing and Counseling (PITC) organizational models are the most efficient to maximize testing coverage. We conducted a systematic literature review to identify published articles that evaluated routine PITC programs implemented in adult health facilities in Sub-Saharan Africa. We considered only articles measuring PITC offer, PITC acceptability and PITC coverage. Adjusted 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. Overall, 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]. Four 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). Compared to model A, model B had a similar coverage (aOR: 1.02 [0.82-1.26]). However, coverage was lower for model C (aOR: 0.81 [0.68-0.97]) and model D (aOR: 0.58 [0.44-0.77]). Initiating the testing process before or during medical consultation is recommended for maximizing testing coverage among patients.
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