Inghels M. auteur aut IRD Carillon Severine auteur aut IRD Desgrées du Loû Annabel auteur aut IRD Larmarange Joseph auteur aut IRD text journalArticle eng text/pdf born digital access 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. specialized Provider initiated testing and counseling HIV testing testing cover organizational models Sub-Saharan Africa AFRIQUE SUBSAHARIENNE 052 056 32 2 163-169 2020 0954-0121 https://www.documentation.ird.fr/hor/fdi:010076093 10.1080/09540121.2019.1626339 0954-0121 [F B010076093] https://www.documentation.ird.fr/hor/fdi:010076093 https://www.documentation.ird.fr/intranet/publi/2019/07/010076093.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2019-08-05 2025-02-24 fdi:010076093 fre