Inghels M., Kouassi A. K., Niangoran S., Bekelynck A., Carillon Severine, Sika L., Danel C., Kone M., Desgrées du Loû Annabel, Larmarange Joseph, Assoumou N., Doumbia M., Kone M., Kouadio A., Ouantchi H., ANRS 12323 DOD-CI Study Group. (2020). Cascade of provider-initiated human immunodeficiency virus testing and counselling at specific life events (Pregnancy, sexually transmitted infections, marriage) in Cote d'Ivoire. Sexually Transmitted Diseases, 47 (1), p. 54-61. ISSN 0148-5717.
Titre du document
Cascade of provider-initiated human immunodeficiency virus testing and counselling at specific life events (Pregnancy, sexually transmitted infections, marriage) in Cote d'Ivoire
Année de publication
2020
Auteurs
Inghels M., Kouassi A. K., Niangoran S., Bekelynck A., Carillon Severine, Sika L., Danel C., Kone M., Desgrées du Loû Annabel, Larmarange Joseph, Assoumou N., Doumbia M., Kone M., Kouadio A., Ouantchi H., ANRS 12323 DOD-CI Study Group
Source
Sexually Transmitted Diseases, 2020,
47 (1), p. 54-61 ISSN 0148-5717
Background Despite the implementation of Provider Initiated Testing and Counselling (PITC) in 2009, PITC coverage remains low in Cote d'Ivoire. The purpose of this study is to determine whether an human immunodeficiency virus (HIV) test was offered and performed at specific life events where PITC is recommended by national guidelines. Methods In 2017, a cross-sectional telephone survey was conducted among a representative sample of 3,867 adults from the general population in Cote d'Ivoire. The occurrences of the following events over the past 5 years were documented: pregnancy (event A) or partner's pregnancy (event B) of the last child, sexually transmitted infection (event C) and marriage (event D). For each of these events, participants were asked (i) if they consulted a health care professional, (ii) if they were offered an HIV test during that consultation and (iii) if they accepted it. Results Consulting a health care provider was reported by 94.9%, 58.3%, 70.3% and 19.1% of those who reported events A, B, C and D respectively. In case of medical consultations following events A, B, C and D, respectively 70.1%, 33.1%, 28.1%, and 78.8% of individuals were offered an HIV test. The testing acceptance was high regardless of the event. Overall, testing coverage was 63.7%, 16.9%, 13.4% and 14.5% for events A, B, C and D respectively. Conclusions Increasing HIV testing coverage in Cote d'Ivoire requires (i) facilitating attendance to health services in case of sexually transmitted infections, marriage and pregnancy-for men-and (ii) strengthening routine testing offer on these occasions.
Plan de classement
Entomologie médicale / Parasitologie / Virologie [052]
;
Santé : aspects socioculturels, économiques et politiques [056]
Description Géographique
COTE D'IVOIRE
Localisation
Fonds IRD [F B010077495]
Identifiant IRD
fdi:010077495
