Inghels M. auteur aut IRD Kouassi A. K. auteur aut IRD Niangoran S. auteur aut IRD Bekelynck A. auteur aut IRD Carillon Severine auteur aut IRD Sika L. auteur aut IRD Danel C. auteur aut IRD Kone M. auteur aut IRD Desgrées du Loû Annabel auteur aut IRD Larmarange Joseph auteur aut IRD Assoumou N. auteur aut IRD Doumbia M. auteur aut IRD Kone M. auteur aut IRD Kouadio A. auteur aut IRD Ouantchi H. auteur aut IRD ANRS 12323 DOD-CI Study Group auteur aut IRD text journalArticle eng text/pdf born digital access 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. specialized COTE D'IVOIRE 056 052 47 1 54-61 2020 0148-5717 https://www.documentation.ird.fr/hor/fdi:010077495 10.1097/olq.0000000000001084 0148-5717 [F B010077495] https://www.documentation.ird.fr/hor/fdi:010077495 https://www.documentation.ird.fr/intranet/publi/2020/01/010077495.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2020-02-05 2025-02-24 fdi:010077495 fre