@article{fdi:010078075, title = {{P}ractices and obstacles to {P}rovider-{I}nitiated {HIV} {T}esting and {C}ounseling ({PITC}) among healthcare providers in {C}ote d'{I}voire}, author = {{I}nghels, {M}. and {K}ouassi, {A}. {K}. and {N}iangoran, {S}. and {B}ekelynck, {A}. and {C}arillon, {S}{\'e}verine and {S}ika, {L}. and {D}anel, {C}. and {K}one, {M}. and du {L}o, {A}. {D}. and {L}armarange, {J}oseph and {ANRS} {D}od-{C}i {S}tudy {G}roup,}, editor = {}, language = {{ENG}}, abstract = {{P}ractices of {P}rovider-{I}nitiated {HIV} {T}esting and {C}ounseling ({PITC}) remains suboptimal in {C}ote d'{I}voire. {T}he aim of this survey was to identify the practices and obstacles to {PITC} among healthcare professionals in {C}ote d'{I}voire. {A} nationally representative cross-sectional survey was conducted in 2018 by telephone among three separate samples of midwives, nurses and physicians practicing in {C}ote d'{I}voire. {T}he number of {HIV} tests proposed during consultation in the month preceding the survey was collected for each professional. {F}actors associated with the number of proposed tests were identified through ordinal logistic regression models. {A} total of 298 midwives, 308 nurses and 289 physicians were interviewed. {M}idwives proposed the test more frequently, followed by nurses and physicians. {A}mong midwives, a higher number of proposed tests was associated with the perception that {HIV} testing does not require specific consent compared to other diseases (a{OR} 4.00 [95% {CI} 1.37-14.29]). {A}mong nurses, having received {HIV} training and the presence of community {HIV} counselors were associated with a higher number of proposed tests (a{OR} 2.01 [1.31-3.09] and a{OR} 1.75 [1.14-2.70], respectively). {F}or physicians, the presence of a voluntary testing center was associated with a higher number of proposed tests (a{OR} 1.69 [1.01-2.86]). {PITC} practices and barriers differed across professions. {B}eyond improving environmental opportunities such as dedicated staff or services, strengthening the motivations and capabilities of healthcare professionals to propose testing could improve {PITC} coverage.}, keywords = {{P}rovider initiated testing and counselling ; {HIV} testing ; {C}ote d'{I}voire ; {H}ealth personnel ; {P}hone-based survey ; {COTE} {D}'{IVOIRE}}, booktitle = {}, journal = {{A}ids and {B}ehavior}, volume = {24}, numero = {12}, pages = {3491--3500}, ISSN = {1090-7165}, year = {2020}, DOI = {10.1007/s10461-020-02923-0}, URL = {https://www.documentation.ird.fr/hor/fdi:010078075}, }