@article{fdi:010089637,
  title = {{O}rganisation of testing services, structural barriers and facilitators of routine {HIV} self-testing during sexually transmitted infection consultations : a qualitative study of patients and providers in {A}bidjan, {C}{\^o}te d'{I}voire},
  author = {{B}oye, {S}okhna and {K}ouadio, {A}. and {K}ouvahe, {A}. {F}. and {V}autier, {A}. and {K}y-{Z}erbo, {O}. and {R}ouveau, {N}icolas and {M}aheu-{G}iroux, {M}. and {S}ilhol, {R}. and {S}imo {F}otso, {A}rlette and {L}armarange, {J}oseph and {P}ourette, {D}olores},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {C}onsultations for sexually transmitted infection ({STI}) provide an opportunity to offer {HIV} testing to both patients and their partners. {T}his study describes the organisation of {HIV} self-testing ({HIVST}) distribution during {STI} consultations in {A}bidjan ({C}ote d'{I}voire) and analyse the perceived barriers and facilitators associated with the use and redistribution of {HIVST} kits by {STI} patients. {M}aterials and methods {A} qualitative study was conducted between {M}arch and {A}ugust 2021 to investigate three services providing {HIVST}: an antenatal care clinic ({ANC}), a general health centre that also provided {STI} consultations, and a dedicated {STI} clinic. {D}ata were collected through observations of medical consultations with {STI} patients ({N} = 98) and interviews with both health professionals involved in {HIVST} distribution ({N} = 18) and {STI} patients who received {HIVST} kits for their partners ({N} = 20). {R}esults {I}n the {ANC} clinic, {HIV} testing was routinely offered during the first prenatal visit. {HIVST} was commonly offered to women who had been diagnosed with an {STI} for their partner's use (27/29 observations). {I}n the general health centre, two parallel pathways coexisted: before the consultation, a risk assessment tool was used to offer {HIV} testing to eligible patients and, after the consultation, patients who had been diagnosed with an {STI} were referred to a care assistant for {HIVST}. {D}ue to this {HIV} testing patient flow, few offers of {HIV} testing and {HIVST} were made in this setting (3/16). {A}t the dedicated {STI} clinic, an {HIVST} video was played in the waiting room. {A}ccording to the health professionals interviewed, this video helped reduce the time required to offer {HIVST} after the consultation. {T}ask-shifting was implemented there: patients were referred to a nurse for {HIV} testing, and {HIVST} was commonly offered to {STI} patients for their partners' use (28/53). {W}hen an {HIVST} was offered, it was generally accepted (54/58). {B}oth health professionals and patients perceived {HIVST} positively despite experiencing a few difficulties with respect to offering {HIVST} to partners and structural barriers associated with the organisation of services. {C}onclusion {T}he organisation of patient flow and task-shifting influenced {HIV} testing and offers of {HIVST} kits. {P}roposing {HIVST} is more systematic when {HIV} testing is routinely offered to all patients. {S}uccessful integration requires improving the organisation of services, including task-shifting.},
  keywords = {{S}elf-testing ; {S}creening ; {HIV} ; {HIV} testing offer ; {HIV} self-testing ; {S}exually transmitted infections-{STI}s ; {C}ote d'{I}voire ; {COTE} {D}'{IVOIRE} ; {ABIDJAN}},
  booktitle = {},
  journal = {{BMC} {I}nfectious {D}iseases},
  volume = {22},
  numero = {},
  pages = {975 [16 p.]},
  year = {2024},
  DOI = {10.1186/s12879-023-08625-x},
  URL = {https://www.documentation.ird.fr/hor/fdi:010089637},
}