Perceived barriers and facilitators to uptake of HIV testing services among people who inject drugs in Vietnam

2018 ◽  
Vol 23 (6) ◽  
pp. 551-556
Author(s):  
Ngo Thi Thanh Huong ◽  
Nguyen Thi Hau ◽  
Nguyen Van Chau ◽  
Le Trung Tan ◽  
Nguyen Thi Minh Tam ◽  
...  
Keyword(s):  
Hiv Testing ◽  
People Who Inject Drugs ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Hiv Testing Services

Barriers and Facilitators to HIV Testing among Adolescents and Young Adults in Washington, DC: Formative Research to Inform the Development of an mHealth Intervention (Preprint)

2021 ◽  
Author(s):  
Brittany Wilbourn ◽  
Tyeisa Howard-Howell ◽  
Amanda Castel ◽  
Lawrence D'Angelo ◽  
Connie Trexler ◽  
...  
Keyword(s):  
Young Adults ◽  
Sexual Orientation ◽  
Hiv Testing ◽  
Sexual Behaviors ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Washington Dc ◽  
Hiv Knowledge ◽  
Mhealth Intervention ◽  
Hiv Epidemic

BACKGROUND Adolescents and young adults (AYA) in the United States (U.S.), and Washington, District of Columbia (DC) specifically, are disproportionately impacted by HIV. Both the U.S. Ending the HIV Epidemic (EHE) initiative and DC-specific plans emphasize HIV testing and innovative strategies are needed. OBJECTIVE The purpose of this study was to identify sexual behaviors, HIV knowledge, HIV perceptions (e.g., susceptibility and severity), and perceived barriers and facilitators to HIV testing among youth at risk for HIV and to identify potential differences based on self-reported sexual orientation. The results from this study were used to inform the development of an mHealth intervention to increase HIV testing among AYA living in Washington, DC. METHODS This study conducted focus groups and surveys stratified by sexual orientation to identify the sociodemographics, sexual behaviors, HIV knowledge, and perceived barriers and facilitators to HIV testing among AYA ages 13-24 in the DC. HIV knowledge was explored during focus groups and measured using an adapted version of the HIV Knowledge Questionnaire. Survey data were summarized using descriptive statistics and compared by self-reported sexual orientation. Transcripts were thematically analyzed. RESULTS A higher proportion of lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth (n=16) reported sexual activity (75% vs. 60%), condomless sex (92% vs. 83%), and HIV testing (81% vs. 58%) than heterosexual youth (n=30, p-values all >0.05). HIV prevention knowledge (“condoms” and “PrEP”) and transmission (“exchange of fluids”) was high and most AYA (77%) perceived HIV testing as beneficial. However, youth also demonstrated some misinformation concerning HIV: Most participants believed an HIV test could deliver accurate results 1-week post potential exposure (67%) and that an HIV vaccine exists (72%). Youth also identified individual (“…people… are scared”) and structural (“…people don’t…know where they can go”) barriers to testing. Most AYA were very likely to use the demonstrated game prototype to help with getting testing for HIV and strongly agreed that the game was interesting, fun, and easy to learn. CONCLUSIONS These results suggest a need for multi-level HIV testing interventions and informed the development of a mHealth intervention aiming to increase HIV knowledge and risk perception among AYA, while reducing barriers to testing at the individual and structural levels, supporting efforts to end the domestic HIV epidemic.

scholarly journals Correlates of Sexual Risky Behaviours, HIV Testing, and HIV Testing Intention among Sexually Active Youths in Northern Tanzania

2021 ◽  
Vol 5 (2) ◽  
pp. 151-158
Author(s):  
Bernard Njau ◽  
Grace Mhando ◽  
Damian Jeremiah ◽  
Declare Mushi
Keyword(s):  
Hiv Testing ◽  
Self Efficacy ◽  
Casual Sex ◽  
Perceived Barriers ◽  
Sexually Active ◽  
Social Approval ◽  
Testing Procedures ◽  
Northern Tanzania ◽  
Risky Behaviours ◽  
Hiv Testing Services

Background: HIV testing services are important entry-point into the HIV cascade to care and treatment in order to slow down the spread of HIV infection. Over half of all new HIV infections in Sub-Saharan Africa occur among young people under the age of 25, particularly women. The study aimed to determine factors influencing young people’s decision to undergo HIV testing services in Northern Tanzania. Methods: A total of 536 sexually active participants aged 15 to 24 years old completed a semi-structured questionnaire based on the Health Belief Model (HBM) and the Theory of Planned Behaviour (TPB). Results: Males compared to female participants were significantly younger at first age of sexual intercourse (15.4 vs. 16.7 years; p = .001). Out of 536 participants, 418(78%) reported inconsistent condom use, and 203/303(67%) were those practicing casual sex. Only, 189/536(35.3%) of the participants reported to have had an HIV-test. Age, socioeconomic status, perceived HIV severity, attitudes and social approval regarding testing and beliefs about testing procedures and perceived barriers to testing were significant predictors of HIV testing (R2 =.22). Age, unsafe casual sex, perceived severity, HIV-testing attitudes, self-efficacy, social approval, cues for actions and perceived quality of testing procedures were significant and positively related to HIV-testing intentions, while perceived barriers to testing were negatively related (R2 = .36). Conclusion: The integrated constructs of HBM and TPB provides a framework for identifying correlates of HIV testing behaviours and HIV testing intentions among sexually active youths. Future behaviour change interventions should focus on reduction of sexually risky behaviours, increasing perceived HIV severity, enhance positive attitudes and social approvals on testing, reduce misconceptions about testing procedures, alleviation of perceived barriers to testing and improve testing self-efficacy among sexually active youths in this setting.

Understanding the dynamics of HIV testing services in South African primary care facilities

2018 ◽  
Author(s):  
Tonderai Mabuto ◽  
Bhakti Hansoti ◽  
Salome Charalambous ◽  
Christopher Hoffman
Keyword(s):  
Primary Care ◽  
Hiv Testing ◽  
South African ◽  
Care Facilities ◽  
Hiv Testing Services

scholarly journals Drivers and barriers to workplace-based HIV self-testing among high-risk men in Uganda: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Patience A. Muwanguzi ◽  
Robert C. Bollinger ◽  
Stuart C. Ray ◽  
LaRon E. Nelson ◽  
Noah Kiwanuka ◽  
...  
Keyword(s):  
Focus Group ◽  
Hiv Testing ◽  
Private Security ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Private Security Companies ◽  
Self Testing ◽  
Key Informant ◽  
Hiv Testing Services ◽  
Security Companies

Abstract Background Men in Sub-Saharan Africa are less engaged than women in accessing HIV testing and treatment and, consequently, experience higher HIV-related mortality. Reaching men with HIV testing services is challenging, thus, increasing the need for innovative ways to engage men with low access and those at higher risk. In this study, we explore men’s perceptions of drivers and barriers of workplace-based HIV self-testing in Uganda. Methods An exploratory study involving men working in private security companies employing more than 50 men in two districts, in central and western Uganda. Focus group discussions and key informant interviews were conducted. Data were analyzed using inductive content analysis. Results Forty-eight (48) men from eight private security companies participated in 5 focus group discussions and 17 key informant interviews. Of the 48 men, 14(29.2%) were ages 26–35 years. The majority 31(64.6%) were security guards. The drivers reported for workplace-based HIV self-testing included convenience, autonomy, positive influence from work colleagues, the need for alternative access for HIV testing services, incentives, and involvement of employers. The barriers reported were the prohibitive cost of HIV tests, stigma, lack of testing support, the fear of discrimination and isolation, and concerns around decreased work productivity in the event of a reactive self-test. Conclusions We recommend the involvement of employers in workplace-based HIV self-testing to encourage participation by employees. There is need for HIV self-testing support both during and after the testing process. Both employers and employees recommend the use of non-monetary incentives, and regular training about HIV self-testing to increase the uptake and acceptability of HIV testing services at the workplace.

scholarly journals Nurses’ Perceptions of Barriers and Facilitators to Implement EBP in the Maldives

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Fathimath Shifaza ◽  
David Evans ◽  
Helen Bradley
Keyword(s):  
Relevant Literature ◽  
Developed Countries ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Healthcare Organisation ◽  
Clear Understanding ◽  
Healthcare Facilities ◽  
New Ideas ◽  
Insufficient Time ◽  
Nurses Perceptions

This study aims to explore the barriers to evidence based practice (EBP) experienced by nurses working in a Maldivian healthcare organisation. A total of 400 questionnaires were distributed to nurses in 5 healthcare facilities and 198 completed questionnaires were returned. The results of this study show that the perceived barriers by the nurses in the Maldives are not significantly different from those reported in developed countries. For healthcare organisations in the Maldives, it is necessary to have a clear understanding of the barriers and facilitators to research practice in order to implement EBP. The study showed that the major barriers to research use were that “the relevant literature is not compiled in one place,” there is “insufficient time on the job to implement new ideas,” and “administration will not allow implementation.” The key facilitating factors for EBP include support, encouragement, and recognition by the management and administration. The findings of this study can be useful for determining strategies that can be introduced in the clinical setting to use EBP. Healthcare organisations must continue their support in order to decrease the barriers and optimise care in healthcare facilities.

Sign in / Sign up

Export Citation Format

Share Document