scholarly journals Corrigendum to Perceived barriers and facilitators to HIV testing in South African communities

2020 ◽  
pp. 135910532097131
Keyword(s):  
Hiv Testing ◽  
South African ◽  
Perceived Barriers ◽  
Barriers And Facilitators

scholarly journals Barriers and facilitators associated with HIV testing uptake in South African health facilities offering HIV Counselling and Testing

2016 ◽  
Vol 21 ◽  
pp. 86-95 ◽  
Author(s):  
Neo Mohlabane ◽  
Bomkazi Tutshana ◽  
Karl Peltzer ◽  
Aziza Mwisongo
Keyword(s):  
Hiv Testing ◽  
South African ◽  
Health Workers ◽  
Scale Up ◽  
Health Facilities ◽  
Barriers And Facilitators ◽  
Hiv Care ◽  
Treatment Needs ◽  
Hiv Test ◽  
Hiv Counselling And Testing

Background: The scale-up of HIV Counselling and Testing (HCT) in South Africa to 4500 public health facilities and the service's provision in mobile and non-medical sites was aimed at increasing HCT uptake. However, some people still have never had an HIV test.Objective: An HCT survey was carried out to ascertain barriers and facilitators for HIV testing in South Africa.Methods: A cross-sectional survey of 67 HCT-offering health facilities in 8 South African provinces was undertaken. Individuals (n = 489) who had not tested for HIV on the day of the site visit were interviewed on awareness of HCT services, HIV testing history and barriers to HIV testing. Frequencies were run to describe the sample characteristics, barriers and facilitators to HIV testing. Bivariate and multivariate logistic regression was usedt o identify the association between never tested for HIV with socio-demographics, awareness of HCT services and type of HCT facilities.Results: In all 18.1% participants never had an HIV test. Major barriers to HCT uptake comprise being scared of finding out one's HIV test result or what people may say, shyness or embarrassment, avoidance of divulging personal information to health workers and fear of death. In multivariate analysis the age group 55 years and older, and not being recommended to have an HIV test were associated with never had an HIV test. Potential facilitators for HIV testing include community or household HIV testing, providing incentives for those who test for HIV, mandatory HIV testing and disclosure of HIV status by those who test HIV positive.Conclusion: The benefits of HCT which include the reduction of HIV transmission, the availability of HIV care and treatment needs to be emphasized to enhance HCT uptake.

scholarly journals Gender and Power Dynamics of Social Relationships Shape Willingness to Participate in Biomedical HIV Prevention Research Among South African Adolescents and Young Adults

2021 ◽  
Vol 3 ◽  
Author(s):  
Kalysha Closson ◽  
Laura Lee ◽  
Janan J. Dietrich ◽  
Mags E. Beksinska ◽  
Stefanie Hornschuh ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
South African ◽  
Young Women ◽  
Ecological Model ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Power Dynamics ◽  
Prevention Research ◽  
Willingness To Participate ◽  
Biomedical Hiv Prevention

Background: Understanding young women and men's perceived barriers and facilitators to participation in biomedical HIV prevention research is important for designing youth friendly services (YFS) and acceptable technologies, which are necessary for preventing high sustained HIV incidence in South Africa. This study explores the multileveled barriers and facilitators to young men and women's willingness to participate in hypothetical biomedical HIV prevention research.Methods: Eight age- (16–18 and 19–24 years) and gender-stratified focus group discussions (FGDs) were conducted using semi-structured interview guides to explore young South African women and men's willingness, perceived barriers, and facilitators to participating in biomedical HIV prevention research. FGD transcripts were uploaded to NVivo and coded collaboratively with youth study team members. Thematic analysis using Bronfenbrenner's ecological model (individual, inter-personal, community, and societal) was used to guide a deductive coding procedure, which was documented and compared by gender.Results: Thirty-one participants from Durban and 34 from Soweto participated in FGDs. Individual facilitators for participation were discussed more by young men and included financial incentives and altruism. Concerns about side-effects of biomedical products were a common barrier. Interpersonal relationships with peers, intimate partners and caregivers influenced young people's willingness to participate in HIV prevention research, more so among young women. For young women, gendered power dynamics and distrust of intimate partners and parents influenced both communication regarding participation and willingness to participate in research that is often stigmatized, due to societal norms around women's sexuality. On a societal level, participants expressed distrust in medical and research institutions, however a sense of community that was developed with the study staff of this project, was a motivator to participate in future studies.Discussion: At each level of the ecological model, we found participants expressed gendered barriers and facilitators for participation. Gender norms as well as distrust of partners, parents, and health care professionals were key barriers that cut across all levels. At each level participants discussed facilitators that were youth-engaged, underscoring the need to implement YFS, establish trust and address gender inequities within future biomedical HIV prevention studies wishing to engage and retain South African youth.

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.

Perceived barriers and facilitators to HIV testing in South African communities

2016 ◽  
Vol 23 (12) ◽  
pp. 1635-1645 ◽  
Author(s):  
Henri De Wet ◽  
Ashraf Kagee
Keyword(s):  
Hiv Testing ◽  
South African ◽  
Unprotected Sex ◽  
Perceived Barriers ◽  
Hiv Positive ◽  
South Africans ◽  
Hiv Test ◽  
Related Stigma ◽  
The Media

We interviewed 15 South Africans seeking HIV testing to understand the factors that influenced their seeking an HIV test. Reasons in favour of testing included having had unprotected sex, availability of social support if testing HIV positive and modelling test-seeking behaviour to others. Reasons against seeking testing included fear testing HIV positive, the possibility of receiving treatment too late, HIV-related stigma and long distances to testing sites. Participants also discussed ways to increase the uptake of HIV testing, such as workplace testing, the role of the media and the role of cultural rituals such as male circumcision.

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

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 High percentage of undiagnosed HIV cases within a hyperendemic South African community: a population-based study

2017 ◽  
Vol 72 (2) ◽  
pp. 168-172 ◽  
Author(s):  
Alain Vandormael ◽  
Tulio de Oliveira ◽  
Frank Tanser ◽  
Till Bärnighausen ◽  
Joshua T Herbeck
Keyword(s):  
Hiv Testing ◽  
South African ◽  
Hiv Infections ◽  
Population Based ◽  
Hiv Positive ◽  
Aids Epidemic ◽  
Undiagnosed Hiv ◽  
African Community ◽  
Repeat Hiv Testing ◽  
High Level

BackgroundUndiagnosed HIV infections could undermine efforts to reverse the global AIDS epidemic by 2030. In this study, we estimated the percentage of HIV-positive persons who remain undiagnosed within a hyperendemic South African community.MethodsThe data come from a population-based surveillance system located in the Umkhanyakude district of the northern KwaZulu-Natal province, South Africa. We annually tested 38 661 adults for HIV between 2005 and 2016. Using the HIV-positive test results of 12 039 (31%) participants, we then back-calculated the incidence of infection and derived the number of undiagnosed cases from this result.ResultsThe percentage of undiagnosed HIV cases decreased from 29.3% in 2005 to 15.8% in 2011. During this period, however, approximately 50% of the participants refused to test for HIV, which lengthened the average time from infection to diagnosis. Consequently, the percentage of undiagnosed HIV cases reversed direction and steadily increased from 16.1% to 18.9% over the 2012–2016 period.ConclusionsResults from this hyperendemic South African setting show that the HIV testing rate is low, with long infection times, and an unsatisfactorily high percentage of undiagnosed cases. A high level of repeat HIV testing is needed to minimise the time from infection to diagnosis if the global AIDS epidemic is to be reversed within the next two decades.

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.

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