scholarly journals Individual- and contextual-level factors associated with client-initiated HIV testing

2017 ◽  
Vol 20 (3) ◽  
pp. 394-407 ◽  
Author(s):  
Claudia Renata dos Santos Barros ◽  
Eliana Miura Zucchi ◽  
Lilia Blima Schraiber ◽  
Ivan França Junior
Keyword(s):  
Reproductive Health ◽  
Hiv Testing ◽  
Urban Areas ◽  
Sexual And Reproductive Health ◽  
People Living With Hiv ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Individual Level ◽  
Counseling And Testing ◽  
Hiv Aids

ABSTRACT: Background: Knowing the reasons for seeking HIV testing is central for HIV prevention. Despite the availability of free HIV counseling and testing in Brazil, coverage remains lacking. Methods: Survey of 4,760 respondents from urban areas was analyzed. Individual-level variables included sociodemographic characteristics; sexual and reproductive health; HIV/AIDS treatment knowledge and beliefs; being personally acquainted with a person with HIV/AIDS; and holding discriminatory ideas about people living with HIV. Contextual-level variables included the Human Development Index (HDI) of the municipality; prevalence of HIV/AIDS; and availability of local HIV counseling and testing (CT) services. The dependent variable was client-initiated testing. Multilevel Poisson regression models with random intercepts were used to assess associated factors. Results: Common individual-level variables among men and women included being personally acquainted with a person with HIV/AIDS and age; whereas discordant variables included those related to sexual and reproductive health and experiencing sexual violence. Among contextual-level factors, availability of CT services was variable associated with client-initiated testing among women only. The contextual-level variable “HDI of the municipality” was associated with client-initiated testing among women. Conclusion: Thus, marked gender differences in HIV testing were found, with a lack of HIV testing among married women and heterosexual men, groups that do not spontaneously seek testing.

scholarly journals Peran dan Tantangan Aktivis Yayasan Gaya Dewata dalam Kegiatan Pencegahan dan Penanggulangan HIV dan AIDS di Provinsi Bali

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Ni Made Anggita Sastri Mahadewi
Keyword(s):  
Social Action ◽  
Group Discussion ◽  
Qualitative Approach ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Living With Hiv ◽  
Hiv Aids

Abstract This research discusses roles and challenges encountered by the activists of Yayasan Gaya Dewata (Gaya Dewata Foundation) in their efforts to prevent HIV infection and AIDS among gays and transgenders in Bali. This research applies qualitative approach to examine the actions conducted by the activists in three regions of Bali Province: Denpasar City, Badung Regency, and Gianyar Regency. The actions include field and cyber outreach, interactive group discussion, HIV counseling and testing, condom and lubricant distribution to gays and transgenders; and social support for people living with HIV and AIDS (PLHA). This research applies social action and simbolic interactionism theory to analyse several actions by the activists. This research finds that the actions by the activists of demonstrate a rational-instrumental and affective action as well as a symbolic  interactionism action in the context of HIV and AIDS prevention. Keywords: Yayasan Gaya Dewata, gays and transgender, HIV, AIDS, Bali  Abstrak Penelitian ini membahas peran dan tantangan yang dihadapi oleh para aktivis di Yayasan Gaya Dewata dalam upaya mereka mencegah infeksi HIV dan AIDS di kalangan gay dan waria di Bali. Penelitian ini menerapkan pendekatan kualitatif untuk mengamati kegiatan yang dilakukan para aktivis di tiga wilayah di Provinsi Bali: Kota Denpasar, Kabupaten Badung, dan Kabupaten Gianyar. Kegiatan para aktivis meliputi; penjangkauan lapangan dan online, diskusi kelompok interaktif, konseling dan tes HIV, pembagian kondom dan pelican bagi para gay dan waria, dan dukungan sosial bagi orang dengan HIV dan AIDS (ODHA). Penelitian ini menggunakan teori tindakan sosial dan interaksionisme simbolik untuk menganalisis kegiatan yang dilakukan para aktivis. Penelitian ini menemukan bahwa kegiatan yang dilakukan para aktivis menunjukkan sebuah bentuk tindakan sosial rasional-instrumental dan sebuah interaksi simbolik dalam konteks pencegahan HIV dan AIDS.  Kata kunci: Yayasan Gaya Dewata, gay, waria, HIV, AIDS, Bali.

Sexual and reproductive health services for people living with HIV/AIDS in Germany: are we up to the challenge?

Infection ◽  
2013 ◽  
Vol 41 (4) ◽  
pp. 761-768 ◽  
Author(s):  
M. C. Mueller ◽  
C. Walentiny ◽  
U. Seybold ◽  
C. Nöstlinger ◽  
T. Platteau ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
People Living With Hiv ◽  
Reproductive Health Services ◽  
Living With Hiv ◽  
Hiv Aids

Counseling fatigue of HIV/AIDS counselor in Calabar, Nigeria

2020 ◽  
Vol 3 ◽  
pp. 16-24
Author(s):  
Mary A. Mgbekem ◽  
Emilia J. Oyira ◽  
Regina Ella ◽  
Felicia Lukpata ◽  
Margaret Armon ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Years Of Experience ◽  
Chi Square ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling Training ◽  
Item Questionnaire ◽  
Counseling And Testing ◽  
Different Cultures ◽  
Hiv Aids

Objective: There is different perception of HIV/AIDS counselling fatique among counsellors of patients. This descriptive study assessed perceived HIV/AIDS counseling fatigue among HIV/AIDS counselors in Calabar, Nigeria. Materials and Methods: A total of 90 counselors were assessed using a 35-item questionnaire measuring a variety of counseling activities. Fatigue was ranked on a 5-point Likert-type scale. The counseling fatigue was categorized in five subscales: accessibility of clients for HIV Counseling and Testing (HCT), explains and facilitates, monitoring and follow through, trusting relationships, policies in counseling activities, and burnout responses. Results: The results showed that counselors’ perceptions on fatigue were mostly on accessibility of clients for HCT (Mean = 72.50, standard deviation [SD] = 6.124) with statistical significance of Chi-square calculated = 161.419, df = 5; P < 0.001, monitoring and follow through activities (mean = 71.80, SD = 11.23, Chi-square calculated = 31.223; df = 4; P < 0.001), and policies in counseling activities (mean = 66.0 SD = 9.62, (Chi-square calculated = 11.906, df = 6; P < 0.05). Explain and facilitate statistically and significantly correlated with age (r = 0.610, P = 0.000) and years of experience (r = 0.695, P = 0.000). Burnout responses were also statistically significant (Chi-square calculated = 144.000; df = 7; P < 0.001). Conclusion: Findings show HCT counseling activities generally cause fatigue for counselors, however, explain and facilitate counseling activities correlated with age (20–29 years) and years of experience (1–2 years) as these were found to be more fatigued among the participants. The years of experience correlation could be attributed to lack of formal HCT counseling training reported by 20 (20%). Further research is needed to explore counselors’ perceptions of HIV/AIDS counseling fatigue in different cultures.

Perseverance Pays Off: Health Care Providers' Impact on HIV Testing Decisions by Adolescent Females

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 878-882 ◽  
Author(s):  
Elizabeth Goodman ◽  
Ann C. Tipton ◽  
Liza Hecht ◽  
Margaret A. Chesney
Keyword(s):  
Health Care ◽  
Hiv Testing ◽  
Adolescent Girls ◽  
Health Care Providers ◽  
Care Providers ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Hiv Test ◽  
Hiv Testing Services

Background and objective. Although HIV counseling and testing of adolescents has increased rapidly in recent years due to increasing HIV seroprevalence rates, little is known about adolescents' use of HIV testing services. The aims of this study were to determine what proportion of high risk adolescent girls would use confidential HIV testing services linked to primary care and to explore the characteristics, beliefs, and experiences that distinguish those teenage girls who obtain HIV testing in this setting from those who do not. Design. Prospective cohort study. Setting. General pediatrics clinic with adolescent-specific appointments at a large urban HMO. Participants. Convenience sample of 124 adolescent girls engaging in risky behaviors identified by chart review before regularly scheduled clinic appointments. Intervention. Subjects completed a self-report questionnaire assessing HIV-related knowledge, attitudes, beliefs, and behaviors before the medical visit. During their provider visit, teens were counseled about their risk behaviors and the availability of HIV testing services at the clinic. Subjects were also given the opportunity to view an educational video about HIV testing designed for adolescents. Main outcome measures. Use of HIV counseling and testing services at the clinic and HIV test results. Results. Forty-one percent of these adolescent girls obtained HIV testing at the clinic on the day of their scheduled appointment. Univariate analysis revealed that adolescents who obtained testing had initiated sexual intercourse at a younger age (mean age 13.8 vs 14.4 years, P = .02) and were more likely to have had a prior discussion about HIV testing with a health care provider [RR = 2.02, 95% CIs (1.22, 3.36)]. Those who did not view the video were less likely to test [RR = 0.20, 95% CIs (0.07, 0.58)]. Multiple logistic regression modeling revealed that a prior discussion with a health care provider was the only independent predictor of obtaining an HIV test [OR = 3.47 95% CIs (1.26, 9.52)]. Conclusions. A significant proportion of adolescent girls engaging in risky behaviors will use confidential HIV counseling and testing services that are linked to primary care. Health care providers play an important role in helping teens address their risk for and concerns about HIV infection by engaging adolescents in repeated discussions about HIV testing.

Uptake of HIV testing during antenatal care in Honduras

2017 ◽  
Vol 29 (6) ◽  
pp. 526-530
Author(s):  
Anne Sebert Kuhlmann ◽  
Eleanor P Bergquist ◽  
Qiang Fu ◽  
Enbal Shacham ◽  
Janine Foggia ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Hiv Testing ◽  
Standard Of Care ◽  
Married Women ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Vertical Transmission Of Hiv ◽  
Testing Practices ◽  
Mother To Child

In order to interrupt vertical transmission of HIV, the WHO recommends universal HIV testing during antenatal care (ANC), a policy that has been adopted by the Ministry of Health in Honduras. We examined HIV counseling and testing practices during ANC in the Honduras Demographic and Health Survey to understand compliance with this established standard of care. Among currently married women with a child aged five years or younger who attended ANC, only 66% recalled being offered HIV testing during ANC, yet 95% of those got tested. Older, less literate women who lived in a rural area, a small household, or had an older husband were significantly less likely to recall being offered HIV testing. These findings highlight necessary revisions to ANC protocols to ensure that all women in Honduras get HIV testing to interrupt mother-to-child transmission.

scholarly journals Leveraging Expertise from Community Resources to Improve the Role of the Pharmacist in HIV Testing and Counseling

2021 ◽  
Vol 12 (4) ◽  
pp. 21
Author(s):  
Edgar S. Diaz-Cruz ◽  
Sara Thompson ◽  
Mary Hawkins ◽  
Riguin Zengotita Borges ◽  
Kathryn Jefferson
Keyword(s):  
Public Health ◽  
Hiv Testing ◽  
Training Program ◽  
Depth Information ◽  
Community Based ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
The Public ◽  
Counseling And Testing ◽  
Community Based Organization

The human immunodeficiency virus (HIV) epidemic continues to be a major global public health issue. Moreover, disparities continue to persist in HIV among racial and ethnic minority populations, with the highest rates of new diagnoses in Black/African American and Hispanic/Latino men who have sex with men in the United States. Pharmacists are one of the most accessible and trusted health care professionals. Therefore, it is imperative that student pharmacists are educated on culturally-competent HIV testing and risk behaviors counseling. This study describes the development of a partnership between a pharmacy school and a community-based organization to offer an HIV counseling and testing training program to help develop skills in delivering HIV testing services. The HIV counseling and testing training program contains learning modules that provide a wide array of in-depth information about HIV patient care in the community. The partnership allows for the enjoyment of a myriad of benefits for students, the pharmacy program, the community-based organization, and the public health of the community-at-large. Students feel more prepared and comfortable working with patients in discussing HIV transmission risk factors and test results as a result of this training. Such partnerships support the pharmacist’s role in the public health arena. A successful and durable relationship between a community partner and a school of pharmacy is a feasible strategy for pharmacy progress in public health.

scholarly journals Sexual and reproductive health needs of people living with HIV/AIDS and the social responses in association with stigma and discrimination

Mediscope ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 7-16
Author(s):  
Subrata Kumar Mallick ◽  
Tuhin Roy
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Health Care Facilities ◽  
Health Needs ◽  
People Living With Hiv ◽  
Daily Lives ◽  
Stigma And Discrimination ◽  
The Social ◽  
Living With Hiv ◽  
Hiv Aids

This cross-sectional study aimed at determining the sexual and reproductive health needs as well as to reveal the level and manifestation of stigma and discrimination associated with the daily lives of the people living with HIV/AIDS (PLWHA) at Khulna City Area in Bangladesh. The sample size was 20, which was selected purposively, and data were collected by the interviewers from August 2013 to December 2013. The findings of the study revealed that extra marital sexual relationships, partners’ infection and blood transmission played a dominant role as the medium of HIV infection. NGOs were the predominant source of getting health care facilities for the PLWHA and they had to wait for a month to receive STIs treatment and the counseling support, which increased their vulnerability towards AIDS. A number of respondents were eager to conceive and, in this case, treatment and counseling support before and after conception, proper nutrition support, prevention of mother to child transmission support and high cost medicine support were needed for them. The facts of stigma and discrimination, the restriction placed on their free movement, exclusion from social and religious functions, opportunities and participation on the social and economic processes had direct consequences on their daily lives. Therefore, IGA support, ensure quality treatment in the stigma free environment, and widespread awareness campaign regarding HIV/AIDS related issues were highly recommended by the PLWHA. Mediscope Vol. 7, No. 1: Jan 2020, Page 7-16

Sign in / Sign up

Export Citation Format

Share Document