scholarly journals HIV counseling and testing practices among clients presenting at a market HIV clinic in Kampala, Uganda: a cross-sectional study

2017 ◽  
Vol 17 (3) ◽  
pp. 729
Author(s):  
Joseph K.B. Matovu ◽  
Paul W. Bukuluki ◽  
David K. Mafigiri ◽  
Harriet Mudondo
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Testing Practices

Voluntary HIV Counseling and Testing (VCT): Knowledge, attitudes, hinderances, and practices of adults seeking treatment at Gulu Regional Referral Hospital on the spread of HIV in Northern Uganda. A cross-sectional study

2021 ◽  
Author(s):  
Mary Assumpta Aduk ◽  
Isaac Malon Atama ◽  
Leonard Dayo ◽  
Cissy Namujuzi Kizza ◽  
Brian Musinguzi ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Knowledge And Attitudes ◽  
Counseling And Testing ◽  
Gulu District ◽  
Positive Results

Abstract Background: In 2011, Uganda had a national HIV prevalence of 6.7%. Between 2008 and 2009, there was an upsurge in HIV in Gulu District from 9.4% to 16.0% with Gulu Municipality at 22.1%. Similarly, in 2020, the prevalence of HIV in Gulu District persistently remained high at 14.0%, much higher than the national average at 6.0%.The objective of this study was to assess knowledge, attitudes, hindrances, and practices on voluntary HIV counseling and testing (VCT) and determine factors associated with VCT practices among adults seeking treatment at the outpatient department of Gulu Regional Referral Hospital.Methods: A cross-sectional study was conducted with 384 participants. Simple random sampling was used to recruit participants. Knowledge and practices on VCT were determined using knowledge ratings and attitudes using a modified Likert scale. A questionnaire with an internal validity of Cronbach’s α=0.71 was used. Ethical approval was obtained, and SPSS was used for data analysis at univariate, bivariate and multivariable logistic regression. A p-value less than 0.05 was considered significant.Results: The most significant findings were that knowledge and attitude significantly affect VCT practices among adults in Gulu Hospital. Most participants had adequate knowledge (297/379, 78.4%), the most common source of VCT information was radio (236/372, 63.4%) and few from parents (30/372, 8.1%). 158/380(41.6%) had strongly positive attitudes however, 4/10(40.0%) believed knowing HIV status was not beneficial because of fear of stigma, 299/380(78.7%) had good practices,13/45(28.9%) did not undertake VCT due to ignorant on the importance, 9/45(20.0%) feared positive results, and 5/45(11.0%) for far-off service centers. Among those who discouraged others, 15/45 (83.0%) did it for no reason, while 2/45 (11.0%) believed it was a risky and painful process.Knowledge and attitude on VCT practices had an adjusted R square of 0.421, p<0.001. The independent predictors of VCT practices in a multivariable regression analysis was knowledge (β=0.478, t=10.374, p<0.001) and attitudes (β=0.257, t=5.570, p<0.001).Conclusion: Knowledge and attitudes significantly influenced VCT practices among adults attending outpatient services at Gulu Hospital. The independent determinants of VCT practices were knowledge and attitudes. However, HIV stigma, fear of positive results and divorce/separation were the most deterring factors on VCT practices among participants.

scholarly journals Inequities in the utilization of HIV counseling and testing services among undergraduates in mainland China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jihong Zhan ◽  
Guochen Fu ◽  
Lei Wu ◽  
Mingliang Pan ◽  
Yuli Yang ◽  
...  
Keyword(s):  
Online Survey ◽  
Mainland China ◽  
Behavioral Model ◽  
Cross Sectional Study ◽  
Heterosexual Men ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing

Abstract Background HIV counseling and testing (HCT) is provided free of charge on college campuses, but very few studies have examined whether HCT uptake is equitably distributed. This cross-sectional study aimed to compare the relative importance of various determinants of HCT uptake among undergraduates in mainland China so as to assess and subsequently to suggest ways to eliminate inequities in its use, guided by the Andersen’s behavioral model. Methods A total of 10,665 eligible undergraduates were conveniently selected to complete an online survey. Hierarchical logistic regression analyses were performed to identify the factors associated with HCT utilization. Results Only 7.7% of undergraduates had utilized HCT services. HCT uptake was inequitably distributed, since it was mainly determined by predisposing and enabling factors rather than by need factors. Further analysis indicated that HCT uptake was significantly related to two need factors, one enabling factor and six predisposing factors. Those with a higher need [i.e., perceiving themselves to be at higher risk of acquiring HIV infection (AOR = 2.76, 95% CI:2.02–3.78) and engaging in condomless sex (AOR = 1.29, 95% CI:1.00–1.67)] and those with more resources [i.e., being knowledgeable of local AIDS service organization (AOR = 1.59, 95% CI:1.37–1.85)] were more likely to utilize HCT services. Compared to non-heterosexual men, non-heterosexual women (AOR = 0.51, 95% CI:0.37–0.72), heterosexual men (AOR = 0.44, 95% CI:0.33–0.57) and women (AOR = 0.31, 95%CI: 0.24–0.41) were less likely to utilize HCT service. Furthermore, those with more knowledge (AOR = 0.80, 95% CI:0.69–0.94) and taking a positive attitude towards HCT services [i.e, expressing their willingness to utilize HCT services (AOR = 0.68, 95% CI:0.56–0.81) and having recognized the necessity to provide HTC services in the local university (AOR = 0.46, 95% CI:0.36–0.57)] were less likely to utilize HCT services. However, medical students (AOR = 1.34, 95% CI: 1.15–1.56) and non-freshmen (AOR = 1.22, 95% CI:1.03–1.45) were more likely to utilize HCT services. Conclusions To increase HCT uptake and simultaneously reduce the remaining inequities, a comprehensive intervention should be continued to target non-heterosexual men and non- freshmen and those with a higher need for HCT services, conduct health education, improve the availability and accessibility of HIV testing services.

Willingness of antenatal care attendees towards voluntary HIV counseling and testing, Southern Ethiopia

2020 ◽  
Vol 6 (4) ◽  
pp. 104-112
Author(s):  
Sintayehu Assefa ◽  
Dubale Dulla
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Information Dissemination ◽  
Statistical Significance ◽  
Southern Ethiopia ◽  
Cross Sectional ◽  
Care Clinic ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing

Background: Voluntary counseling and testing (VCT) is an entry point for the prevention of HIV transmission from mother to child and accessing VCT benefit from PMTCT services. Even though, some pregnant women clearly know the benefits /advantages of PMTCT services, they are not willing to test and access the services. Hence, this study was aimed to assess the willingness of pregnant women attending antenatal care towards VCT/PMTCT at Adare general hospital in southern Ethiopia. Method: An institution-based cross-sectional study was conducted at Hawassa Adare hospital, southern Ethiopia from February to April/2018. A total of 338 randomly selected pregnant women who were attending antenatal care clinic were included. Data was collected using structured and pretested questionnaire; entered and analyzed using SPSS version 20 computer software. Important descriptive and logistic models were used for data analysis assuming statistical significance at p < 0.05. Result: A total of 338 mothers were interviewed with a response rate of 100%. The willingness towards voluntary HIV counseling and testing among study participants was 82.2%. Participants who attended primary and High school and above were 3.9 (AOR= 3.87, 95% CI- 1.705, 8.782) and 9.5 times (AOR 9.53 at 95% CI- 3.155, 28.76); those who had good knowledge about VCT/PMTCT were 3.47 times (AOR=3.47, 95% CI-1.721, 7.003); women who followed two to three ANC visit, were 5.1 times more likely have willingness towards VCT/PMTCT (AOR 5.11 at 95% CI -1.095, 23.81) more likely willing to be tested than their counterparts respectively. Conclusion: Willingness towards voluntary HIV counseling was encouraging however it needs advancement. Since boosted knowledge and awareness promote willingness to VCT/PMTCT uptakes, initiation of community-based information dissemination, increased quality of ANC service, and empowering women to be educated could be effective in order to promote high VCT and PMTCT program uptakes

scholarly journals Pemanfaatan Layanan Voluntary Conseling Testing (VCT) Di Puskesmas Jumpandang Baru Kota Makassar

2020 ◽  
Vol 11 ◽  
pp. 69
Author(s):  
Nurfardiansyah Burhanuddin ◽  
Septiyanti Septiyanti
Keyword(s):  
Family Support ◽  
Hiv Transmission ◽  
Questionnaire Data ◽  
Cross Sectional ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Independent Variables ◽  
Change Behavior ◽  
Counseling And Testing

VCT (Volountary Counseling and Testing) is a combination of the HIV counseling and testing process. One of the features of this VCT service is not only in the counseling process, but also in the process of testing and test post. Besides aiming to help change behavior, also to prevent HIV transmission, improve the quality of life of PLWHA, which indeed affects the behavior of mothers to conduct or not VCT examination. This type of research was observational using the Cross Sectional approach. In this study, researchers will take data on both dependent and independent variables. The research design is by distributing questionnaires. The sample size was 61 respondents taken by accidental sampling. Data collection done by interview using a questionnaire. Data analyzed bivariate. The results showed that there was no relationship between knowledge (P = 0.113), Officer skills (p = 0.61), family support (p = 0.129), assurance of confidentiality (p = 0.61), facilities and infrastructure (p = 0.565 ) on the use of VCT services, but there is a relationship between attitudes (p = 0.01) on the use of VCT services. Keywords: VCT; knowledge; skill; suport; assurance of confidentiality; facilities and infrastructure; attitude ABSTRAK VCT (Volountary Counseling and Testing) merupakan gabungan dari proses konseling dan tes HIV. Salah satu keistimewaan dari layanan VCT ini tidak hanya pada proses konseling, tapi sampai pada proses tes dan pos tes. Selain bertujuan untuk membantu perubahan perilaku, juga guna mencegah penularan HIV, meningkatkankualitas hidup ODHA, yang memang memepengaruhi perilaku ibu untuk melakukan atau tidak pemeriksaan VCT.penelitian ini bertujuan untuk mengetahui faktor-faktor yang memepengaruhi pemanfaatan layanan VCT di Puskesmas Jumpandang Baru Kota Makassar. Jenis penelitian ini adalah observasional dengan menggunakan metode pendekatan Cross Sectional.pada penelitian ini peneliti akan mengambil data variabel terikat maupun variabel bebas. Desain penelitian yaitu dengan membagikan kuisioner. Besar sampel sebanyak 61 responden yang diambil secara accidental sampling. Pengumpulan data dilakukan dengan wawancara menggunakan kuisioner. Data dianalisis secara bivariat. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara pengetahuan (P=0,113),keterampilan Petugas (p=0,61), dukungan keluarga (p=0,129), jaminan kerahasiaan (p=0,61), sarana dan prasarana (p=0,565) terhadap pemanfaatan layanan VCT, namun terdapat hubungan antara sikap (p=0,01) terhdap pemanfaatan layaan VCT. Kata kunci: VCT; pengetahuan; keterampilan; dukungan; jaminan kerahasiaan; sarana dan prasarana; sikap

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.

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