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Effectiveness of provider-initiated versus client-initiated HIV testing by different health facility departments in Northern Tanzania

BACKGROUND: HIV prevalence in Tanzania is still high at 4.7% among adults. Regular HIV testing is consistently advocated in the country to increase the level of awareness of HIV status, thus contributing to national HIV prevention. We report findings from three years of implementation of an HIV Test...

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Autores principales: Abdul, Ramadhani, de Wit, Tobias F. Rinke, Martelli, Giulia, Costigan, Kathleen, Katambi, Patrobas, Mllacha, Peter, Pozniak, Anton, Maokola, Werner, Mfinanga, Sayoki, Hermans, Sabine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10329383/
https://www.ncbi.nlm.nih.gov/pubmed/37420276
http://dx.doi.org/10.1186/s12981-023-00541-z
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author Abdul, Ramadhani
de Wit, Tobias F. Rinke
Martelli, Giulia
Costigan, Kathleen
Katambi, Patrobas
Mllacha, Peter
Pozniak, Anton
Maokola, Werner
Mfinanga, Sayoki
Hermans, Sabine
author_facet Abdul, Ramadhani
de Wit, Tobias F. Rinke
Martelli, Giulia
Costigan, Kathleen
Katambi, Patrobas
Mllacha, Peter
Pozniak, Anton
Maokola, Werner
Mfinanga, Sayoki
Hermans, Sabine
author_sort Abdul, Ramadhani
collection PubMed
description BACKGROUND: HIV prevalence in Tanzania is still high at 4.7% among adults. Regular HIV testing is consistently advocated in the country to increase the level of awareness of HIV status, thus contributing to national HIV prevention. We report findings from three years of implementation of an HIV Test and Treat project utilizing provider-initiated and client-initiated testing and counselling (PITC and CITC). This study compared the effectiveness of PITC versus CITC in HIV case detection by the different departments of health facilities. METHOD: This retrospective cross-sectional study used health facility-based HIV testing data collected from adults aged 18 years and above between June 2017 – July 2019 in the Shinyanga region, Tanzania. Chi-square and logistic regression analysis were used to assess determinants of yield (HIV positivity). RESULTS: A total of 24,802 HIV tests were performed of which 15,814 (63.8%) were by PITC and 8,987 (36.2%) by CITC. Overall HIV positivity was 5.7%, higher among CITC at 6.6% than PITC at 5.2%. TB and IPD departments had the highest HIV positivity 11.8% and 7.8% respectively. Factors associated with a positive test were testing at a department in the facility compared to CITC, first-time test, and being or having been married compared to being single. CONCLUSION: Success in identifying HIV + patients was highest among people visiting the clinic for HIV testing (CITC) and first-time testers. With PITC, HIV + patient detection differed between departments, suggesting divergent risk profiles of respective clients and/or divergent HIV alertness of staff. This underscores the importance of increased targeting for PITC to identify HIV + patients.
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spelling pubmed-103293832023-07-09 Effectiveness of provider-initiated versus client-initiated HIV testing by different health facility departments in Northern Tanzania Abdul, Ramadhani de Wit, Tobias F. Rinke Martelli, Giulia Costigan, Kathleen Katambi, Patrobas Mllacha, Peter Pozniak, Anton Maokola, Werner Mfinanga, Sayoki Hermans, Sabine AIDS Res Ther Research BACKGROUND: HIV prevalence in Tanzania is still high at 4.7% among adults. Regular HIV testing is consistently advocated in the country to increase the level of awareness of HIV status, thus contributing to national HIV prevention. We report findings from three years of implementation of an HIV Test and Treat project utilizing provider-initiated and client-initiated testing and counselling (PITC and CITC). This study compared the effectiveness of PITC versus CITC in HIV case detection by the different departments of health facilities. METHOD: This retrospective cross-sectional study used health facility-based HIV testing data collected from adults aged 18 years and above between June 2017 – July 2019 in the Shinyanga region, Tanzania. Chi-square and logistic regression analysis were used to assess determinants of yield (HIV positivity). RESULTS: A total of 24,802 HIV tests were performed of which 15,814 (63.8%) were by PITC and 8,987 (36.2%) by CITC. Overall HIV positivity was 5.7%, higher among CITC at 6.6% than PITC at 5.2%. TB and IPD departments had the highest HIV positivity 11.8% and 7.8% respectively. Factors associated with a positive test were testing at a department in the facility compared to CITC, first-time test, and being or having been married compared to being single. CONCLUSION: Success in identifying HIV + patients was highest among people visiting the clinic for HIV testing (CITC) and first-time testers. With PITC, HIV + patient detection differed between departments, suggesting divergent risk profiles of respective clients and/or divergent HIV alertness of staff. This underscores the importance of increased targeting for PITC to identify HIV + patients. BioMed Central 2023-07-07 /pmc/articles/PMC10329383/ /pubmed/37420276 http://dx.doi.org/10.1186/s12981-023-00541-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Abdul, Ramadhani
de Wit, Tobias F. Rinke
Martelli, Giulia
Costigan, Kathleen
Katambi, Patrobas
Mllacha, Peter
Pozniak, Anton
Maokola, Werner
Mfinanga, Sayoki
Hermans, Sabine
Effectiveness of provider-initiated versus client-initiated HIV testing by different health facility departments in Northern Tanzania
title Effectiveness of provider-initiated versus client-initiated HIV testing by different health facility departments in Northern Tanzania
title_full Effectiveness of provider-initiated versus client-initiated HIV testing by different health facility departments in Northern Tanzania
title_fullStr Effectiveness of provider-initiated versus client-initiated HIV testing by different health facility departments in Northern Tanzania
title_full_unstemmed Effectiveness of provider-initiated versus client-initiated HIV testing by different health facility departments in Northern Tanzania
title_short Effectiveness of provider-initiated versus client-initiated HIV testing by different health facility departments in Northern Tanzania
title_sort effectiveness of provider-initiated versus client-initiated hiv testing by different health facility departments in northern tanzania
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10329383/
https://www.ncbi.nlm.nih.gov/pubmed/37420276
http://dx.doi.org/10.1186/s12981-023-00541-z
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