Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study

BACKGROUND: HIV and HIV-TB co-infection are slowly increasing in Indonesia. WHO recommends HIV testing among TB patients as a key response to the dual HIV-TB epidemic. Concerns over potential negative impacts to TB control and lack of operational clarity have hindered progress. We investigated the b...

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Autores principales: Mahendradhata, Yodi, Ahmad, Riris Andono, Lefèvre, Pierre, Boelaert, Marleen, Stuyft, Patrick Van der
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596127/
https://www.ncbi.nlm.nih.gov/pubmed/19014468
http://dx.doi.org/10.1186/1471-2458-8-385
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author Mahendradhata, Yodi
Ahmad, Riris Andono
Lefèvre, Pierre
Boelaert, Marleen
Stuyft, Patrick Van der
author_facet Mahendradhata, Yodi
Ahmad, Riris Andono
Lefèvre, Pierre
Boelaert, Marleen
Stuyft, Patrick Van der
author_sort Mahendradhata, Yodi
collection PubMed
description BACKGROUND: HIV and HIV-TB co-infection are slowly increasing in Indonesia. WHO recommends HIV testing among TB patients as a key response to the dual HIV-TB epidemic. Concerns over potential negative impacts to TB control and lack of operational clarity have hindered progress. We investigated the barriers and opportunities for introducing HIV testing perceived by TB patients and providers in Jogjakarta, Indonesia. METHODS: We offered Voluntary Counselling and Testing (VCT) to TB patients in parallel to a HIV prevalence survey. We conducted in-depth interviews with 33 TB patients, 3 specialist physicians and 3 disease control managers. We also conducted 4 Focus Group Discussions (FGDs) with nurses. All interviews and FGDs were recorded and data analysis was supported by the QSR N6(® )software. RESULTS: Patients' and providers' knowledge regarding HIV was poor. The main barriers perceived by patients were: burden for accessing VCT and fear of knowing the test results. Stigma caused concerns among providers, but did not play much role in patients' attitude towards VCT. The main barriers perceived by providers were communication, patients feeling offended, stigmatization and additional burden. CONCLUSION: Introduction of HIV testing among TB patients in Indonesia should be accompanied by patient and provider education as well as providing conditions for effective communication.
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spelling pubmed-25961272008-12-05 Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study Mahendradhata, Yodi Ahmad, Riris Andono Lefèvre, Pierre Boelaert, Marleen Stuyft, Patrick Van der BMC Public Health Research Article BACKGROUND: HIV and HIV-TB co-infection are slowly increasing in Indonesia. WHO recommends HIV testing among TB patients as a key response to the dual HIV-TB epidemic. Concerns over potential negative impacts to TB control and lack of operational clarity have hindered progress. We investigated the barriers and opportunities for introducing HIV testing perceived by TB patients and providers in Jogjakarta, Indonesia. METHODS: We offered Voluntary Counselling and Testing (VCT) to TB patients in parallel to a HIV prevalence survey. We conducted in-depth interviews with 33 TB patients, 3 specialist physicians and 3 disease control managers. We also conducted 4 Focus Group Discussions (FGDs) with nurses. All interviews and FGDs were recorded and data analysis was supported by the QSR N6(® )software. RESULTS: Patients' and providers' knowledge regarding HIV was poor. The main barriers perceived by patients were: burden for accessing VCT and fear of knowing the test results. Stigma caused concerns among providers, but did not play much role in patients' attitude towards VCT. The main barriers perceived by providers were communication, patients feeling offended, stigmatization and additional burden. CONCLUSION: Introduction of HIV testing among TB patients in Indonesia should be accompanied by patient and provider education as well as providing conditions for effective communication. BioMed Central 2008-11-12 /pmc/articles/PMC2596127/ /pubmed/19014468 http://dx.doi.org/10.1186/1471-2458-8-385 Text en Copyright © 2008 Mahendradhata et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Mahendradhata, Yodi
Ahmad, Riris Andono
Lefèvre, Pierre
Boelaert, Marleen
Stuyft, Patrick Van der
Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study
title Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study
title_full Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study
title_fullStr Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study
title_full_unstemmed Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study
title_short Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study
title_sort barriers for introducing hiv testing among tuberculosis patients in jogjakarta, indonesia: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596127/
https://www.ncbi.nlm.nih.gov/pubmed/19014468
http://dx.doi.org/10.1186/1471-2458-8-385
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