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Assessment of provider-initiated HIV screening in Nigeria with sub-Saharan African comparison

BACKGROUND: Despite Nigeria’s high HIV prevalence, voluntary testing and counselling rates remain low. UNAIDS/WHO/CDC recommends provider-initiated testing and counselling (PITC) for HIV in settings with high HIV prevalence. We aimed to assess the acceptability and logistical feasibility of the PITC...

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Autores principales: Ogbo, Felix A., Mogaji, Andrew, Ogeleka, Pascal, Agho, Kingsley E., Idoko, John, Tule, Terver Zua, Page, Andrew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345139/
https://www.ncbi.nlm.nih.gov/pubmed/28279209
http://dx.doi.org/10.1186/s12913-017-2132-4
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author Ogbo, Felix A.
Mogaji, Andrew
Ogeleka, Pascal
Agho, Kingsley E.
Idoko, John
Tule, Terver Zua
Page, Andrew
author_facet Ogbo, Felix A.
Mogaji, Andrew
Ogeleka, Pascal
Agho, Kingsley E.
Idoko, John
Tule, Terver Zua
Page, Andrew
author_sort Ogbo, Felix A.
collection PubMed
description BACKGROUND: Despite Nigeria’s high HIV prevalence, voluntary testing and counselling rates remain low. UNAIDS/WHO/CDC recommends provider-initiated testing and counselling (PITC) for HIV in settings with high HIV prevalence. We aimed to assess the acceptability and logistical feasibility of the PITC strategy among adolescents and adults in a secondary health care centre in Idekpa Benue state, Nigeria. METHOD: All patients (aged ≥ 13 years) who visited the out-patient department and antenatal care unit of General Hospital Idekpa, Benue state, Nigeria were offered PITC for HIV. The intervention was implemented by trained health professionals for the period spanning (June to December 2010). RESULTS: Among the 212 patients who were offered PITC for HIV, 199 (94%) accepted HIV testing, 10 patients (4.7%) opted out and 3 patients (1.4%) were undecided. Of the 199 participants who were tested for HIV, 9% were HIV seropositive. The PITC strategy was highly acceptable and feasible, and increased the number of patients who tested for HIV by 5% compared to voluntary counselling and testing. Findings from this assessment were consistent with those from other sub-Saharan African countries (such as Uganda and South Africa). CONCLUSION: PITC for HIV was highly acceptable and logistically feasible, and resulted in an increased rate of HIV testing among patients. Public health initiatives (such as the PITC strategy) that facilitate early detection of HIV and referral for early treatment should be encouraged for broader HIV control and prevention in Nigerian communities.
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spelling pubmed-53451392017-03-14 Assessment of provider-initiated HIV screening in Nigeria with sub-Saharan African comparison Ogbo, Felix A. Mogaji, Andrew Ogeleka, Pascal Agho, Kingsley E. Idoko, John Tule, Terver Zua Page, Andrew BMC Health Serv Res Research Article BACKGROUND: Despite Nigeria’s high HIV prevalence, voluntary testing and counselling rates remain low. UNAIDS/WHO/CDC recommends provider-initiated testing and counselling (PITC) for HIV in settings with high HIV prevalence. We aimed to assess the acceptability and logistical feasibility of the PITC strategy among adolescents and adults in a secondary health care centre in Idekpa Benue state, Nigeria. METHOD: All patients (aged ≥ 13 years) who visited the out-patient department and antenatal care unit of General Hospital Idekpa, Benue state, Nigeria were offered PITC for HIV. The intervention was implemented by trained health professionals for the period spanning (June to December 2010). RESULTS: Among the 212 patients who were offered PITC for HIV, 199 (94%) accepted HIV testing, 10 patients (4.7%) opted out and 3 patients (1.4%) were undecided. Of the 199 participants who were tested for HIV, 9% were HIV seropositive. The PITC strategy was highly acceptable and feasible, and increased the number of patients who tested for HIV by 5% compared to voluntary counselling and testing. Findings from this assessment were consistent with those from other sub-Saharan African countries (such as Uganda and South Africa). CONCLUSION: PITC for HIV was highly acceptable and logistically feasible, and resulted in an increased rate of HIV testing among patients. Public health initiatives (such as the PITC strategy) that facilitate early detection of HIV and referral for early treatment should be encouraged for broader HIV control and prevention in Nigerian communities. BioMed Central 2017-03-09 /pmc/articles/PMC5345139/ /pubmed/28279209 http://dx.doi.org/10.1186/s12913-017-2132-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ogbo, Felix A.
Mogaji, Andrew
Ogeleka, Pascal
Agho, Kingsley E.
Idoko, John
Tule, Terver Zua
Page, Andrew
Assessment of provider-initiated HIV screening in Nigeria with sub-Saharan African comparison
title Assessment of provider-initiated HIV screening in Nigeria with sub-Saharan African comparison
title_full Assessment of provider-initiated HIV screening in Nigeria with sub-Saharan African comparison
title_fullStr Assessment of provider-initiated HIV screening in Nigeria with sub-Saharan African comparison
title_full_unstemmed Assessment of provider-initiated HIV screening in Nigeria with sub-Saharan African comparison
title_short Assessment of provider-initiated HIV screening in Nigeria with sub-Saharan African comparison
title_sort assessment of provider-initiated hiv screening in nigeria with sub-saharan african comparison
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345139/
https://www.ncbi.nlm.nih.gov/pubmed/28279209
http://dx.doi.org/10.1186/s12913-017-2132-4
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