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Frequency of visits to health facilities and HIV services offered to men, Malawi

OBJECTIVE: To determine how often men in Malawi attend health facilities and if testing for human immunodeficiency virus (HIV) is offered during facility visits. METHODS: We conducted a cross-sectional, community-representative survey of men (15–64 years) from 36 villages in Malawi. We excluded men...

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Autores principales: Dovel, Kathryn, Balakasi, Kelvin, Gupta, Sundeep, Mphande, Misheck, Robson, Isabella, Khan, Shaukat, Amberbir, Alemayehu, Stilson, Christian, van Oosterhout, Joep J, Doi, Naoko, Nichols, Brooke E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: World Health Organization 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381098/
https://www.ncbi.nlm.nih.gov/pubmed/34475599
http://dx.doi.org/10.2471/BLT.20.278994
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author Dovel, Kathryn
Balakasi, Kelvin
Gupta, Sundeep
Mphande, Misheck
Robson, Isabella
Khan, Shaukat
Amberbir, Alemayehu
Stilson, Christian
van Oosterhout, Joep J
Doi, Naoko
Nichols, Brooke E
author_facet Dovel, Kathryn
Balakasi, Kelvin
Gupta, Sundeep
Mphande, Misheck
Robson, Isabella
Khan, Shaukat
Amberbir, Alemayehu
Stilson, Christian
van Oosterhout, Joep J
Doi, Naoko
Nichols, Brooke E
author_sort Dovel, Kathryn
collection PubMed
description OBJECTIVE: To determine how often men in Malawi attend health facilities and if testing for human immunodeficiency virus (HIV) is offered during facility visits. METHODS: We conducted a cross-sectional, community-representative survey of men (15–64 years) from 36 villages in Malawi. We excluded men who ever tested HIV-positive. Primary outcomes were: health facility visits in the past 12 months (for their own health (client visit) or to support the health services of others (guardian visit)); being offered HIV testing during facility visits; and being tested that same day. We disaggregated all results by HIV testing history: tested ≤ 12 months ago, or in need of testing (never tested or tested > 12 months before). FINDINGS: We included 1116 men in the analysis. Mean age was 34 years (standard deviation: 13.2) and 55% (617/1116) of men needed HIV testing. Regarding facility visits, 82% (920/1116) of all men and 70% (429/617) of men in need of testing made at least one facility visit in the past 12 months. Men made a total of 1973 visits (mean two visits): 39% (765/1973) were as guardians and 84% (1657/1973) were to outpatient departments. Among men needing HIV testing, only 7% (30/429) were offered testing during any visit. The most common reason for not testing was not being offered services (37%; 179/487). CONCLUSION: Men in Malawi attend health facilities regularly, but few of those in need of HIV testing are offered testing services. Health screening services should capitalize on men’s routine visits to outpatient departments as clients and guardians.
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spelling pubmed-83810982021-09-01 Frequency of visits to health facilities and HIV services offered to men, Malawi Dovel, Kathryn Balakasi, Kelvin Gupta, Sundeep Mphande, Misheck Robson, Isabella Khan, Shaukat Amberbir, Alemayehu Stilson, Christian van Oosterhout, Joep J Doi, Naoko Nichols, Brooke E Bull World Health Organ Research OBJECTIVE: To determine how often men in Malawi attend health facilities and if testing for human immunodeficiency virus (HIV) is offered during facility visits. METHODS: We conducted a cross-sectional, community-representative survey of men (15–64 years) from 36 villages in Malawi. We excluded men who ever tested HIV-positive. Primary outcomes were: health facility visits in the past 12 months (for their own health (client visit) or to support the health services of others (guardian visit)); being offered HIV testing during facility visits; and being tested that same day. We disaggregated all results by HIV testing history: tested ≤ 12 months ago, or in need of testing (never tested or tested > 12 months before). FINDINGS: We included 1116 men in the analysis. Mean age was 34 years (standard deviation: 13.2) and 55% (617/1116) of men needed HIV testing. Regarding facility visits, 82% (920/1116) of all men and 70% (429/617) of men in need of testing made at least one facility visit in the past 12 months. Men made a total of 1973 visits (mean two visits): 39% (765/1973) were as guardians and 84% (1657/1973) were to outpatient departments. Among men needing HIV testing, only 7% (30/429) were offered testing during any visit. The most common reason for not testing was not being offered services (37%; 179/487). CONCLUSION: Men in Malawi attend health facilities regularly, but few of those in need of HIV testing are offered testing services. Health screening services should capitalize on men’s routine visits to outpatient departments as clients and guardians. World Health Organization 2021-09-01 2021-06-29 /pmc/articles/PMC8381098/ /pubmed/34475599 http://dx.doi.org/10.2471/BLT.20.278994 Text en (c) 2021 The authors; licensee World Health Organization. https://creativecommons.org/licenses/by/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode (https://creativecommons.org/licenses/by/3.0/igo/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL.
spellingShingle Research
Dovel, Kathryn
Balakasi, Kelvin
Gupta, Sundeep
Mphande, Misheck
Robson, Isabella
Khan, Shaukat
Amberbir, Alemayehu
Stilson, Christian
van Oosterhout, Joep J
Doi, Naoko
Nichols, Brooke E
Frequency of visits to health facilities and HIV services offered to men, Malawi
title Frequency of visits to health facilities and HIV services offered to men, Malawi
title_full Frequency of visits to health facilities and HIV services offered to men, Malawi
title_fullStr Frequency of visits to health facilities and HIV services offered to men, Malawi
title_full_unstemmed Frequency of visits to health facilities and HIV services offered to men, Malawi
title_short Frequency of visits to health facilities and HIV services offered to men, Malawi
title_sort frequency of visits to health facilities and hiv services offered to men, malawi
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381098/
https://www.ncbi.nlm.nih.gov/pubmed/34475599
http://dx.doi.org/10.2471/BLT.20.278994
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