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Utilization of provider-initiated HIV testing and counselling in Ethiopia: a systematic review and meta-analysis

BACKGROUND: Provider-initiated HIV testing, and counseling (PITC) is a service in which health professionals provide HIV testing to all patients in health facilities. Provider-initiated HIV testing, and counseling is an important opportunity for early screening of individuals, and it is fundamental...

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Autores principales: Atlaw, Daniel, Sahiledengle, Biniyam, Degno, Sisay, Mamo, Ayele, Gudisa, Zewudie, Zenbaba, Demisu, Shiferaw, Zerihun, Gezahegn, Habtamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016945/
https://www.ncbi.nlm.nih.gov/pubmed/35436943
http://dx.doi.org/10.1186/s41182-022-00420-9
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author Atlaw, Daniel
Sahiledengle, Biniyam
Degno, Sisay
Mamo, Ayele
Gudisa, Zewudie
Zenbaba, Demisu
Shiferaw, Zerihun
Gezahegn, Habtamu
author_facet Atlaw, Daniel
Sahiledengle, Biniyam
Degno, Sisay
Mamo, Ayele
Gudisa, Zewudie
Zenbaba, Demisu
Shiferaw, Zerihun
Gezahegn, Habtamu
author_sort Atlaw, Daniel
collection PubMed
description BACKGROUND: Provider-initiated HIV testing, and counseling (PITC) is a service in which health professionals provide HIV testing to all patients in health facilities. Provider-initiated HIV testing, and counseling is an important opportunity for early screening of individuals, and it is fundamental for both HIV treatment and prevention. Although there are studies conducted in different parts of Ethiopia, their findings are variable. Therefore, this systematic review and meta-analysis aimed to summarize the pooled utilization of PITC in Ethiopia. METHOD: All studies conducted on utilization of provider-initiated HIV testing and counseling at outpatient departments (OPD), inpatient departments (IPD), antenatal clinic care (ANC), and tuberculosis (TB) clinics in Ethiopia are eligible for these meta-analyses. A systematic search of the literature was conducted by the authors to identify all relevant primary studies. The databases used to search for studies were PubMed, Science Direct, POPLINE, HENARI, Google Scholar, and Scopus. The extracted data were imported into STATA version 14 software for statistical analysis. The risk of bias was assessed using the Joana Briggs Institute (JBI) criteria for prevalence studies. The heterogeneity among all included studies was assessed by I(2) statistics and the Cochran’s Q test. Pooled utilization along with its corresponding 95% CI was presented using a forest plot. RESULT: About 1738 studies were retrieved from initial electronic searches using international databases and Google, and a total of 10,676 individual clients were included in the meta-analysis. The pooled utilization of PITC in Ethiopia using the random effects model was estimated to be 78.9% (95% CI 73.87–83.85) with a significant level of heterogeneity (I(2) = 98.5%; P < 0.001). Subgroup analysis conducted on PITC showed the highest percentage among studies conducted in Addis Ababa (93.5%), while lower utilization was identified from a study conducted in the Tigray Region (35%). LIMITATION OF THE STUDY: The drawbacks of this review and meta-analysis were being reported with significant heterogeneity, and the protocol was not registered. CONCLUSION: About 21% of health facility clients missed opportunities for PITC in Ethiopia. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41182-022-00420-9.
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spelling pubmed-90169452022-04-20 Utilization of provider-initiated HIV testing and counselling in Ethiopia: a systematic review and meta-analysis Atlaw, Daniel Sahiledengle, Biniyam Degno, Sisay Mamo, Ayele Gudisa, Zewudie Zenbaba, Demisu Shiferaw, Zerihun Gezahegn, Habtamu Trop Med Health Research BACKGROUND: Provider-initiated HIV testing, and counseling (PITC) is a service in which health professionals provide HIV testing to all patients in health facilities. Provider-initiated HIV testing, and counseling is an important opportunity for early screening of individuals, and it is fundamental for both HIV treatment and prevention. Although there are studies conducted in different parts of Ethiopia, their findings are variable. Therefore, this systematic review and meta-analysis aimed to summarize the pooled utilization of PITC in Ethiopia. METHOD: All studies conducted on utilization of provider-initiated HIV testing and counseling at outpatient departments (OPD), inpatient departments (IPD), antenatal clinic care (ANC), and tuberculosis (TB) clinics in Ethiopia are eligible for these meta-analyses. A systematic search of the literature was conducted by the authors to identify all relevant primary studies. The databases used to search for studies were PubMed, Science Direct, POPLINE, HENARI, Google Scholar, and Scopus. The extracted data were imported into STATA version 14 software for statistical analysis. The risk of bias was assessed using the Joana Briggs Institute (JBI) criteria for prevalence studies. The heterogeneity among all included studies was assessed by I(2) statistics and the Cochran’s Q test. Pooled utilization along with its corresponding 95% CI was presented using a forest plot. RESULT: About 1738 studies were retrieved from initial electronic searches using international databases and Google, and a total of 10,676 individual clients were included in the meta-analysis. The pooled utilization of PITC in Ethiopia using the random effects model was estimated to be 78.9% (95% CI 73.87–83.85) with a significant level of heterogeneity (I(2) = 98.5%; P < 0.001). Subgroup analysis conducted on PITC showed the highest percentage among studies conducted in Addis Ababa (93.5%), while lower utilization was identified from a study conducted in the Tigray Region (35%). LIMITATION OF THE STUDY: The drawbacks of this review and meta-analysis were being reported with significant heterogeneity, and the protocol was not registered. CONCLUSION: About 21% of health facility clients missed opportunities for PITC in Ethiopia. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41182-022-00420-9. BioMed Central 2022-04-18 /pmc/articles/PMC9016945/ /pubmed/35436943 http://dx.doi.org/10.1186/s41182-022-00420-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/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, visithttp://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Atlaw, Daniel
Sahiledengle, Biniyam
Degno, Sisay
Mamo, Ayele
Gudisa, Zewudie
Zenbaba, Demisu
Shiferaw, Zerihun
Gezahegn, Habtamu
Utilization of provider-initiated HIV testing and counselling in Ethiopia: a systematic review and meta-analysis
title Utilization of provider-initiated HIV testing and counselling in Ethiopia: a systematic review and meta-analysis
title_full Utilization of provider-initiated HIV testing and counselling in Ethiopia: a systematic review and meta-analysis
title_fullStr Utilization of provider-initiated HIV testing and counselling in Ethiopia: a systematic review and meta-analysis
title_full_unstemmed Utilization of provider-initiated HIV testing and counselling in Ethiopia: a systematic review and meta-analysis
title_short Utilization of provider-initiated HIV testing and counselling in Ethiopia: a systematic review and meta-analysis
title_sort utilization of provider-initiated hiv testing and counselling in ethiopia: a systematic review and meta-analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016945/
https://www.ncbi.nlm.nih.gov/pubmed/35436943
http://dx.doi.org/10.1186/s41182-022-00420-9
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