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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Socio-economic determinants of HIV testing and counselling: A comparative study in four African countries
Tropical Medicine and International Health, Volume 18, No. 9, Year 2013
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Description
Objectives: Research indicates that individuals tested for HIV have higher socio-economic status than those not tested, but less is known about how socio-economic status is associated with modes of testing. We compared individuals tested through provider-initiated testing and counselling (PITC), those tested through voluntary counselling and testing (VCT) and those never tested. Methods: Cross-sectional surveys were conducted at health facilities in Burkina Faso, Kenya, Malawi and Uganda, as part of the Multi-country African Testing and Counselling for HIV (MATCH) study. A total of 3659 clients were asked about testing status, type of facility of most recent test and socio-economic status. Two outcome measures were analysed: ever tested for HIV and mode of testing. We compared VCT at stand-alone facilities and PITC, which includes integrated facilities where testing is provided with medical care, and prevention of mother-to-child transmission (PMTCT) facilities. The determinants of ever testing and of using a particular mode of testing were analysed using modified Poisson regression and multinomial logistic analyses. Results: Higher socio-economic status was associated with the likelihood of testing at VCT rather than other facilities or not testing. There were no significant differences in socio-economic characteristics between those tested through PITC (integrated and PMTCT facilities) and those not tested. Conclusions: Provider-initiated modes of testing make testing accessible to individuals from lower socio-economic groups to a greater extent than traditional VCT. Expanding testing through PMTCT reduces socio-economic obstacles, especially for women. Continued efforts are needed to encourage testing and counselling among men and the less affluent. © 2013 John Wiley & Sons Ltd.
Authors & Co-Authors
Makhlouf-Obermeyer, Carla
Lebanon, Beirut
American University of Beirut
Neuman, Melissa
United Kingdom, London
University College London
Hardon, Anita Petra
Netherlands, Amsterdam
Universiteit Van Amsterdam
Desclaux, Alice
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
Wanyenze, Rhoda Kitti
Uganda, Kampala
Makerere University School of Public Health
Ky-Zerbo, Odette
Burkina Faso, Ouagadougou
Programme D'appui au Monde Associatif et Communautaire
Cherutich, Peter K.
Kenya, Nairobi
National Aids and Stis Control Program Nascop
Namakhoma, Ireen
Malawi, Lilongwe
Research for Equity and Community Health Trust
Statistics
Citations: 54
Authors: 8
Affiliations: 8
Identifiers
Doi:
10.1111/tmi.12155
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Burkina Faso
Kenya
Malawi
Uganda
Participants Gender
Male
Female