Caregiver-initiated HIV testing in a cosmopolitan setting
Experience of a prefectural hospital
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Global coverage of HIV counseling and testing services remains inadequate. In Africa, one of the barriers to HIV prevention remains inadequate testing. Delayed diagnosis of HIV infection is a major obstacle to optimal management in the antiretroviral era. The cosmopolitan context makes access to testing services difficult and promotes stigmatization. The objective was to determine the acceptance rate of provider-initiated HIV testing and to identify the reasons for refusal. This was a prospective, descriptive, analytical, cross-sectional study lasting 6 months. We targeted patients seen in con...
Global coverage of HIV counseling and testing services remains inadequate. In Africa, one of the barriers to HIV prevention remains inadequate testing. Delayed diagnosis of HIV infection is a major obstacle to optimal management in the antiretroviral era. The cosmopolitan context makes access to testing services difficult and promotes stigmatization. The objective was to determine the acceptance rate of provider-initiated HIV testing and to identify the reasons for refusal. This was a prospective, descriptive, analytical, cross-sectional study lasting 6 months. We targeted patients seen in consultation in the departments of General Medicine, Surgery and Gynaeco-Obstetrics. Included patients of ages 15 years, from any source and having given informed consent. Screening was offered to 623 patients seen in consultation, 495 (79%) accepted of which 56 (11%) were positive and 128 (21%) refused. The mean age was 32.46 ± 14.26 [15 and 88 years] with a female predominance. A significantproportion of the population remained reluctant to participate due to fear and denial of HIV infection.
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