Assessing acceptability and feasibility of provider-initiated HIV testing and counseling in Ghana.
Identifieur interne : 000102 ( Main/Exploration ); précédent : 000101; suivant : 000103Assessing acceptability and feasibility of provider-initiated HIV testing and counseling in Ghana.
Auteurs : Zachary Tabb [États-Unis] ; Kathleen Moriarty [États-Unis] ; Madeleine W. Schrier [États-Unis] ; Ebenezer Amekah [Ghana] ; Timothy P. Flanigan [États-Unis] ; Margaret Lartey [Ghana]Source :
- Rhode Island medical journal (2013) [ 2327-2228 ] ; 2017.
Abstract
t In Ghana, HIV voluntary counseling and testing remains poorly utilized. The World Health Organization (WHO) has recommended opt-out, provider-initiated testing and counseling (PITC) in order to increase utilization and earlier intervention. Yet implementation challenges remain in resource-scarce settings. This study sought to better understand the dynamics of providing PITC at Apam Catholic Hospital, a district referral hospital in Ghana. Semi-structured interviews were conducted with healthcare providers and patients exploring attitudes regarding PITC, community stigma, and HIV knowledge. Results showed healthcare providers believed PITC would lead to earlier diagnosis and intervention, but concerns persisted over increased costs. Patients welcomed PITC, but expressed discomfort in opting-out. Patients demonstrated incomplete HIV knowledge and widely believed spiritual healers and prayer can cure the infection. Acceptance of PITC by both healthcare providers and patients remains high, but concerns over resource costs and HIV knowledge persist as challenges. [Full article available at http://rimed.org/rimedicaljournal-2017-08.asp].
PubMed: 28759895
Affiliations:
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Flanigan</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, The Miriam Hospital, Providence, RI.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>Division of Infectious Diseases, The Miriam Hospital, Providence</wicri:cityArea></affiliation></author><author><name sortKey="Lartey, Margaret" sort="Lartey, Margaret" uniqKey="Lartey M" first="Margaret" last="Lartey">Margaret Lartey</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medicine and Therapeutics, University of Ghana Medical School, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Medicine and Therapeutics, University of Ghana Medical School, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName><orgName type="university" n="3">Université du Ghana</orgName></affiliation></author></analytic><series><title level="j">Rhode Island medical journal (2013)</title><idno type="eISSN">2327-2228</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">t In Ghana, HIV voluntary counseling and testing remains poorly utilized. The World Health Organization (WHO) has recommended opt-out, provider-initiated testing and counseling (PITC) in order to increase utilization and earlier intervention. Yet implementation challenges remain in resource-scarce settings. This study sought to better understand the dynamics of providing PITC at Apam Catholic Hospital, a district referral hospital in Ghana. Semi-structured interviews were conducted with healthcare providers and patients exploring attitudes regarding PITC, community stigma, and HIV knowledge. Results showed healthcare providers believed PITC would lead to earlier diagnosis and intervention, but concerns persisted over increased costs. Patients welcomed PITC, but expressed discomfort in opting-out. Patients demonstrated incomplete HIV knowledge and widely believed spiritual healers and prayer can cure the infection. Acceptance of PITC by both healthcare providers and patients remains high, but concerns over resource costs and HIV knowledge persist as challenges. [Full article available at http://rimed.org/rimedicaljournal-2017-08.asp].</div></front></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Rhode Island</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Legon (Ghana)</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><country name="États-Unis"><region name="Rhode Island"><name sortKey="Tabb, Zachary" sort="Tabb, Zachary" uniqKey="Tabb Z" first="Zachary" last="Tabb">Zachary Tabb</name></region><name sortKey="Flanigan, Timothy P" sort="Flanigan, Timothy P" uniqKey="Flanigan T" first="Timothy P" last="Flanigan">Timothy P. Flanigan</name><name sortKey="Moriarty, Kathleen" sort="Moriarty, Kathleen" uniqKey="Moriarty K" first="Kathleen" last="Moriarty">Kathleen Moriarty</name><name sortKey="Schrier, Madeleine W" sort="Schrier, Madeleine W" uniqKey="Schrier M" first="Madeleine W" last="Schrier">Madeleine W. Schrier</name></country><country name="Ghana"><noRegion><name sortKey="Amekah, Ebenezer" sort="Amekah, Ebenezer" uniqKey="Amekah E" first="Ebenezer" last="Amekah">Ebenezer Amekah</name></noRegion><name sortKey="Lartey, Margaret" sort="Lartey, Margaret" uniqKey="Lartey M" first="Margaret" last="Lartey">Margaret Lartey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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