Assessment of a couples HIV counseling and testing program for pregnant women and their partners in antenatal care (ANC) in 7 provinces, Thailand
Identifieur interne : 002D77 ( Ncbi/Curation ); précédent : 002D76; suivant : 002D78Assessment of a couples HIV counseling and testing program for pregnant women and their partners in antenatal care (ANC) in 7 provinces, Thailand
Auteurs : Rangsima Lolekha [Thaïlande] ; Nareeluck Kullerk [Thaïlande] ; Mitchell I. Wolfe [Thaïlande, États-Unis] ; Kanyarat Klumthanom [Thaïlande] ; Thapanaporn Singhagowin [Thaïlande] ; Sarika Pattanasin [Thaïlande] ; Potjaman Sombat [Thaïlande] ; Thananda Naiwatanakul [Thaïlande] ; Chailai Leartvanangkul [Thaïlande] ; Nipunporn Voramongkol [Thaïlande]Source :
- BMC International Health and Human Rights [ 1472-698X ] ; 2014.
Abstract
Couples HIV testing and counseling (CHTC) at antenatal care (ANC) settings allows pregnant women to learn the HIV status of themselves and their partners. Couples can make decisions together to prevent HIV transmission. In Thailand, men were tested at ANC settings only if their pregnant partners were HIV positive. A CHTC program based in ANC settings was developed and implemented at 16 pilot hospitals in 7 provinces during 2009–2010.
Cross-sectional data were collected using standard data collection forms from all pregnant women and accompanying partners who presented at first ANC visit at 16 hospitals. CHTC data for women and partners were analyzed to determine service uptake and HIV test results among couples. In-depth interviews were conducted among hospital staff of participating hospitals during field supervision visits to assess feasibility and acceptability of CHTC services.
During October 2009-April 2010, 4,524 women initiating ANC were enrolled. Of these, 2,435 (54%) women came for ANC alone; 2,089 (46%) came with partners. Among men presenting with partners, 2,003 (96%) received couples counseling. Of these, 1,723 (86%) men and all pregnant women accepted HIV testing. Among 1,723 couples testing for HIV, 1,604 (93%) returned for test results. Of these, 1,567 (98%) were concordant negative, 6 (0.4%) were concordant positive and 17 (1%) were HIV discordant (7 male+/female- and 10 male-/female+). Nine of ten (90%) executive hospital staff reported high acceptability of CHTC services.
CHTC implemented in ANC settings helps identify more HIV-positive men whose partners were negative than previous practice, with high acceptability among hospital staff.
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DOI: 10.1186/s12914-014-0039-2
PubMed: 25539670
PubMed Central: 4301829
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Box 139, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff3">U.S. Centers for Disease Control and Prevention, Atlanta, GA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>U.S. Centers for Disease Control and Prevention, Atlanta</wicri:cityArea></affiliation></author><author><name sortKey="Klumthanom, Kanyarat" sort="Klumthanom, Kanyarat" uniqKey="Klumthanom K" first="Kanyarat" last="Klumthanom">Kanyarat Klumthanom</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. 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Box 139, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Sombat, Potjaman" sort="Sombat, Potjaman" uniqKey="Sombat P" first="Potjaman" last="Sombat">Potjaman Sombat</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. 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Box 139, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Leartvanangkul, Chailai" sort="Leartvanangkul, Chailai" uniqKey="Leartvanangkul C" first="Chailai" last="Leartvanangkul">Chailai Leartvanangkul</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health (DOH), Ministry of Public Health, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Health (DOH), Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Voramongkol, Nipunporn" sort="Voramongkol, Nipunporn" uniqKey="Voramongkol N" first="Nipunporn" last="Voramongkol">Nipunporn Voramongkol</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health (DOH), Ministry of Public Health, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Health (DOH), Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25539670</idno><idno type="pmc">4301829</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301829</idno><idno type="RBID">PMC:4301829</idno><idno type="doi">10.1186/s12914-014-0039-2</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000635</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000635</idno><idno type="wicri:Area/Pmc/Curation">000634</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000634</idno><idno type="wicri:Area/Pmc/Checkpoint">001542</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001542</idno><idno type="wicri:Area/Ncbi/Merge">002D77</idno><idno type="wicri:Area/Ncbi/Curation">002D77</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Assessment of a couples HIV counseling and testing program for pregnant women and their partners in antenatal care (ANC) in 7 provinces, Thailand</title><author><name sortKey="Lolekha, Rangsima" sort="Lolekha, Rangsima" uniqKey="Lolekha R" first="Rangsima" last="Lolekha">Rangsima Lolekha</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Kullerk, Nareeluck" sort="Kullerk, Nareeluck" uniqKey="Kullerk N" first="Nareeluck" last="Kullerk">Nareeluck Kullerk</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health (DOH), Ministry of Public Health, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Health (DOH), Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Wolfe, Mitchell I" sort="Wolfe, Mitchell I" uniqKey="Wolfe M" first="Mitchell I" last="Wolfe">Mitchell I. Wolfe</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff3">U.S. Centers for Disease Control and Prevention, Atlanta, GA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>U.S. Centers for Disease Control and Prevention, Atlanta</wicri:cityArea></affiliation></author><author><name sortKey="Klumthanom, Kanyarat" sort="Klumthanom, Kanyarat" uniqKey="Klumthanom K" first="Kanyarat" last="Klumthanom">Kanyarat Klumthanom</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Singhagowin, Thapanaporn" sort="Singhagowin, Thapanaporn" uniqKey="Singhagowin T" first="Thapanaporn" last="Singhagowin">Thapanaporn Singhagowin</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health (DOH), Ministry of Public Health, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Health (DOH), Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Pattanasin, Sarika" sort="Pattanasin, Sarika" uniqKey="Pattanasin S" first="Sarika" last="Pattanasin">Sarika Pattanasin</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Sombat, Potjaman" sort="Sombat, Potjaman" uniqKey="Sombat P" first="Potjaman" last="Sombat">Potjaman Sombat</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Naiwatanakul, Thananda" sort="Naiwatanakul, Thananda" uniqKey="Naiwatanakul T" first="Thananda" last="Naiwatanakul">Thananda Naiwatanakul</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi, 11000 Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Global AIDS Program, Thailand MOPH—U.S. CDC Collaboration (TUC), Mail: P.O. Box 139, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Leartvanangkul, Chailai" sort="Leartvanangkul, Chailai" uniqKey="Leartvanangkul C" first="Chailai" last="Leartvanangkul">Chailai Leartvanangkul</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health (DOH), Ministry of Public Health, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Health (DOH), Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Voramongkol, Nipunporn" sort="Voramongkol, Nipunporn" uniqKey="Voramongkol N" first="Nipunporn" last="Voramongkol">Nipunporn Voramongkol</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health (DOH), Ministry of Public Health, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Health (DOH), Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC International Health and Human Rights</title><idno type="eISSN">1472-698X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Couples HIV testing and counseling (CHTC) at antenatal care (ANC) settings allows pregnant women to learn the HIV status of themselves and their partners. Couples can make decisions together to prevent HIV transmission. In Thailand, men were tested at ANC settings only if their pregnant partners were HIV positive. A CHTC program based in ANC settings was developed and implemented at 16 pilot hospitals in 7 provinces during 2009–2010.</p></sec><sec><title>Methods</title><p>Cross-sectional data were collected using standard data collection forms from all pregnant women and accompanying partners who presented at first ANC visit at 16 hospitals. CHTC data for women and partners were analyzed to determine service uptake and HIV test results among couples. In-depth interviews were conducted among hospital staff of participating hospitals during field supervision visits to assess feasibility and acceptability of CHTC services.</p></sec><sec><title>Results</title><p>During October 2009-April 2010, 4,524 women initiating ANC were enrolled. Of these, 2,435 (54%) women came for ANC alone; 2,089 (46%) came with partners. Among men presenting with partners, 2,003 (96%) received couples counseling. Of these, 1,723 (86%) men and all pregnant women accepted HIV testing. Among 1,723 couples testing for HIV, 1,604 (93%) returned for test results. Of these, 1,567 (98%) were concordant negative, 6 (0.4%) were concordant positive and 17 (1%) were HIV discordant (7 male+/female- and 10 male-/female+). Nine of ten (90%) executive hospital staff reported high acceptability of CHTC services.</p></sec><sec><title>Conclusions</title><p>CHTC implemented in ANC settings helps identify more HIV-positive men whose partners were negative than previous practice, with high acceptability among hospital staff.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Cohen, Ms" uniqKey="Cohen M">MS Cohen</name></author><author><name sortKey="Chen, Yq" uniqKey="Chen Y">YQ Chen</name></author><author><name sortKey="Mccauley, M" uniqKey="Mccauley M">M McCauley</name></author><author><name sortKey="Gamble, T" uniqKey="Gamble T">T Gamble</name></author><author><name sortKey="Hosseinipour, Mc" uniqKey="Hosseinipour M">MC Hosseinipour</name></author><author><name sortKey="Kumarasamy, N" uniqKey="Kumarasamy N">N Kumarasamy</name></author><author><name sortKey="Hakim, Jg" uniqKey="Hakim J">JG 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Remien</name></author><author><name sortKey="Smith, A" uniqKey="Smith A">A Smith</name></author><author><name sortKey="Copeland, Oq" uniqKey="Copeland O">OQ Copeland</name></author><author><name sortKey="Dolezal, C" uniqKey="Dolezal C">C Dolezal</name></author><author><name sortKey="Krieger, D" uniqKey="Krieger D">D Krieger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Medley, A" uniqKey="Medley A">A Medley</name></author><author><name sortKey="Baggaley, R" uniqKey="Baggaley R">R Baggaley</name></author><author><name sortKey="Bachanas, P" uniqKey="Bachanas P">P Bachanas</name></author><author><name sortKey="Cohen, M" uniqKey="Cohen M">M Cohen</name></author><author><name sortKey="Shaffer, N" uniqKey="Shaffer N">N Shaffer</name></author><author><name sortKey="Lo, Yr" uniqKey="Lo Y">YR Lo</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tangmunkongvorakul, A" uniqKey="Tangmunkongvorakul A">A Tangmunkongvorakul</name></author><author><name sortKey="Celentano, Dd" uniqKey="Celentano D">DD Celentano</name></author><author><name sortKey="Burke, Jg" uniqKey="Burke J">JG Burke</name></author><author><name sortKey="De Boer, Ma" uniqKey="De Boer M">MA de Boer</name></author><author><name sortKey="Wongpan, P" uniqKey="Wongpan P">P Wongpan</name></author><author><name sortKey="Suriyanon, V" uniqKey="Suriyanon V">V Suriyanon</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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