کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2650617 1139405 2016 10 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Barriers and facilitators associated with HIV testing uptake in South African health facilities offering HIV Counselling and Testing
ترجمه فارسی عنوان
موانع و تسهیل در ارتباط با جذب تست اچ آی وی در مراکز صحی آفریقای جنوبی ارائه دهنده مشاوره و تست HIV
کلمات کلیدی
موانع؛ خدمات درمانی؛ تست HCT؛ تست اچ آی وی و پیشگیری؛ آفریقای جنوبی
Barriers; Health facilities; HCT testing; Routine HIV testing; South Africa
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

BackgroundThe scale-up of HIV Counselling and Testing (HCT) in South Africa to 4500 public health facilities and the service's provision in mobile and non-medical sites was aimed at increasing HCT uptake. However, some people still have never had an HIV test.ObjectiveAn HCT survey was carried out to ascertain barriers and facilitators for HIV testing in South Africa.MethodsA cross-sectional survey of 67 HCT-offering health facilities in 8 South African provinces was undertaken. Individuals (n = 489) who had not tested for HIV on the day of the site visit were interviewed on awareness of HCT services, HIV testing history and barriers to HIV testing. Frequencies were run to describe the sample characteristics, barriers and facilitators to HIV testing. Bivariate and multivariate logistic regression was used to identify the association between never tested for HIV with socio-demographics, awareness of HCT services and type of HCT facilities.ResultsIn all 18.1% participants never had an HIV test. Major barriers to HCT uptake comprise being scared of finding out one's HIV test result or what people may say, shyness or embarrassment, avoidance of divulging personal information to health workers and fear of death. In multivariate analysis the age group 55 years and older, and not being recommended to have an HIV test were associated with never had an HIV test. Potential facilitators for HIV testing include community or household HIV testing, providing incentives for those who test for HIV, mandatory HIV testing and disclosure of HIV status by those who test HIV positive.ConclusionThe benefits of HCT which include the reduction of HIV transmission, the availability of HIV care and treatment needs to be emphasized to enhance HCT uptake. Health workers also need to recommend HCT to all individuals attending health facilities offering this service.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Health SA Gesondheid - Volume 21, December 2016, Pages 86–95
نویسندگان
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