Chilean Health Care Providers’ Perceived Comfort in Performing Oral Rapid Testing for HIV: A Cross-Sectional Study

Abstract

Objectives: To understand key factors influencing Chilean health care providers’ perceived comfort performing oral rapid HIV testing. Design: One hundred and fifty health care providers completed a self-administered questionnaire that included a five-item scale measuring self-perceived comfort in conducting HIV pretest counseling, oral rapid testing, finger-prick testing, and delivering test results. Results: Most participants (60%) envisioned good overall comfort performing oral rapid HIV testing (mean score of 16.21; range 0-20), including doing at least four of the five steps. They perceived least comfort delivering HIV-positive test results during posttest counseling. HIV stigmatizing attitudes reduced self-perceived comfort. Conclusions: Providing training to counter HIV stigmatization while increasing comfort in performing oral rapid testing would help facilitate its successful implementation.

A qualitative study of healthcare providers’ attitudes toward assisted partner notification for people with HIV in Indonesia

“…They saw dual or provider-assisted partner notification as appealing options for clients preferring not to notify partners of HIV exposure themselves. Nonetheless, successful implementation of a new modality in real-world health settings is enhanced when providers and stakeholders view the evidence for its adoption as credible, sufficient resources are available, the context is favorable, and enabling mechanisms exist to facilitate implementation [ 14 ]. Providers in this study doubted that all these conditions fully exist within Indonesia’s current health care system at the level needed for APN’s widespread integration.…”

“…Questions remain as to how APN might be implemented within different social and epidemiological contexts while retaining the core components that make its services acceptable, ethical, and effective. A step toward achieving these goals is to consider in advance of its adoption how health care providers, clients, and stakeholders weigh the evidence for its implementation [ 14 ]. Formative research can help to identify components that need modification while possibly reducing future staff and organizational friction by identifying potential points of contention [ 15 ].…”

“You can’t do that; they’ll throw the cooking pot at you!” A qualitative study of healthcare providers’ attitudes toward assisted partner notification for people with HIV in Indonesia

“…They saw dual or provider-assisted noti cation as appealing options for clients preferring not to notify partners of HIV exposure themselves. Nonetheless, successful implementation of a new modality in real-world health settings is enhanced when providers and stakeholders view the evidence for its adoption as credible, su cient resources are available, the context is favorable, and enabling mechanisms exist to facilitate implementation [14].…”

“…Successful adoption of a new health care modality depends, in part, on providers' comfort with delivering it [14]. While providers believed in the delivery of APN services by well-prepared and competent staff, discomfort was expressed by many at the thought of contacting and informing a stranger about HIV exposure.…”

“…Questions remain as to how APN might be adapted for different global contexts while retaining the core components that make its services acceptable, ethical, and effective. A step toward achieving these goals is to consider in advance of its adoption how health providers, clients, and stakeholders weigh the evidence for its implementation [14]. Formative research can help to identify components that need modi cation while possibly reducing future staff and organizational friction by identifying potential points of contention [15].…”