Impressões sobre o teste rápido para o HIV entre usuários de drogas injetáveis no Brasil

Pr, Telles-Dias; Westman, S; Fernández, A Morral; Sánchez, María Patricia

doi:10.1590/s0034-89102007000900015

Cited by 13 publications

(15 citation statements)

References 18 publications

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“…Previous studies have reported an increasing rate in demand for testing, for the proportion of people who received post-test counselling and have been informed of their results, and that, following the introduction of rapid tests [52–58]. The results also showed that clients prefer attending the services where they can get their results without delay [57, 59–61]. This is consistent with the results of several studies reported that people who get tested preferred to receive their results on the test day [54, 59, 61].…”

Section: Discussionmentioning

confidence: 99%

Challenges in the delivery of public HIV testing and counselling (HTC) in Douala, Cameroon: providers perspectives and implications on quality of HTC services

Ngangue

Gagnon

Bédard

2017

BMC Int Health Hum Rights

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BackgroundThe Cameroon government has made HIV testing and counselling (HTC) a priority in its HIV/AIDS strategic plan. However, there is a dearth of literature on the perspectives of providers on the quality of HTC services. The aim of this study was to explore challenges in the provision of HTC services and their implications on quality of HTC services in Douala’s district hospitals.MethodsTwo primary data collection methods supported by the Donabedian’s model of healthcare were used to explain the challenges in the provision of HTC services and their implications on quality of HTC services. This consisted of semi-structured individual interviews with 6 nurses and 16 lay counsellors and a non-participant observation of the physical environment for HTC by site. The study sites were the prevention and voluntary testing and counselling centre (PVTCC) of the six district hospitals of the city of Douala.ResultsThe study reveals concerns about confidentiality and privacy during the counselling sessions due to inadequate and limited space. An absence of consent, even verbal, was reported in one PVTCC. There is no specific accredited training curriculum that leads to a formal registration as a PVTCC staff, and some lay counsellors work without training. Lay counsellors carry the burden of HIV counselling, but the majority of them work for many years without remuneration and recognition. Another quality challenge is the high workload in the district hospitals’ lab, which leads to long waiting times for HIV test results, thus contributing to failure to return for results.ConclusionThe findings of this study highlighted some issues such as lack of adequate space and equipment for HIV testing and counselling that hinder the quality of HTC services and should challenge the health authorities of Cameroon on the need to reorganize HTC services and create a national HIV quality assurance program.Electronic supplementary materialThe online version of this article (doi:10.1186/s12914-017-0118-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Challenges in the delivery of public HIV testing and counselling (HTC) in Douala, Cameroon: providers perspectives and implications on quality of HTC services

Ngangue

Gagnon

Bédard

2017

BMC Int Health Hum Rights

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“…Many of the studies in this review were conducted before the use of rapid tests. Recently, several HIV testing centers in developed countries and in developing countries have reported an increase in the demand for testing, the proportion of people who received posttest counselling, and the knowledge of status following the introduction of rapid tests [68–72]. Other studies also showed that clients prefer the centers where they can receive their results without delay on the same day [73–75].…”

Section: Discussionmentioning

confidence: 99%

Returning for HIV Test Results: A Systematic Review of Barriers and Facilitators

Ngangue

Bédard

Zomahoun³

et al. 2016

International Scholarly Research Notices

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This systematic review aims to identify factors that facilitate or hinder the return for HIV test results. Four electronic databases were searched. Two independent reviewers selected eligible publications based on inclusion/exclusion criteria. Quantitative studies published since 1985 were included. Thirty-six studies were included in the final review. Individual level barriers included sociodemographic characteristics, such as being a male, of young age and low education level, risk behaviours such as injecting drugs, having multiple sexual partners, and psychosocial factors. Older age, higher education level, being a woman, having high self-esteem, having coping skills, and holding insurance coverage were identified as facilitators. Interpersonal barriers and facilitators were linked to risk behaviours of sexual partners. Contextual barriers included essentially the HIV testing center and its characteristics. This review identified the most important factors that need to be addressed to ensure that people return for their HIV test results.

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“…Os trabalhos nacionais versando sobre o tema concentram-se no âmbito dos CTAs ou da atenção primária e suas capacidades de produção; perfil dos usuários; ou cobertura desse procedimento junto às gestantes, além de considerações sobre o teste rápido (GRANGEIRO et al, 2009a,b;CZERESNIA, 2010;VELOSO et al, 2008VELOSO et al, , 2010CARDOSO et al, 2007;TELLES--DIAS et al, 2007).…”

Section: Metodologiaunclassified

“…Vale ressaltar, entretanto, que a integração antevista para as diferentes dimensões do acesso tende a ter caráter mecanicista, de ajustamento entre diferentes etapas do processo de utilização dos serviços (TRA-VASSOS;MARTINS, 2004). Este, por sua vez, estaria calcado na oferta de serviços e na otimização dessa oferta sob as lógicas de custo-benefício ou de custo-efetividade, que, de certo modo, excluiriam do processo os destinatários das intervenções, tratados como consumidores de serviço.…”

Section: O Conceito De Acesso E Suas Múltiplas Possibilidades De Apreunclassified

Testagem anti-HIV: indagações sobre a expansão da oferta sob a perspectiva do acesso e da construção da demanda

2013

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Saúde em Debate • Rio de Janeiro, v. 37, n. 99, p. 636-645, out/dez 2013 RESUMO: Reconhecendo a relevância do incremento na oferta de testagem anti-HIV, problematiza-se a concepção de oferta à luz dos conceitos de acesso e demanda. O mero foco na oferta da testagem mostra-se insuficiente frente à complexidade e dinamicidade do processo, desde a identificação da sua necessidade até a realização do teste e seus possíveis desdobramentos, incluindo o tratamento. Ademais, o modelo de campanha para incentivo à testagem não se coaduna com proposições que valorizem o protagonismo social dos cidadãos nem atendam às especificidades da disseminação da epidemia de AIDS. Postula-se a importância de desenvolver estudos que focalizem mais detidamente a demanda por testagem anti-HIV. PALAVRAS-CHAVE:Síndrome da imunodeficiência adquirida; Diagnóstico HIV; Acesso; Necessidades e demandas de serviços de saúde. ABSTRACT: Despite the relevance of the supply increase in anti-HIV testing, this article raises the problem behind the conception of supply in light of the concepts of access and demand. The supply of tests is in itself insufficient to handle the complexity and the dynamicity of a process that involves since the identification of its needs till the carrying out of the tests and their

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Impressões sobre o teste rápido para o HIV entre usuários de drogas injetáveis no Brasil

Cited by 13 publications

References 18 publications

Challenges in the delivery of public HIV testing and counselling (HTC) in Douala, Cameroon: providers perspectives and implications on quality of HTC services

Challenges in the delivery of public HIV testing and counselling (HTC) in Douala, Cameroon: providers perspectives and implications on quality of HTC services

Returning for HIV Test Results: A Systematic Review of Barriers and Facilitators

Testagem anti-HIV: indagações sobre a expansão da oferta sob a perspectiva do acesso e da construção da demanda

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