Understanding the Role of Voluntary Counseling and Testing (VCT) in HIV Prevention in Nantong, China

Xu, Zhengcheng; Ma, Ping; Chu, Minjie; Chen, Yujia; Miao, Junyan; Xia, Hongli; Zhuang, Xun

doi:10.1155/2020/5740654

Cited by 12 publications

(10 citation statements)

References 32 publications

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“…However, in this study, it was found that drug use by adolescents did not guarantee that adolescents would intend VCT; as many as five adolescents (62.5%) who had ever consumed drugs did not intend VCT. The results of this study are different from the results of research in China conducted by [37], with the results that drug use, especially injecting drugs, is one of the reasons for someone to do HIV test counseling. There are other factors that make adolescents in the study not intending to have VCT, such as adolescent ignorance of VCT completely, as evidenced by adolescents who have never received this information from their parents, community leader, or other media.…”

Section: Respondent Characteristicscontrasting

confidence: 99%

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2021

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Voluntary Counselling and Testing (VCT) is a service that is very useful to detect someone's HIV status early. It is hoped that someone who engages in risky sexual behavior can take advantage of VCT services. The purpose of this study was to analyze the relationship of sex, experiences in obtaining reproductive health information from parents, community, community leaders, access to reproductive health information through social media, participation in organizations, experiences of risk behavior with the intention of VCT in adolescents in Surakarta. This research was conducted with a crosssectional approach in April 2019. The study population was adolescents aged 15-19 years in five sub-districts in Surakarta, Indonesia (Laweyan, Banjarsari, Serengan, Pasar Kliwon, and Jebres). The number of samples in this study was 450 adolescents who were taken with a quota sampling technique. Bivariate analysis was performed using chi-square and Fisher exact and multivariate analysis using logistic regression analysis. The results showed a relationship between getting reproductive health information from parents (p-value 0.003) and community leaders (p-value 0.027) with the intention of VCT in adolescents. The experience of getting reproductive health information from parents is the most influential factor in the intention of VCT in adolescents (OR = 0.565, CI = 0.385-0.830). Efforts are needed to provide information to adolescents about VCT services to understand that VCT is very important for follow-up care if HIV test results are reactive. Adolescents also need to be given information regarding how to increase self-efficacy to utilize VCT.

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Section: Respondent Characteristicscontrasting

confidence: 99%

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2021

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“…Pragmatic efforts should therefore be made at eliminating these barriers that deter adults from undergoing HIV Counselling and Testing, through improving the trust in healthcare system [ 50 ]. This is because HIV Counselling and Testing is an important component of the HIV prevention strategy, which involves HIV/AIDS education and recognition of one’s HIV status [ 51 , 52 ]. Thus, behavioral change intervention strategies that favor PLHIV should be encouraged.…”

Section: Discussionmentioning

confidence: 99%

Trends of HIV/AIDS knowledge and attitudes among Nigerian women between 2007 and 2017 using Multiple Indicator Cluster Survey data

et al. 2022

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Background Globally, Nigeria ranks third among the countries with the highest number of People Living with HIV (PLHIV). Given that HIV/AIDS knowledge is a key factor that determines the risk of transmission and certain attitudes towards PLHIV, there is a need to understand the trend of HIV knowledge within the population for the purpose of assessing the progress and outcome of HIV prevention strategies. The aim of the study was to understand the trends of HIV/AIDS knowledge and attitude towards PLHIV between 2007 to 2017 among Nigerian women, and to investigate change in the factors associated with HIV/AIDS knowledge and attitude towards PLHIV over years. Methods Data were derived from three Nigerian Multiple Indicator Cluster Surveys (2007, 2011 and 2016–2017) among women aged 15–49 years old from each geo-political zone (South South, South East, South West, North East, North West, North Central) in Nigeria. Participants who did not answer questions related to HIV/AIDS knowledge and attitude were excluded from the study. The final sample sizes were 17,733 for 2007, 26,532 for 2011 and 23,530 for 2017. In descriptive statistics, frequencies represented the study sample, while percentages represented weighted estimates for the population parameters. Rao-Scott chi-square test for complex survey design studies was used to assess bivariable associations. Factors associated with outcome variables were examined using the survey-weighted multivariable logistic regression models for the complex survey design while controlling for potential confounding variables. Results There was a relatively high level of HIV/AIDS knowledge level in 2007 and 2016–2017 surveys (64.6 and 64.1%, respectively), however a decrease in HIV/AIDS knowledge trend was observed in 2011 (45.6%). The positive attitude towards PLHIV progressively increased across the years (from 40.5 to 47.0% to 53.5%). Multivariable analysis revealed that women who had a higher educational level, higher wealth index, and lived in urban areas had higher odds for HIV/AIDS knowledge and positive attitude towards PLHIV across the years. In addition, the Northern zones had predominantly higher knowledge and attitude levels. Conclusions Our study found increasing tendency for high HIV/AIDS knowledge and positive attitude towards PLHIV over the years. Women’s age, wealth index, education level and residence were consistently associated with knowledge and attitude over the years. There is a need for more pragmatic HIV/AIDS-related knowledge action plan to target to cover all age groups, all geo-political zones while paying close attention to the rural areas and the less educated women. In addition, more replicative studies of HIV/AIDS knowledge and attitude trends is crucial in monitoring of the progress of HIV interventions in the country in the coming years.

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“…Widely considered a critical gateway to HIV prevention and treatment, VCT is being implemented in many countries. In 2004, China introduced a free VCT program, [ 18 ] and by 2016, 588,970 people had received VCT, 580,974 had undergone HIV-antibody testing, and 12,340 were identified as infected with HIV [ 19 ]. Between 2004 and 2008, some sub-Saharan countries including Botswana and Lesotho instituted routine VCT backed by national ART programs [ 20 ].…”

Section: Global Hiv Prevention Efforts and Progress Made After Four D...mentioning

confidence: 99%

“…Regardless of the expansion of VCT services globally, challenges persist [ 7 , 10 , 18 ]. Due to financial constraints, the cost of investment, and the lack of medical infrastructure, laboratory and trained health care providers, VCT is not a national priority for many governments, especially those in sub-Saharan Africa.…”

Section: Global Hiv Prevention Challengesmentioning

confidence: 99%

Voluntary Counseling and Testing, Antiretroviral Therapy Access, and HIV-Related Stigma: Global Progress and Challenges

Armstrong-Mensah

Tetteh²,

Ofori

et al. 2022

IJERPH

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To date, about 37 million people are living with the human immunodeficiency virus (HIV) and an estimated 680,000 people have died from acquired immune deficiency syndrome (AIDS) related illnesses globally. While all countries have been impacted by HIV, some have been significantly more impacted than others, particularly countries in sub-Saharan Africa. The purpose of this paper was to identify progress made in HIV prevention globally, particularly in the areas of voluntary counseling and testing (VCT) uptake, access to antiretroviral therapy (ART), and HIV-related stigma. With the development of ART, a cocktail of medications for the treatment of HIV, VCT uptake increased, as it became apparent that the medication would only be prescribed after an HIV diagnosis through testing. Widely considered a critical gateway to HIV prevention and treatment, VCT is being implemented in many countries, and as a result, about 38 million people living with HIV in 2018 had access to ART. Regardless of this success, major challenges still remain. We did an electronic search of 135 articles in English related to global HIV progress and challenges indexed in PubMed, ResearchGate, Google, and other search engines from 1998 to 2021. Sixty articles met the inclusion criteria for this paper. Data on trends in ART coverage were obtained from the Joint United Nations Programme on HIV/AIDS (UNAIDS) website. These data were used to show ART coverage globally in World Health Organization (WHO) regions. It was found that while global successes have been chalked in the areas of VCT uptake and ART coverage, HIV-related stigma has impeded greater success. This paper summarizes and discusses global successes and challenges in HIV prevention efforts in the past four decades with a focus on VCT, ART, and HIV-related stigma.

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Understanding the Role of Voluntary Counseling and Testing (VCT) in HIV Prevention in Nantong, China

Cited by 12 publications

References 32 publications

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Trends of HIV/AIDS knowledge and attitudes among Nigerian women between 2007 and 2017 using Multiple Indicator Cluster Survey data

Voluntary Counseling and Testing, Antiretroviral Therapy Access, and HIV-Related Stigma: Global Progress and Challenges

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