An assessment of HIV testing in Tanzania to inform future strategies and interventions

Kaufman, Michelle R.; Massey, Meredith; Tsang, Samantha W.; Kamala, Benjamin; E, Serlemitsos; Lyles, Emily; Kong, Xiangrong

doi:10.1080/09540121.2014.963007

Cited by 14 publications

(10 citation statements)

References 6 publications

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“…48 Engaging in high-risk sexual practices, including multiple partners and condomless sex, was not associated with recent testing for either gender. This corroborates findings from a study conducted in Tanzania that found no association between risk perception and HIV testing, 49 suggesting people either do not perceive themselves at risk or believe they are at risk but choose not to test. 50 Therefore, communication campaigns aiming to increase HIV testing uptake might be ineffective if messages focus on linking people's sexual history and sexual behaviors to testing.…”

Section: Discussionsupporting

confidence: 88%

The gendered experience of HIV testing: factors associated with prior testing differ among men and women in rural Tanzania

2019

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HIV testing remains below UNAIDS 90–90–90 goals in sub-Saharan Africa. The aim of this study was to understand gender-specific factors related to HIV testing in Kisarawe, Tanzania. Informed by Social Action Theory, we analyzed cross-sectional data from a population-based random sample using bivariate and multivariate logistic regression to identify the contextual, behavioral, and interpersonal factors associated with prior HIV testing – specifically, any prior testing and testing within the past year. Of 644 participants, 63.1% of men and 85.5% of women reported ever testing for HIV. Younger men and women (aged 18–25 years) had significantly lower odds of prior HIV testing compared with older participants. For men, low levels of anticipated stigma and having ever talked about HIV were both positively associated with any prior testing. Men who knew if a sexual partner had received an HIV test had almost three times the odds of receiving a recent HIV test compared to men with no knowledge of their partners’ testing status (aOR = 2.96, 95% CI: 1.22–7.17, p = 0.01). For women, knowing someone who is HIV-positive was associated with increased odds of any prior testing (aOR = 2.74, 95% CI: 1.24–6.07, p = 0.01). Gender-specific, proactive interventions are needed to increase testing uptake, especially for young people and men.

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Section: Discussionsupporting

confidence: 88%

The gendered experience of HIV testing: factors associated with prior testing differ among men and women in rural Tanzania

2019

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“…HTC not only identifies one’s HIV status, but can also positively influence one’s sexual risk behavior and reduce the likelihood of future HIV acquisition or further transmission [ 6 , 7 ]. Reported socio-demographic factors associated with HTC include older age, marriage, higher educational status, urban residence, higher socio-economic status (SES), and reporting a single partner [ 8 , 9 ]. For youth age 15–24 years, studies have shown pregnancy or ever having made someone pregnant, urban residence, higher education (for men), and a higher frequency of clinic visits are all predictors of HTC among South African youth.…”

Section: Introductionmentioning

confidence: 99%

Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept

Salazar-Austin¹,

Kulich

Chingono

et al. 2017

AIDS Behav

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Youth represent a large proportion of new HIV infections worldwide, yet their utilization of HIV testing and counseling (HTC) remains low. Using the post-intervention, cross-sectional, population-based household survey done in 2011 as part of HPTN 043/NIMH Project Accept, a cluster-randomized trial of community mobilization and mobile HTC in South Africa (Soweto and KwaZulu Natal), Zimbabwe, Tanzania and Thailand, we evaluated age-related differences among socio-demographic and behavioral determinants of HTC in study participants by study arm, site, and gender. A multivariate logistic regression model was developed using complete individual data from 13,755 participants with recent HIV testing (prior 12 months) as the outcome. Youth (18–24 years) was not predictive of recent HTC, except for high-risk youth with multiple concurrent partners, who were less likely (aOR 0.75; 95% CI 0.61–0.92) to have recently been tested than youth reporting a single partner. Importantly, the intervention was successful in reaching men with site specific success ranging from aOR 1.27 (95% CI 1.05–1.53) in South Africa to aOR 2.30 in Thailand (95% CI 1.85–2.84). Finally, across a diverse range of settings, higher education (aOR 1.67; 95% CI 1.42, 1.96), higher socio-economic status (aOR 1.21; 95% CI 1.08–1.36), and marriage (aOR 1.55; 95% CI 1.37–1.75) were all predictive of recent HTC, which did not significantly vary across study arm, site, gender or age category (18–24 vs. 25–32 years).Electronic supplementary materialThe online version of this article (doi:10.1007/s10461-017-1807-5) contains supplementary material, which is available to authorized users.

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“…According to their conditions of access and their distribution in the metropolitan cities of Cameroon, there is 22 Accredited HIV/AIDS Treatment Center (AHTC) per region and around 60 Take Care HIV Units (TCHU) in the 10 regions of Cameroon (Far-North, North, Adamoua, Littoral, Center, South, East, West, North-West and South-West). HIV testing activity in the AVCTs shows significant regional and local disparities [7][8][9]. These disparities are partly explained by the situation of the epidemic in each region and are also reflected in the overall screening activity as reported by the analytical laboratories but also in the quality of the care [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

HIV Infection Testing and Service Delivery of One Accredited Treatment Center in Cameroon

Ebong¹,

Penda²,

Enoné³

et al. 2020

IJHPEBS

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Effectiveness of Anonymous and free Voluntary Counseling and Testing (AVCT) Centers in the HIV prevention and care can be threatened by a low use of its service delivery, especially in developing countries. This study was designed to obtain reliable data on the current state of the quality of the services and, evaluate the factors that are associated with use of one Accredited HIV/AIDS Treatment Center (AHTC). A cross-sectional and prospective study was conducted among adults attending the AHTC of the Douala Laquintinie Hospital (DLH), Cameroon. Anonymous interviews including both open and closed ended questions were conducted in participants selected by convenience sampling. Descriptive and logistic regression analyses were performed using StataSE11 software (version 11 SE) in data analysis. Overall 80 (64%) of 125 adult volunteers for HIV testing reported that the reception at AHTC was excellent and 69.6% (80/115) of those who underwent the pre-test and among them, 49.6% were satisfied with the pre-test. Less than half of the participants were explained the merits of HIV testing. The interview was conducted in a confidential framework in 60% of those who underwent the pre-test and, 41.7% explained the merits of HIV testing. Among the 10 evaluated minimal items that the provider should have addressed, less than 6 items were done in 66.9% of the participants and between 9 and 10 items for 11.3%. Informed consent agreement was obtained in 89.60% of volunteers. Knowledge of HIV status was more reported among men than women who reported more requesting the HIV testing for prevention strategies for an exclusive sexual relation (p=0.038). The prevalence of HIV infection was 25.6% and, primary education remained significantly associated with higher risk of HIV infection in multivariate analysis (OR=0.11; IC95%=0.015-0.72; p=0.022). These results highlight the important of the appropriate sensibilization for the responsible implementation of the pretest counseling steps by health care providers in the AHTC of the DLH.

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An assessment of HIV testing in Tanzania to inform future strategies and interventions

Cited by 14 publications

References 6 publications

The gendered experience of HIV testing: factors associated with prior testing differ among men and women in rural Tanzania

The gendered experience of HIV testing: factors associated with prior testing differ among men and women in rural Tanzania

Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept

HIV Infection Testing and Service Delivery of One Accredited Treatment Center in Cameroon

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