Barriers and facilitators associated with HIV testing uptake in South African health facilities offering HIV Counselling and Testing

Mohlabane, Neo; Tutshana, Bomkazi; Peltzer, Karl; Mwisongo, Aziza

doi:10.1016/j.hsag.2015.11.001

Cited by 46 publications

(19 citation statements)

References 31 publications

(10 reference statements)

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“…AGYW also expressed concern around the potential to experience HIV-related stigma in the family and community setting, including fear of rejection by family and friends. The fear of HIV stigma as a driver of low testing uptake has been well documented, as has the fear of being ostracized or rejected by friends, family, or current/future partners (Mohlabane et al, 2016;Sam-Agudu et al, 2016;Strauss et al, 2015;van Dyk & van Dyk, 2003). Notably, the fear of stigma and discrimination was remarkably low in the survey data, with only 1% of AGYW citing this as a reason for not having tested.…”

Section: Discussionmentioning

confidence: 93%

“…Knowledge of status is important so that adolescents can make effective choices about HIV prevention to reduce the risk of HIV acquisition and prevent ongoing transmission (Armstrong et al, 2013;Maskew et al, 2019). Prior research has reported on the inconsistency between willingness to be tested and testing uptake due to barriers such as fear, stigma, perceived lack of confidentiality, and embarrassment (Mohlabane et al, 2016;Strauss et al, 2015). The social context of persistent HIV stigma and discrimination makes the prospect of receiving a positive result a daunting one (Sullivan et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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“There is no fear in me … well, that little fear is there”: dualistic views towards HIV testing among South African adolescent girls and young women

Duby

Jonas

Appollis

et al. 2020

African Journal of AIDS Research

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Adolescents and young people in South Africa As of 2017, the HIV prevalence rate amongst young people aged 15-24 years in South Africa was 8% (Simbayi et al., 2019). Efforts to curb the HIV epidemic continue to be thwarted by low rates of HIV diagnosis and treatment initiation among adolescents in South Africa (Armstrong et al., 2013; Asaolu et al., 2016; Wong et al., 2017). Testing rates among those in the age group 15-19 are the lowest for any age group in South Africa (Maskew et al., 2019; Simbayi et al., 2019). In order to achieve the UNAIDS fast-track 90-90-90 and 95-95-95 targets, there is a need to target adolescents and young people for testing and treatment (Abuelezam et al., 2019). Adolescent girls and young women in South Africa The disproportionate burden of HIV amongst adolescent girls and young women (AGYW) in South Africa is evident, both in the 15-19 age group (4.7% in males vs 5.8% in females), and even more pronounced in the 20-24 age group (4.8% in males vs 15.6% in females) (George et al., 2020). Rates of HIV-incidence in South Africa are highest amongst AGYW aged 15-24 years (1.5% compared to 0.5% in young males of the same age (George et al., 2020). In spite of the high HIV burden and high prevalence and incidence of HIV infection among AGYW, uptake of HIV testing in this population falls short of the 90-90-90 targets (Maskew et al., 2019). A nationally representative survey conducted in South Africa in 2017 reported that 32% of females aged 15-24 years had never tested for HIV (50%

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

“There is no fear in me … well, that little fear is there”: dualistic views towards HIV testing among South African adolescent girls and young women

Duby

Jonas

Appollis

et al. 2020

African Journal of AIDS Research

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“…[40] Contributors to the decline include: (i) increased ART uptake; [41] (ii) the scale-up of voluntary medical male circumcision to 2.4 million procedures conducted between 2012 and 2016 alone; [40] (iii) increased condom distribution; [40,41] and (iv) increased availability of HIV testing services at over 4 500 public healthcare facilities, which tested 13 million South Africans within 18 months. [42,43] SA has contributed much research evidence on HIV prevention, including the protective effects of medical male circumcision on male HIV acquisition, [44] treatment of people living with HIV as prevention to HIV-uninfected partners [45] and the proven lack of efficacy of the diaphragm in preventing HIV acquisition. [46] In 2016, SA began the rollout of preexposure prophylaxis (PrEP) to sex workers.…”

Section: Hiv Prevention Research and Interventions In Samentioning

confidence: 99%

HIV research in South Africa: Advancing life

Gray¹,

Doherty²,

Mohapi³

et al. 2019

S Afr Med J

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This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0. South African (SA) researchers have made both national and global contributions to HIV prevention and treatment. Research conducted in SA has contributed markedly to improved survival in HIV-infected infants, children and adults. The translation of clinical research into practice has enabled the curtailment of paediatric HIV in SA. Along with international collaborators, SA has made pivotal contributions to biomedical prevention modalities including medical male circumcision and oral and topical microbicides, and is undertaking pivotal HIV vaccine research. Research into the structural and psychosocial drivers of HIV infection will be critical for sustaining biomedical interventions, and necessary to end AIDS.

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“…Previous research in South Africa reports that the major barriers to HIV testing are more personal than structural (Mohlabane et al, 2016;Weihs & Meyer-Weitz, 2016) and this is also true for Europe (Deblonde et al, 2010). These barriers include being scared of what people might say, fear regarding lack of confidentiality, fear of getting an HIV positive result, fear of being stigmatized or discriminated against if one tests positive, embarrassment of divulging personal information to health workers and low levels of perceived HIV risk.…”

Section: Discussionmentioning

confidence: 99%

“…The structural barriers are associated with conventional HIV testing facilities and these include but are not limited to the distance from the facility, confidentiality concerns, long waiting time, and negative evaluations of the health care staff (Mohlabane, Tutshana, Peltzer, & Mwisongo, 2016;Monisha Sharma, Ying, Tarr, & Barnabas, 2015). There has been a recent call to support the community based testing of HIV over the health care facility based testing (Suthar et al, 2013;Witzel et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Ubudoda Abukhulelwa – Responsible Manhood

Manyaapelo¹

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Barriers and facilitators associated with HIV testing uptake in South African health facilities offering HIV Counselling and Testing

Cited by 46 publications

References 31 publications

“There is no fear in me … well, that little fear is there”: dualistic views towards HIV testing among South African adolescent girls and young women

“There is no fear in me … well, that little fear is there”: dualistic views towards HIV testing among South African adolescent girls and young women

HIV research in South Africa: Advancing life

Ubudoda Abukhulelwa – Responsible Manhood

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