Campaigns for HIV testing, an effective strategy for universal access to prevention and treatment? The experience of Burkina Faso

Somé, J.F.; Desclaux, Alice; Ky-Zerbo, Odette; Lougué, Marcel; Kéré, S.; Obermeyer, Carla Makhlouf; Simaga, F.

doi:10.1684/mst.2014.0298

Cited by 8 publications

(16 citation statements)

References 4 publications

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“…Related to the gender, our population was mainly composed of women which is similar to the structure of the general population in Burkina Faso [7]. Somé et al reported a considerable number of women in fixed sites [2]. This was also noted by Biadglegne et al [8] from Ethiopia and Dagnan et al [9] from Côte d'Ivoire who respectively recorded 56.4% and 6 times more HIV-positive women.…”

Section: Evolution Of Clients' Profile At the Centresupporting

confidence: 71%

“…From 1996 to 2000 where there was a predominance of men and more women from 2001 to 2014, that could be explained is the fact that, since 2000, the national policy for HIV control gives more opportunities to women for counselling relating to the voluntary HIV screening, especially during prenatal visits. In addition, women tend to get themselves tested as part of a fixed strategy compared to men [2]. The education rate in our study (78.3%) was higher than that of the general population (26.8%) [7].…”

Section: Evolution Of Clients' Profile At the Centrementioning

confidence: 70%

“…Significant progress has been achieved in Human Immunodeficiency Virus (HIV) infection control [1]. In Burkina Faso, many dynamic associations and Non-Governmental Organizations (NGO's) are involved in the preventing of HIV as well as the management of HIV-infected and affected people [2]. The provision of HIV screening services has therefore expanded rapidly in Burkina Faso with the establishment of many HIV screening centres and increased access to HIV screening in public health centres [2].…”

Section: Introductionmentioning

confidence: 99%

“…In Burkina Faso, many dynamic associations and Non-Governmental Organizations (NGO's) are involved in the preventing of HIV as well as the management of HIV-infected and affected people [2]. The provision of HIV screening services has therefore expanded rapidly in Burkina Faso with the establishment of many HIV screening centres and increased access to HIV screening in public health centres [2]. The Screening and Counselling Centre (CADI in French) was initiated in Bobo-Dioulasso, Burkina Faso, in 1996 at a time when there was not this kind of screening centre, except private laboratories with excessive screening costs.…”

Section: Introductionmentioning

confidence: 99%

“…However, Somé et al reported that customers of voluntary screening centres (CDV) differed depending on the strategies and screening period [2]. No study was carried out on the 1 st screening centre in Burkina Faso.…”

Section: Introductionmentioning

confidence: 99%

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Managing Cases with Human Immunodeficiency Virus Infection: Knowing the Dynamics from Voluntary Counselling and Testing Clients in Bobo-Dioulasso for Better Planning in Burkina Faso (1996-2014)

Poda¹,

Da²,

Mèda³

et al. 2019

AID

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Background: The Anonymous Screening and Information Centre (CADI) is the oldest screening centre of HIV from Burkina Faso. Since its opening, no analysis on the evolution of Human Immunodeficiency Virus (HIV) prevalence has been carried out. Objective: The study aimed to describe the dynamics of HIV infection when managing centres offering voluntary counselling and testing to client, such as the Screening and Counselling Centre (CADI), in Bobo Dioulasso, Burkina Faso. Patients and Methods: A cross-sectional study was performed including people screened at the CADI from May 1996 to June 2014. Pearson khi 2 test and Cuzick trend test were used with a 5% significance level. Results: From 7.1% of the 11,451 cases analyzed, the average age of clients screened was 30 ± 10.83 year-old. There was a female predominance (sex ratio = 0.8). The 16.4% (15.7-17.1) of the cases from the 11,451 clients included in our study were tested HIV positive. The global prevalence rate of HIV in the centre has significantly decreased from 46.2% in 1996 to 1.5% in 2014 (p < 0.0001). In 1999, 2001, and 2006, the peaks of the HIV prevalence rates were noted: 22.9%, 34.1%, and 22.8% respectively. CADI's customers' profile has significantly changed.

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Section: Evolution Of Clients' Profile At the Centresupporting

confidence: 71%

Section: Evolution Of Clients' Profile At the Centrementioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Managing Cases with Human Immunodeficiency Virus Infection: Knowing the Dynamics from Voluntary Counselling and Testing Clients in Bobo-Dioulasso for Better Planning in Burkina Faso (1996-2014)

Poda¹,

Da²,

Mèda³

et al. 2019

AID

View full text Add to dashboard Cite

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Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso

Desclaux

Ky-Zerbo²,

Somé

et al. 2014

BMC Int Health Hum Rights

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BackgroundCampaigns have been conducted in a number of low HIV prevalence African settings, as a strategy to expand HIV testing, and it is important to assess the extent to which individual rights and quality of care are protected during campaigns. In this article we investigate provider and client perceptions of ethical issues, including whether they think that accessibility of counseling and testing sites during campaigns may hinder confidentiality.MethodsTo examine how campaigns have functioned in Burkina Faso, we undertook a qualitative study based on individual interviews and focus group discussions with 52 people (providers and clients tested during or outside campaigns and individuals never tested). Thematic analysis was performed on discourse about perceptions and experiences of HIV-testing campaigns, quality of care and individual rights.ResultsRespondents value testing accessibility and attractiveness during campaigns; clients emphasize convenience, ripple effect, the sense of not being alone, and the anonymity resulting from high attendance. Confronted with numerous clients, providers develop context-specific strategies to ensure consent, counseling, confidentiality and retention in the testing process, and they adapt to workplace arrangements, local resources and social norms. Clients appreciate the quality of care during campaigns. However, new ethical issues arise about confidentiality and accessibility. Confidentiality of HIV-status may be jeopardized due to local social norms that encourage people to share their results with others, when HIV-positive people may not wish to do so. Providers’ ethical concerns are consistent with WHO norms known as the ‘5 Cs,’ though articulated differently. Clients and providers value the accessibility of testing for all during campaigns, and consider it an ethical matter. The study yields insights on the way global norms are adapted or negotiated locally.ConclusionsFuture global recommendations for HIV testing and counseling campaigns should consider accessibility and propose ways for testing services to respond to new ethical issues related to high demand.

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Uptake of HIV testing in Burkina Faso: an assessment of individual and community-level determinants

Kirakoya‐Samadoulougou

Jean

Maheu‐Giroux

2017

BMC Public Health

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BackgroundPrevious studies have highlighted a range of individual determinants associated with HIV testing but few have assessed the role of contextual factors. The objective of this paper is to examine the influence of both individual and community-level determinants of HIV testing uptake in Burkina Faso.MethodsUsing nationally representative cross-sectional data from the 2010 Demographic and Health Survey, the determinants of lifetime HIV testing were examined for sexually active women (n = 14,656) and men (n = 5680) using modified Poisson regression models.ResultsOne third of women (36%; 95% Confidence Interval (CI): 33–37%) reported having ever been tested for HIV compared to a quarter of men (26%; 95% CI: 24–27%). For both genders, age, education, religious affiliation, household wealth, employment, media exposure, sexual behaviors, and HIV knowledge were associated with HIV testing. After adjustment, women living in communities where the following characteristics were higher than the median were more likely to report uptake of HIV testing: knowledge of where to access testing (Prevalence Ratio [PR] = 1.41; 95% CI: 1.34–1.48), willing to buy food from an infected vendor (PR = 2.06; 95% CI: 1.31–3.24), highest wealth quintiles (PR = 1.18; 95% CI: 1.10–1.27), not working year-round (PR = 0.90; 95% CI: 0.84–0.96), and high media exposure (PR = 1.11; 95% CI: 1.03–1.19). Men living in communities where the proportion of respondents were more educated (PR = 1.23; 95% CI: 1.07–1.41) than the median were more likely to be tested.ConclusionsThis study shed light on potential mechanisms through which HIV testing could be increased in Burkina Faso. Both individual and contextual factors should be considered to design effective strategies for scaling-up HIV testing.

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Campaigns for HIV testing, an effective strategy for universal access to prevention and treatment? The experience of Burkina Faso

Cited by 8 publications

References 4 publications

Managing Cases with Human Immunodeficiency Virus Infection: Knowing the Dynamics from Voluntary Counselling and Testing Clients in Bobo-Dioulasso for Better Planning in Burkina Faso (1996-2014)

Managing Cases with Human Immunodeficiency Virus Infection: Knowing the Dynamics from Voluntary Counselling and Testing Clients in Bobo-Dioulasso for Better Planning in Burkina Faso (1996-2014)

Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso

Uptake of HIV testing in Burkina Faso: an assessment of individual and community-level determinants

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