Men from Sub-Saharan Africa Living in Worker Hostels in France: A Hidden Population with Poor Access to HIV Testing

Guiguet, Marguerite; Dionou, S.; Volant, Johann; Samba, Mamadou; Benammar, N.; Chauvin, Pierre; Simon, Alain

doi:10.1007/s10903-016-0385-3

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…Our findings are consistent with research findings from other sub-Saharan African countries, including Zambia, South Africa and Burkina Faso where overall HIV testing rates for men is disproportionately lower than among women [10,11,73]. This suggests that men in the SSA region may face similar barriers to HIV testing at different levels including at the individual, health-care system, and interpersonal levels where perceived negative provider attitudes, location and set up of health facilities, inconvenient operating hours, and low perception of risk create barriers to HIV testing and increase the risk of HIV infection [9,12,17,25,50].…”

Section: Discussionmentioning

confidence: 99%

“…HIV testing services (HTS) is a major feature of Kenya's HIV response [4] as it offers timely linkage to care and treatment, prevention of onward transmission to sexual partners and reduction of risky behaviors [5][6][7][8]. However, major challenges in the HIV care cascade remain for men [9][10][11][12][13][14][15][16][17][18]. Recent population-based evidence from Kenya demonstrated that, 53% of women had tested for HIV in the past 12 months and received their results, compared to 45% of men [19].…”

Section: Introductionmentioning

confidence: 99%

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“It is always better for a man to know his HIV status” – A qualitative study exploring the context, barriers and facilitators of HIV testing among men in Nairobi, Kenya

et al. 2020

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HIV testing services are an important component of HIV program and provide an entry point for clinical care for persons newly diagnosed with HIV. Although uptake of HIV testing has increased in Kenya, men are still less likely than women to get tested and access services. There is, however, limited understanding of the context, barriers and facilitators of HIV testing among men in the country. Data are from in-depth interviews with 30 men living with HIV and 8 HIV testing counsellors that were conducted to gain insights on motivations and drivers for HIV testing among men in the city of Nairobi. Men were identified retroactively by examining clinical CD4 registers on early and late diagnosis (e.g. CD4 of �500 cells/mm, early diagnosis and <500 cells/mm, late diagnosis). Analysis involved identifying broad themes and generating descriptive codes and categories. Timing for early testing is linked with strong social support systems and agency to test, while cost of testing, choice of facility to test and weak social support systems (especially poor inter-partner relations) resulted in late testing. Minimal discussions occurred prior to testing and whenever there was dialogue it happened with partners or other close relatives. Interrelated barriers at individual, healthcare system, and interpersonal levels hindered access to testing services. Specifically, barriers to testing included perceived providers attitudes, facility location and set up, wait time/ inconvenient clinic times, low perception of risk, limited HIV knowled ge, stigma, discrimination and fear of having a test. High risk perception, severe illness, awareness of partner's status, confidentiality, quality of services and supplies, flexible/extended opening hours, and pre-and post-test counselling were facilitators. Experiences between early and late testers overlapped though there were minor differences. In order to achieve the desired impact nationally and to attain the 90-90-90 targets, multiple interventions addressing both barriers and facilitators to testing are needed to increase uptake of testing and to link the positive to care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“It is always better for a man to know his HIV status” – A qualitative study exploring the context, barriers and facilitators of HIV testing among men in Nairobi, Kenya

et al. 2020

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“I Can't Go Out”: Mobility Obstacles to Women's Access to HIV Treatment in KPK, Pakistan

Saeed¹,

Farooq²

2017

Journal of the Association of Nurses in AIDS Care

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We examined the role of outside mobility constraints as barriers to HIV treatment for Pakistani women living with HIV (WLWH) whose husbands were permanently living in other cities. We focused on Khyber Pakhtunkhwa (KPK), which adheres to conservative social and cultural values for female mobility. Open-ended interviews were conducted with 21 WLWH. We found that women's mobility outside the home was shaped by the system of parda (seclusion) and that a husband's lack of support by not being present for clinical appointments, distance to the HIV clinic, and ages of children emerged as crucial contributors to women's outside mobility and their subsequent abilities to access HIV care. These obstacles were more acute for women living with in-laws rather than in nuclear families. Policymakers need to better understand the nuances of local cultures in which women seek HIV treatment so that they can devise practical, culturally appropriate, and acceptable programs.

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HIV among migrants in precarious circumstances in the EU and European Economic Area

et al. 2022

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Men from Sub-Saharan Africa Living in Worker Hostels in France: A Hidden Population with Poor Access to HIV Testing

Cited by 5 publications

References 10 publications

“It is always better for a man to know his HIV status” – A qualitative study exploring the context, barriers and facilitators of HIV testing among men in Nairobi, Kenya

“It is always better for a man to know his HIV status” – A qualitative study exploring the context, barriers and facilitators of HIV testing among men in Nairobi, Kenya

“I Can't Go Out”: Mobility Obstacles to Women's Access to HIV Treatment in KPK, Pakistan

HIV among migrants in precarious circumstances in the EU and European Economic Area

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