Parents Support Implementation of HIV Testing and Counseling at School: Cross-Sectional Study with Parents of Adolescent Attending High School in Gauteng and North West Provinces, South Africa

Madiba, Sphiwe; Mokgatle, Mathildah

doi:10.1155/2016/4842814

Cited by 7 publications

(15 citation statements)

References 20 publications

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“…To increase the uptake of HIV Testing, several models suiting individual and provider's needs such as HIV testing and counseling (HTC), provider-initiated testing and counseling (PITC), home-based HIV counseling and testing (HBCT) and HIV self-testing, have been adopted overtime. 1 HIV testing and counseling is the most common mode globally 1 and plays a link between prevention and mitigating activities. For those who are still HIV negative, HTC can be an incentive to change highrisk sexual behavior; while for those who are already positive, it can serve as a link to care, support and treatment options.…”

Section: Introductionmentioning

confidence: 99%

Uptake of HIV testing and counseling among tertiary institution students in the Hohoe Municipality, Ghana

Agamlor

Pencille

Lutala

et al. 2020

J Public Health Afr

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HIV Testing and Counselling (HTC) is a critical strategy to reduce the rate of new HIV infections and the key entry point to HIV treatment, care and support services. This study aimed to determine the uptake of HTC among students of tertiary institutions in the Hohoe Municipality of Ghana. This was a quantitative cross-sectional study. A structured questionnaire was used to collect data among a proportionate stratified sample of students from tertiary institutions. Chi-square and Logistic regression analyses were performed using Stata version 12.0 at the 0.05 level of significance. Only 30.6% of the total respondents had ever tested for HIV/AIDS of which, only 22.9% tested less than 6 months before the current study. Students above twenty-four years of age were 3 times more likely to go for HTC than those below 20 years [OR=2.56 (95% CI: 1.07-6.11; p=0.034)]; those in the fourth year of study were 3 times more likely get HTC than those in the first year [OR=3.05 (95%CI: 1.10-8.49; p=0.033)]; and those attending THERESCO, the Midwifery training college and UHAS were more than 2 times more likely to get tested for HIV than those attending FRANCO [OR =2.67 (95% CI: 1.14-6.15; p=0.024)], [OR=2.40 (95% CI: 1.04-5.54; p=0.040)] and [OR=2.63 (95% CI: 1.13-6.13; p=0.026)] respectively. The uptake of HTC among tertiary institution students in Hohoe municipality was considerably low. Policymakers should design programs and interventions that would increase uptake of HTC among tertiary students, with focus on those aged less than 20 years, those at the lower level of study and those in the non-health related institutions.

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Section: Introductionmentioning

confidence: 99%

Uptake of HIV testing and counseling among tertiary institution students in the Hohoe Municipality, Ghana

Agamlor

Pencille

Lutala

et al. 2020

J Public Health Afr

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“…Contrary findings were reported in Zungu et al's survey conducted in SA in 2016; where majority of participants aged 15 years and older perceived they were at high risk to HIV infection [27]. The majority of research that has investigated risk perception to HIV infection used quantitative approaches [3,7,[23][24][25][26][27]. Although previous research showed similarities in perceptions of low risk to HIV infection, our study was different in that we used a qualitative approach and focused on youth aged 15-24 years, an age group identified as high risk for HIV infection [12].…”

Section: Discussionmentioning

confidence: 98%

“…It also seemed that youth were unaware that their risk would be high even when in stable partnerships [ 3 ]. Surveys conducted in other populations found that majority of participants reported low risk perceptions to HIV infection despite having engaged in high risk sexual behaviours [ 3 , 23 – 25 ]. In other African countries, such as Zimbabwe and Ghana, similar findings were described where youth perceived their risk to HIV infection as low despite being exposed to high risk sexual behaviours [ 7 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Our findings were similar to another qualitative South African study that was conducted in Vulindlela district, Kwazulu Natal province where majority of youth decided to test for HIV following support and encouragement by their parents [ 12 ]. Findings from a cross-sectional South African study with parents of adolescents showed that 93% supported promotion of HIV testing among youth [ 25 ], thus parental support remained an integral part of the HIV testing process for youth [ 37 ]. Soon et al noted challenges with parents where youth identified barriers to get their parents involved such as lack of communication [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

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Exploring perceptions of low risk behaviour and drivers to test for HIV among South African youth

Muravha

Hoffmann²,

Botha

et al. 2021

PLoS ONE

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Human Immunodeficiency Virus (HIV) prevalence among South African youth is high, yet HIV testing remains suboptimal. We explored how perceptions of HIV risk and behaviours informed decisions to test for HIV. This study was conducted from April 2018 to March 2019 in Ekurhuleni district, Gauteng Province with males and females aged between 15–24 years. Twenty-five youth with unknown HIV status participated in in-depth interviews (IDIs); while four focus group discussions (FGDs) were conducted with those that previously tested for HIV. Probes used in the guides included types of incentives that youth would value when testing for HIV or receiving treatment; barriers and motivators to HIV testing; enablers and challenges to using cellphone technology and preferences on type of social media that could be used to create awareness about HIV testing services. IDIs and FGDs were audio-recorded, transcribed, and translated. QSR NVIVO 10 was used for the analysis. The majority of the youth perceived that their risk of HIV infection was low due to factors such as being young, lacking physical signs of HIV, being sexually inactive and parents not being HIV positive. However, youth identified high risk behaviours such as unprotected sex, multiple sexual partners, excessive drinking of alcohol, being victims of sexual abuse, road accidents and violent behaviour as increasing their vulnerability to HIV. Most youth highlighted cues to action that would motivate them to test for HIV such as support of parents, receiving incentives, improved confidentiality during HIV testing and receiving information about HIV via social media (Facebook, Twitter and Whatsapp). Despite perceptions of low risk to HIV, youth remain vulnerable to HIV. Disseminating HIV information via digital platforms; giving youth options to choose between testing locations that they consider to be private; providing incentives and equipping parents/guardians to encourage youth to test could optimise HIV testing.

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“…One approach might be to provide large-scale school-based HTC. In a survey in South Africa, over 90% of parents supported HIV testing at schools [31].…”

Section: Discussionmentioning

confidence: 99%

Effect and cost of two successive home visits to increase HIV testing coverage: a prospective study in Lesotho, Southern Africa

Labhardt

Ringera²,

Lejone³

et al. 2019

BMC Public Health

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BackgroundHome-based HIV testing and counselling (HB-HTC) is frequently used to increase awareness of HIV status in sub-Saharan Africa. Whereas acceptance of HB-HTC is usually high, testing coverage may remain low due to household members being absent during the home visits. This study assessed whether two consecutive visits, one during the week, one on the weekend, increase coverage.MethodsThe study was a predefined nested-study of the CASCADE-trial protocol and conducted in 62 randomly selected villages and 17 urban areas in Butha-Buthe district, Lesotho. HB-HTC teams visited each village/urban area twice: first during a weekday, followed by a weekend visit to catch-up for household members absent during the week. Primary outcome was HTC coverage after first and second visit. Coverage was defined as all individuals who knew their HIV status out of all household members (present and absent).ResultsHB-HTC teams visited 6665 households with 18,286 household members. At first visit, 69.2 and 75.4% of household members were encountered in rural and urban households respectively (p < 0.001) and acceptance for testing was 88.5% in rural and 79.5% in urban areas (p < 0.001), resulting in a coverage of 61.8 and 61.5%, respectively. After catch-up visit, the HTC coverage increased to 71.9% in rural and 69.4% in urban areas. The number of first time testers was higher at the second visit (47% versus 35%, p < 0.001). Direct cost per person tested and per person tested HIV positive were lower during weekdays (10.50 and 335 USD) than during weekends (20 and 1056 USD).ConclusionsA catch-up visit on weekends increased the proportion of persons knowing their HIV status from 62 to 71% and reached more first-time testers. However, cost per person tested during catch-up visits was nearly twice the cost during first visit.Trial registrationNCT02692027 (prospectively registered on February 21, 2016).

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Parents Support Implementation of HIV Testing and Counseling at School: Cross-Sectional Study with Parents of Adolescent Attending High School in Gauteng and North West Provinces, South Africa

Cited by 7 publications

References 20 publications

Uptake of HIV testing and counseling among tertiary institution students in the Hohoe Municipality, Ghana

Uptake of HIV testing and counseling among tertiary institution students in the Hohoe Municipality, Ghana

Exploring perceptions of low risk behaviour and drivers to test for HIV among South African youth

Effect and cost of two successive home visits to increase HIV testing coverage: a prospective study in Lesotho, Southern Africa

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