Provider-initiated HIV testing and counselling for TB in low HIV prevalence settings: is it worthwhile?

Nagai, Shuko; Robinson, R A; Rahamefy, Jacky Ranaivo; Randriambeloson, Sahondra Jeannine; Ranaivomanana, Denis Andriatahina; Razafindranaivo, Turibio; Rakotobe, Liva; Ranaivo, Adeline; Hinderaker, Sven Gudmund; Harries, Anthony; Zachariah, Rony

doi:10.1093/trstmh/trt116

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…However, in Sudan, HIV testing and counselling is offered routinely to TB patients but not to suspected TB patients. The national policy dictates that HIV testing should be provided to TB patients; a policy evident in many countries with low HIV burden due to resources implications [8].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial beliefs related to intention to use HIV testing and counselling services among suspected tuberculosis patients in Kassala state, Sudan

2021

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Background There is limited information about the psychosocial sub-determinants regarding the use of HIV Testing and Counselling (HTC) services among suspected Tuberculosis (TB) patients in Sudan. This study aimed to assess the association between psychosocial beliefs and the intention to use HTC services and to establish the relevance of these beliefs for developing behaviour change interventions among suspected TB patients. Methods Suspected TB patients (N = 383) from four separate TB facilities completed a cross-sectional questionnaire which was based on the Reasoned Action Approach theory. Eligibility criteria included attending Tuberculosis Management Units in Kassala State as suspected TB patients and aged 18–64 years. A Confidence Interval Based Estimation of Relevance (CIBER) analysis approach was employed to investigate the association of the beliefs with the intention to use HTC services and to establish their relevance to be targeted in behaviour change interventions. Results The CIBER results showed the beliefs included in the study accounted for 59 to 70% of the variance in intention to use HTC services. The belief “My friends think I have to use HTC services” was positively associated with the intent to use HTC, and it is highly relevant for intervention development. The belief “I would fear to be stigmatized if I get a HIV positive result” was negatively related to the intention to use HTC services and was considered a highly relevant belief. The belief “If I use HTC services, health care providers will keep my HIV test result confidential” was strongly associated with the intention to use HTC services. However, the relevance of this belief as a target for future interventions development was relatively low. Past experience with HTC services was weakly associated with the intention to use HTC services. Conclusion The intention to use HTC was a function of psychosocial beliefs. The beliefs investigated varied in their relevance for interventions designed to encourage the use of HTC services. Interventions to promote intention to use HIV testing and counselling services should address the most relevant beliefs (sub-determinants). Further study is needed to establish the relevance of sub-determinants of the intention to use HTC services for interventions development.

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Section: Introductionmentioning

confidence: 99%

Psychosocial beliefs related to intention to use HIV testing and counselling services among suspected tuberculosis patients in Kassala state, Sudan

2021

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“…PITC among diagnosed TB patients has become a standard practice in most national TB control programs in the last decade. However, PITC in patients with presumptive TB is not widely implemented globally, especially in low HIV burden countries, due to resource implications [8]. In the high HIV-burden countries of sub-Saharan Africa, studies have found that HIV-prevalence rates in presumptive TB patients are as high as those in diagnosed TB patients, with most of the HIV-positive patients being eligible for antiretroviral therapy (ART) and cotrimoxazole preventive therapy [9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

HIV testing uptake and HIV positivity among presumptive tuberculosis patients in Mandalay, Myanmar, 2014-2017

Kyaw

Kyi³

et al. 2020

PLoS ONE

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Introduction The World Health Organization's framework for TB/HIV collaborative activities recommends provider-initiated HIV testing and counselling (PITC) of patients with presumptive TB. In Myanmar, PITC among presumptive TB patients was started at the TB outpatient department (TB OPD) in Mandalay in 2014. In this study, we assessed the uptake of PITC among presumptive TB patients and the number needed to screen to find one additional HIV positive case, stratified by demographic and clinical characteristics. Method This was a cross-sectional study using routinely collected data of presumptive TB patients who registered for PITC services at the TB OPD between August 2014 and December 2017 in Mandalay. Result Among 21,989 presumptive TB patients registered, 9,796 (44.5%) had known HIV status at registration and 2,763 (28.2%) were people already living with HIV (PLHIV). Of the remainder, 85.3% (10,401/12,193) were newly tested for HIV. Patients <55 years old, those registered in 2014, 2015 and 2017, those employed and those having a history of TB contact had higher uptakes of HIV testing. Among 10,401 patients tested for HIV, 213 (2.1%) patients were newly diagnosed with HIV and this included 147 (69.0%) who were not diagnosed as having TB. The overall prevalence of HIV (previously known and newly diagnosed) among presumptive TB patients was 14.8% (2,976/20,119). The number needed to screen to find

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“…The national policy dictates that HIV testing should be provided to TB patients; a policy evident in many countries with low HIV burden due to resources implications [11].…”

Section: Introductionmentioning

confidence: 99%

Relevant beliefs for HIV Testing and Counselling Services among Tuberculosis Suspected patients in Kassala State, Sudan

Idris¹,

Crutzen²,

Borne³

2020

Preprint

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Background: There is limited information about the psychosocial (sub-) determinants regarding the use of HIV Testing and Counselling (HTC) services among Tuberculosis(TB) suspected patients in Sudan. This study aimed to assess the psychosocial beliefs related to the intention to use HTC services among TB suspected patients and to establish the relevance of these beliefs for developing behaviour change interventions. Methods: TB suspected patients (N= 383) completed a cross-sectional questionnaire from four separate TB facilities. The questionnaire was based on the Reasoned Action Approach theory. Eligibility criteria included attending Tuberculosis Management Units in Kassala State as suspected TB patients and aged 18-64 years. A Confidence Interval Based Estimation of Relevance (CIBER) analysis approach was employed to investigate the effects of the beliefs on the intention to use the HTC services and to establish their relevance to be targeted in behaviour change interventions. Results: The CIBER results showed the beliefs included in the study accounted for 59% to 70% of the variance in intention to use HTC services. The belief "My friends think I have to use the HTC services" was positively associated with the intent to use HTC, and it is highly relevant for interventions. The belief “If I would fear to be stigmatized if I get HIV positive result" was negatively related to the intention to use the HTC services and highly relevant belief. The belief “If I use HTC services, the health care providers will keep my HIV test result confidential" was strongly associated with the intention to use HTC services. However, it was not a very low relevant belief. Past experience with HTC services was weakly associated with the intention to use HTC services. Conclusion: The intention to use HTC was a function of psychosocial beliefs. The belief investigated varied in their relevance for interventions designed to encourage the use of HTC services. Interventions to intention to use HIV testing and counselling services should address the most relevant beliefs (sub-determinants). Further study is needed to establish the relevance of sub-determinants of the intention to use HTC services.

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Provider-initiated HIV testing and counselling for TB in low HIV prevalence settings: is it worthwhile?

Cited by 4 publications

References 2 publications

Psychosocial beliefs related to intention to use HIV testing and counselling services among suspected tuberculosis patients in Kassala state, Sudan

Psychosocial beliefs related to intention to use HIV testing and counselling services among suspected tuberculosis patients in Kassala state, Sudan

HIV testing uptake and HIV positivity among presumptive tuberculosis patients in Mandalay, Myanmar, 2014-2017

Relevant beliefs for HIV Testing and Counselling Services among Tuberculosis Suspected patients in Kassala State, Sudan

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