Lost opportunities to identify and treat HIV-positive patients: results from a baseline assessment of provider-initiated HIV testing and counselling (PITC) in Malawi

Tropical Medicine & International Health : TM & IH
Saeed AhmedMaria H Kim

Abstract

To assess implementation of provider-initiated testing and counselling (PITC) for HIV in Malawi. A review of PITC practices within 118 departments in 12 Ministry of Health (MoH) facilities across Malawi was conducted. Information on PITC practices was collected via a health facility survey. Data describing patient visits and HIV tests were abstracted from routinely collected programme data. Reported PITC practices were highly variable. Most providers practiced symptom-based PITC. Antenatal clinics and maternity wards reported widespread use of routine opt-out PITC. In 2014, there was approximately 1 HIV test for every 15 clinic visits. HIV status was ascertained in 94.3% (5293/5615) of patients at tuberculosis clinics, 92.6% (30,675/33,142) of patients at antenatal clinics and 49.4% (6871/13,914) of patients at sexually transmitted infection clinics. Reported challenges to delivering PITC included test kit shortages (71/71 providers), insufficient physical space (58/71) and inadequate number of HIV counsellors (32/71) while providers from inpatient units cited the inability to test on weekends. Various models of PITC currently exist at MoH facilities in Malawi. Only antenatal and maternity clinics demonstrated high rates of rou...Continue Reading

References

May 3, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Freddy PerezFrançois Dabis
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jeffrey L Greenwald
Aug 2, 2007·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Ingrid V BassettRochelle P Walensky
Nov 27, 2007·Bulletin of the World Health Organization·Winfreda ChandisarewaAvinash K Shetty
Jun 4, 2008·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Diana S PopeRichard E Chaisson
Nov 11, 2008·Transactions of the Royal Society of Tropical Medicine and Hygiene·R ZachariahA D Harries
Nov 14, 2008·AIDS·Andrew N PhillipsJens D Lundgren
Apr 3, 2009·The New England Journal of Medicine·Mari M KitahataUNKNOWN NA-ACCORD Investigators
Apr 20, 2010·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ingrid V Bassett, Rochelle P Walensky
Jul 22, 2010·The New England Journal of Medicine·Patrice SevereDaniel W Fitzgerald
May 11, 2011·Bulletin of the World Health Organization·Stephanie M ToppStewart E Reid
Jul 20, 2011·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Oct 29, 2011·Tropical Medicine & International Health : TM & IH·Bernadette HensenJames Hargreaves
Jul 21, 2015·The New England Journal of Medicine·UNKNOWN INSIGHT START Study GroupJames D Neaton
Jan 1, 2014·Journal of AIDS & Clinical Research·Stephen M ArpadiMichael T Yin

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Citations

Apr 12, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Martina PenazzatoDorothy Mbori-Ngacha
Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Katherine R SimonSaeed Ahmed
Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Martina PenazzatoMeg Doherty
Feb 6, 2021·Implementation Science : IS·Ann DadichDominiek Coates
Apr 20, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Anant MishraChristopher J Hoffmann
Jun 30, 2021·Social Science & Medicine·Wiktoria Tafesse, Martin Chalkley
Aug 2, 2021·BMC Medical Research Methodology·Charles K MutaiEdouard Musabanganji

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