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Barriers and facilitators associated with HIV testing uptake in South African health facilities offering HIV counselling and testing

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dc.date.accessioned 2021-02-28T16:19:30Z
dc.date.available 2021-02-28T16:19:30Z
dc.date.issued 2016-04-28 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/9414
dc.description.abstract The scale-up of HIV Counselling and Testing (HCT) in South Africa to 4500 public health facilities and the service's provision in mobile and non-medical sites was aimed at increasing HCT uptake. However, some people still have never had an HIV test. An HCT survey was carried out to ascertain barriers and facilitators for HIV testing in South Africa. A cross-sectional survey of 67 HCT-offering health facilities in 8 South African provinces was undertaken. Individuals (n = 489) who had not tested for HIV on the day of the site visit were interviewed on awareness of HCT services, HIV testing history and barriers to HIV testing. Frequencies were run to describe the sample characteristics, barriers and facilitators to HIV testing. Bivariate and multivariate logistic regression was used to identify the association between never tested for HIV with socio-demographics, awareness of HCT services and type of HCT facilities. In all 18.1% participants never had an HIV test. Major barriers to HCT uptake comprise being scared of finding out one's HIV test result or what people may say, shyness or embarrassment, avoidance of divulging personal information to health workers and fear of death. In multivariate analysis the age group 55 years and older, and not being recommended to have an HIV test were associated with never had an HIV test. Potential facilitators for HIV testing include community or household HIV testing, providing incentives for those who test for HIV, mandatory HIV testing and disclosure of HIV status by those who test HIV positive. The benefits of HCT which include the reduction of HIV transmission, the availability of HIV care and treatment needs to be emphasized to enhance HCT uptake. en
dc.format.medium Print en
dc.subject HIV/AIDS en
dc.subject HEALTH SERVICES en
dc.subject HIV TESTING AND COUNSELLING (HTC) en
dc.title Barriers and facilitators associated with HIV testing uptake in South African health facilities offering HIV counselling and testing en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 21 en
dc.BudgetYear 2015/16 en
dc.ResearchGroup HIV/AIDS, STIs and TB en
dc.SourceTitle Health SA Gesondheid en
dc.ArchiveNumber 9096 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=16256 en
dc.PageNumber 86-95 en
dc.outputnumber 7903 en
dc.bibliographictitle Mohlabane, N., Tutshana, B., Peltzer, K. & Mwisongo, A. (2016) Barriers and facilitators associated with HIV testing uptake in South African health facilities offering HIV counselling and testing. <i>Health SA Gesondheid</i>. 21:86-95. http://hdl.handle.net/20.500.11910/9414 en
dc.publicationyear 2016 en
dc.contributor.author1 Mohlabane, N. en
dc.contributor.author2 Tutshana, B. en
dc.contributor.author3 Peltzer, K. en
dc.contributor.author4 Mwisongo, A. en


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