Evidence map›Paper›PMID 22984309›Full record

ReviewBulletin of the World Health Organization2012

From caution to urgency: the evolution of HIV testing and counselling in Africa.

R Baggaley, B Hensen, O Ajose, K L Grabbe, V J Wong, A Schilsky, Y-R Lo, F Lule, R Granich, J Hargreaves

Open access · diamondAbstract readReview
In one paragraph

Review in Bulletin of the World Health Organization, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 5 countries.

R BaggaleyHIV/AIDS Department, World Health Organization, Geneva, Switzerland.
B Hensen
O Ajose
K L Grabbe
V J Wong
A Schilsky
Y-R Lo
F Lule
R Granich
J Hargreaves
World Health Organization · CHLondon School of Hygiene & Tropical Medicine · GBAIDS United · USWorld Health Organization Regional Office for Africa · CG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe recent changes in policy on provider-initiated testing and counselling (PITC) for human immunodeficiency virus (HIV) infection in African countries and to investigate patients' experiences of and views about PITC.

methodsA review of the published literature and of national HIV testing policies, strategic frameworks, plans and other relevant documents was carried out.

findingsOf the African countries reviewed, 42 (79.2%) had adopted a PITC policy. Of the 42, all recommended PITC for the prevention of mother-to-child HIV transmission, 66.7% recommended it for tuberculosis clinics and patients, and 45.2% for sexually transmitted infection clinics. Moreover, 43.6% adopted PITC in 2005 or 2006. The literature search identified 11 studies on patients' experiences of and views about PITC in clinical settings in Africa. The clear majority regarded PITC as acceptable. However, women in antenatal clinics were not always aware that they had the right to decline an HIV test.

conclusionPolicy and practice on HIV testing and counselling in Africa has shifted from a cautious approach that emphasizes confidentiality to greater acceptance of the routine offer of HIV testing. The introduction of PITC in clinical settings has contributed to increased HIV testing in several of these settings. Most patients regard PITC as acceptable. However, other approaches are needed to reach people who do not consult health-care services.

Indexed as

AfricaAIDS SerodiagnosisDirective CounselingFemaleHealth EducationHealth PromotionHIV InfectionsHumansInfectious Disease Transmission, VerticalPregnancyPublic Health

Identifiers

PMID22984309
PMCPMC3442388
OpenAlexW2092467925

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.