Evidence map›Paper›PMID 24743295›Full record

ArticlePloS one2014

Provider-initiated HIV testing and counselling in Rwanda: acceptability among clinic attendees and workers, reasons for testing and predictors of testing.

Felix R Kayigamba, Mirjam I Bakker, Judith Lammers, Veronicah Mugisha, Emmanuel Bagiruwigize, Anita Asiimwe, Maarten F Schim van der Loeff

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Factors associated with HIV testing among patients seeking emergent injury care in Kigali, Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022
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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

7 authors.

Felix R KayigambaINTERACT, Kigali, Rwanda.
Mirjam I BakkerRoyal Tropical Institute, KIT Biomedical Research, Amsterdam, The Netherlands.
Judith LammersAcademic Medical Center (AMC), Amsterdam, The Netherlands.
Veronicah MugishaICAP, Mailman School of Public Health, Columbia University, Kigali, Rwanda.
Emmanuel BagiruwigizeRuhengeri hospital, Ministry of Health, Kigali, Rwanda.
Anita AsiimweMinistry of Health, Kigali, Rwanda.
Maarten F Schim van der LoeffAmsterdam Institute of Global Health and Development (AIGHD), Academic Medical Center (AMC), Amsterdam, The Netherlands; Center for Infection and Immunity Amsterdam (CINIMA), AMC, Amsterdam, The Netherlands; Public Health Service of Amsterdam (GGD), Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRoutine provider-initiated HIV testing and counselling (PITC) may increase HIV testing rates, but whether PITC is acceptable to health facility (HF) attendees is unclear. In the course of a PITC intervention study in Rwanda, we assessed the acceptability of PITC, reasons for being or not being tested and factors associated with HIV testing.

methodsAttendees were systematically interviewed in March 2009 as they left the HF, regarding knowledge and acceptability of PITC, history of testing and reasons for being tested or not. Subsequently, PITC was introduced in 6 of the 8 HFs and a second round of interviews was conducted. Independent factors associated with testing were analysed using logistic regression. Randomly selected health care workers (HCWs) were also interviewed.

results1772 attendees were interviewed. Over 95% agreed with the PITC policy, both prior to and after implementation of PITC policy. The most common reasons for testing were the desire to know one's HIV status and having been offered an HIV test by an HCW. The most frequent reasons for not being tested were known HIV status and test not being offered. In multivariable analysis, PITC, age ≥15 years, and not having been previously tested were factors significantly associated with testing. Although workload was increased by PITC, HIV testing rates increased and HCWs overwhelmingly supported the policy.

conclusionAmong attendees and HCWs in Rwandan clinics, the acceptability of PITC was very high. PITC appeared to increase testing rates and may be helpful in prevention and early access to treatment.

Indexed as

AdultCounselingFemaleHealth PersonnelHIV InfectionsHumansMaleMass ScreeningRwandaYoung Adult

Identifiers

PMID24743295
PMCPMC3990638

What OpenQuestion holds

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Registered trials

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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.