SynthesisPloS one2017
Uptake contexts and perceived impacts of HIV testing and counselling among adults in East and Southern Africa: A meta-ethnographic review.
Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Perceptions, Barriers, and Facilitators of Provider-Initiated and Voluntary HIV Testing and Counseling Among Health Care Workers: Protocol for a Multicenter Cross-Sectional Study.JMIR research protocols · 2025Observational
- Coerced syphilis self-testing among men who have sex with men: a nationwide cross-sectional study in China.BMC infectious diseases · 2022Article
- Article
- Costs of implementing community-based intervention for HIV testing in sub-Saharan Africa: a systematic review.Implementation science communications · 2021Review
- Examining Interprofessional Collaboration across case managers, peer educators, and counselors in New York City.Social work in public health · 2021Article
- "Vital": HIV counselling and testing staff's views of addressing mental health with HIV in Uganda.BMC health services research · 2020Article
- Uptake of HIV testing and counseling among tertiary institution students in the Hohoe Municipality, Ghana.Journal of public health in Africa · 2019Article
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Authors and funding
4 authors.
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Abstract
introductionHIV testing and counselling (HTC) interventions are key to controlling the HIV epidemic in East and Southern Africa where HTC is primarily delivered through voluntary counselling and testing (VCT), provider initiated testing and counselling (PITC), and home-based counselling and testing (HBVCT). Decision making processes around uptake of HTC models must be taken into account when designing new interventions. Counselling in HTC aims to reduce post-test risk taking behaviour and to link individuals to care but its efficacy is unclear. This meta-ethnography aims to understand the contexts of HTC uptake in East and Southern Africa and to analyse the perceived impacts of counselling-based interventions in relation to sexual behaviour and linkage to care.
methodsWe conducted a systematic literature review of studies investigating HTC in East and Southern Africa from 2003 -April 2014. The search and additional snowballing identified 20 studies that fit our selection criteria. These studies were synthesised through a thematic framework analysis.
resultsTwenty qualitative and mixed-methods studies examining impacts of HTC models in East and Southern Africa were meta-synthesised. VCT decisions were made individually while HBVCT decisions were located in family and community units. PITC was associated with coercion from healthcare providers. Low quality counselling components and multiple-intersecting barriers faced by individuals mean that counselling in HTC was not perceived to be effective in reducing post-test risk behaviour and had limited perceived effect in facilitating linkage to care.
conclusionHBVCT is associated with minimal stigma and should be considered as an area of priority. Counselling components in HTC interventions were effective in transmitting information about HIV and sexual risk, but were perceived as ineffective in addressing the broader personal circumstances preventing sexual behaviour change and modulating access to care.
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