SynthesisPloS one2018
Facilitators and barriers for HIV-testing in Zambia: A systematic review of multi-level factors.
Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Trial
- Social response to the delivery of HIV self-testing in households: experiences from four Zambian HPTN 071 (PopART) urban communities.AIDS research and therapy · 2020Trial
- Factors influencing HIV testing among women in Mozambique: insights from the 2022/23 demographic and health survey.BMC public health · 2026Article
- Prevalence and determinants of being out-of-care among HIV-positive young people aged 15-24 years in Mozambique: findings from the 2021 population-based HIV impact assessment survey.BMC infectious diseases · 2026Article
- Determinants of HIV testing and oral PrEP uptake among youth at Malawi University of Business and Applied Sciences: A cross-sectional study employing the Health Belief Model.PLOS global public health · 2026Article
- "A heart of the man is lighter than that of the woman…" exploring men's motivation and capability to access HIV services in Lusaka, Zambia: findings from the Yaba Guy Che study.BMC public health · 2025Article
- Prevalence and Factors Associated with HIV Testing Among Women of Reproductive Age in Liberia: A Cross-Sectional Study from the 2019/20 Demographic and Health Survey.International journal of environmental research and public health · 2025Article
- Factors that influence communication between healthcare providers and sexual minority men in HIV service delivery in Zambia.AIDS care · 2025Article
- Geographic variations and determinants of ever-tested for HIV among women aged 15-49 in Sierra Leone: a spatial and multi-level analysis.BMC public health · 2025Article
- Determinants of non-testing for HIV among women during antenatal care follow up in sub-saharan Africa: a hierarchical analysis of recent Demographic and Health Survey datasets.BMC health services research · 2024Article
- Knowledge, and utilization of HIV self-testing, and its associated factors among women in sub-Saharan Africa: evidence from 21 countries demographic and health survey.BMC public health · 2024Article
- Physician-Patient Interaction Quality Mediates the Association Between HIV-Related Stigma and HIV-Prevention Behaviors Among Sexual Minority Men in Zambia.AIDS and behavior · 2024Article
- Community antibiotic consumption and associated factors in Lusaka district of Zambia: findings and implications for antimicrobial resistance and stewardship.JAC-antimicrobial resistance · 2024Article
- Country uptake of WHO recommendations on differentiated HIV testing services approaches: a global policy review.BMJ open · 2024Review
- The Association Between HIV-Related Stigma and the Uptake of HIV Testing and ART Among Older Adults in Rural South Africa: Findings from the HAALSI Cohort Study.AIDS and behavior · 2024Article
- Costs and scale-up costs of community-based Oral HIV Self-Testing for female sex workers and men who have sex with men in Jakarta and Bali, Indonesia.BMC health services research · 2024Article
- Trends and factors associated with recent HIV testing among women in Haiti: a cross-sectional study using data from nationally representative surveys.BMC infectious diseases · 2024Article
- Article
- An exploration of multi-level factors affecting routine linkage to HIV care in Zambia's PEPFAR-supported treatment program in the treat all era.PLOS global public health · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
It was estimated that 1.2 million people live with HIV/AIDS in Zambia by 2015. Zambia has developed and implemented diverse programs to reduce the prevalence in the country. HIV-testing is a critical step in HIV treatment and prevention, especially among all the key populations. However, there is no systematic review so far to demonstrate the trend of HIV-testing studies in Zambia since 1990s or synthesis the key factors that associated with HIV-testing practices in the country. Therefore, this study conducted a systematic review to search all English literature published prior to November 2016 in six electronic databases and retrieved 32 articles that meet our inclusion criteria. The results indicated that higher education was a common facilitator of HIV testing, while misconception of HIV testing and the fear of negative consequences were the major barriers for using the testing services. Other factors, such as demographic characteristics, marital dynamics, partner relationship, and relationship with the health care services, also greatly affects the participants' decision making. The findings indicated that 1) individualized strategies and comprehensive services are needed for diverse key population; 2) capacity building for healthcare providers is critical for effectively implementing the task-shifting strategy; 3) HIV testing services need to adapt to the social context of Zambia where HIV-related stigma and discrimination is still persistent and overwhelming; and 4) family-based education and intervention should involving improving gender equity.
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Registered trials
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.