Evidence map›Paper›PMID 30897098›Full record

ArticlePloS one2019

Men's perceptions of HIV care engagement at the facility- and provider-levels: Experiences in Cote d'Ivoire.

Natalie Jean Tibbels, Zoé Mistrale Hendrickson, Danielle Amani Naugle, Abdul Dosso, Lynn Van Lith, Elizabeth C Mallalieu, Anne Marie Kouadio, Walter Kra, Diarra Kamara, Patricia Dailly-Ajavon and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 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

15 authors at 4 institutions in 2 countries.

Natalie Jean TibbelsJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.ORCID 0000-0001-6848-1881
Zoé Mistrale HendricksonJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Danielle Amani NaugleJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.ORCID 0000-0003-0328-5796
Abdul DossoJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Abidjan, Côte d'Ivoire.
Lynn Van LithJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Elizabeth C MallalieuJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.ORCID 0000-0003-0724-7826
Anne Marie KouadioSociology Department, Félix Houphouët-Boigny University in Cocody, Abidjan, Côte d'Ivoire.
Walter KraSociology Department, Alassane Ouattra University, Bouaké, Côte d'Ivoire.
Diarra KamaraJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Abidjan, Côte d'Ivoire.
Patricia Dailly-AjavonJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Abidjan, Côte d'Ivoire.
Adama CisseJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Abidjan, Côte d'Ivoire.
Kim Seifert-AhandaUnited States Agency for International Development, Washington, D.C., United States of America.
Sereen ThaddeusUnited States Agency for International Development, Abidjan, Cote d'Ivoire.
Stella BabalolaJohns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.ORCID 0000-0003-1361-061X
Christopher J HoffmannSchool of Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America.
Johns Hopkins University · USUnited States Agency for International Development · USUniversité Alassane Ouattara · CIUniversité Félix Houphouët-Boigny · CI

Funding

PEPFAR
6 · The paper itself

Abstract

Men in sub-Saharan Africa have lower rates of HIV testing and are less likely to initiate treatment compared to women. Service delivery dimensions are a key factor in facilitating engagement along the HIV treatment continuum for men and women, yet male specific overall perceptions of the service delivery environment have received little attention in West Africa. This study draws on qualitative data collected in Côte d'Ivoire to explore provider-level and structural factors affecting men's engagement in HIV testing and treatment through interviews and focus group discussions conducted with health workers and men living with HIV (some on ART) or whose HIV status was unknown. Factors influencing decisions to test or initiate treatment were considered in terms of perceived benefits and costs. Men described costs at the interpersonal (client-provider) level, such as unwanted disclosure or stigma, which were weighed against the potential for social support and clinical guidance. Likewise, fear of unwanted disclosure operated at the facility level, as the layout of facilities sometimes grouped clients living with HIV together. Notably, the benefits men described from engaging in HIV testing and care all operated at the interpersonal level and none at the facility level. In light of the fact that provider- and facility-level factors influenced the perceptions and experiences of men along the treatment continuum, we offer recommendations to reduce barriers to testing and engagement in care related to service delivery.

Indexed as

Attitude to HealthAdultAfrica South of the SaharaCote d'IvoireFocus GroupsHIV InfectionsHumansMaleMass ScreeningMenMiddle AgedPatient Acceptance of Health CarePerceptionSocial Stigma

Identifiers

PMID30897098
PMCPMC6428322
OpenAlexW2924286435

What OpenQuestion holds

Textmetadata
LicenceCC0
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.