Evidence map›Paper›PMID 36973827›Full record

ArticleConflict and health2023

Provider-initiated HIV testing uptake and socio-economic status among women in a conflict zone in the Central African Republic: a mixed-methods cross-sectional study.

Mari Nythun Utheim, Petros Isaakidis, Rafael Van den Bergh, Bantas Bata Ghislain Géraud, Rodrigue Biguioh Mabvouna, Tone Kristin Omsland, Espen Heen, Cecilie Dahl

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PubMed Full text at PMC Publisher
In one paragraph

Article in Conflict and health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
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

8 authors at 5 institutions in 6 countries.

Mari Nythun UtheimInstitute of Health and Society, University of Oslo, Postboks 1130 Blindern, 0318, Oslo, Norway. marinythun@protonmail.com.
Petros IsaakidisMédecins Sans Frontières - Southern African Medical Unit, Marshalltown, South Africa.
Rafael Van den BerghMédecins Sans Frontières - Operational Centre Brussels, Operational Research Unit (LuxOR), Brussels, Belgium.
Bantas Bata Ghislain GéraudDirecteur de Ressources, Ministère de La Santé, Bangui, Central African Republic.
Rodrigue Biguioh MabvounaDepartment of Biology, University of Roma Tor Vergata, Rome, Italy.
Tone Kristin OmslandInstitute of Health and Society, University of Oslo, Postboks 1130 Blindern, 0318, Oslo, Norway.
Espen HeenInstitute of Health and Society, University of Oslo, Postboks 1130 Blindern, 0318, Oslo, Norway.
Cecilie DahlInstitute of Health and Society, University of Oslo, Postboks 1130 Blindern, 0318, Oslo, Norway.
University of Oslo · NOMédecins Sans Frontières · ZAMédecins Sans Frontières · BEUniversity of Bangui · CFUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn the Central African Republic (CAR), HIV/AIDS is the main cause of death in women aged 15-49 years. Increased testing coverage is essential in prevention of HIV/AIDS, especially in areas where conflict hinders access to health care. Socio-economic status (SES) has been shown to be associated with HIV testing uptake. We investigated whether "Provider-initiated HIV testing and counselling" (PITC) could be implemented in a family planning clinic in an active conflict zone in the Central African Republic to reach women of reproductive age and assessed whether socioeconomic status was associated with testing uptake.

methodsWomen aged 15-49 years were recruited from a free family planning clinic run by Médecins Sans Frontières in the capital Bangui. An asset-based measurement tool was created based on analysis of qualitative in-depth interviews. Measures of socioeconomic status were constructed from the tool, also by using factor analysis. Logistic regression was used to quantify the association between SES and HIV testing uptake (yes/no), while controlling for potential confounders: age, marital status, number of children, education level and head of household.

resultsA total of 1419 women were recruited during the study period, where 87.7% consented to HIV testing, and 95.5% consented to contraception use. A total of 11.9% had never been tested for HIV previously. Factors negatively associated with HIV testing uptake were: being married (OR = 0.4, 95% CI 0.3-0.5); living in a household headed by the husband as opposed to by another person (OR = 0.4, 95% CI 0.3-0.6), and lower age (OR = 0.96, 95% CI 0.93-0.99). Higher level of education (OR = 1.0, 95% CI 0.97-1.1) and having more children aged under 15 (OR = 0.92, 95% CI 0.81-1.1) was not associated with testing uptake. In multivariable regression, testing uptake was lower in the higher SES groups, but the differences were not significant (OR = 0.80, 95% CI 0.55-1.18).

conclusionsThe findings show that PITC can be successfully implemented in the patient flow in a family planning clinic, without compromising contraception uptake. Within the PITC framework in a conflict setting, socioeconomic status was not found to be associated with testing uptake in women of reproductive age.

Indexed as

Central African RepublicConflictFamily planningHIV/AIDSHIV testing uptakePITCSocio-economic status

Identifiers

PMID36973827
PMCPMC10041765
OpenAlexW4361011095

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LicenceCC BY
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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.