Advanced search
1 file | 132.25 KB Add to list

'It is not easy' : challenges for provider-initiated HIV testing and counseling in Flanders, Belgium

(2012) AIDS EDUCATION AND PREVENTION. 24(5). p.456-468
Author
Organization
Abstract
This study identified physicians' HIV testing practices and their barriers toward implementing provider-initiated HIV testing and counseling (PITC) for Sub-Saharan African migrants (SAM) in Flanders, Belgium. In-depth interviews were conducted on a purposive sample of 20 physicians (ten GPs and ten internists). GPs performed mainly patient-initiated tests, while internists carried out tests based on disease indicators and risk behavior. For the most part, World Health Organization (WHO) guidelines were not followed. Study participants were not in favor of implementing PITC. Reasons included lack of information on the HIV epidemic among SAM, fear of stigmatizing patients, perceiving testing as unethical for undocumented patients, questionable relevance of pre-test counseling, lack of expertise in discussing sexuality, language barriers, lack of time, and the absence of a national or regional HIV testing policy. Implementing PITC will require appropriate training of service providers. Also, supporting policies should be developed with the participation of stakeholders encouraging "normalization" of HIV testing.
Keywords
PREVENTION, EUROPE, HEALTH-CARE SETTINGS, SEXUALLY-TRANSMITTED INFECTIONS, BEHAVIOR, PERCEIVED BARRIERS, DIAGNOSIS, MISSED OPPORTUNITIES

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 132.25 KB

Citation

Please use this url to cite or link to this publication:

MLA
Manirankunda, Lazare, Jasna Loos, Pieterjan Debackere, et al. “‘It Is Not Easy’ : Challenges for Provider-initiated HIV Testing and Counseling in Flanders, Belgium.” AIDS EDUCATION AND PREVENTION 24.5 (2012): 456–468. Print.
APA
Manirankunda, L., Loos, J., Debackere, P., & Nöstlinger, C. (2012). “It is not easy” : challenges for provider-initiated HIV testing and counseling in Flanders, Belgium. AIDS EDUCATION AND PREVENTION, 24(5), 456–468.
Chicago author-date
Manirankunda, Lazare, Jasna Loos, Pieterjan Debackere, and Chrisitana Nöstlinger. 2012. “‘It Is Not Easy’ : Challenges for Provider-initiated HIV Testing and Counseling in Flanders, Belgium.” Aids Education and Prevention 24 (5): 456–468.
Chicago author-date (all authors)
Manirankunda, Lazare, Jasna Loos, Pieterjan Debackere, and Chrisitana Nöstlinger. 2012. “‘It Is Not Easy’ : Challenges for Provider-initiated HIV Testing and Counseling in Flanders, Belgium.” Aids Education and Prevention 24 (5): 456–468.
Vancouver
1.
Manirankunda L, Loos J, Debackere P, Nöstlinger C. “It is not easy” : challenges for provider-initiated HIV testing and counseling in Flanders, Belgium. AIDS EDUCATION AND PREVENTION. 2012;24(5):456–68.
IEEE
[1]
L. Manirankunda, J. Loos, P. Debackere, and C. Nöstlinger, “’It is not easy’ : challenges for provider-initiated HIV testing and counseling in Flanders, Belgium,” AIDS EDUCATION AND PREVENTION, vol. 24, no. 5, pp. 456–468, 2012.
@article{5667906,
  abstract     = {This study identified physicians' HIV testing practices and their barriers toward implementing provider-initiated HIV testing and counseling (PITC) for Sub-Saharan African migrants (SAM) in Flanders, Belgium. In-depth interviews were conducted on a purposive sample of 20 physicians (ten GPs and ten internists). GPs performed mainly patient-initiated tests, while internists carried out tests based on disease indicators and risk behavior. For the most part, World Health Organization (WHO) guidelines were not followed. Study participants were not in favor of implementing PITC. Reasons included lack of information on the HIV epidemic among SAM, fear of stigmatizing patients, perceiving testing as unethical for undocumented patients, questionable relevance of pre-test counseling, lack of expertise in discussing sexuality, language barriers, lack of time, and the absence of a national or regional HIV testing policy.
Implementing PITC will require appropriate training of service providers. Also, supporting policies should be developed with the participation of stakeholders encouraging "normalization" of HIV testing.},
  author       = {Manirankunda, Lazare and Loos, Jasna and Debackere, Pieterjan and Nöstlinger, Chrisitana},
  issn         = {0899-9546},
  journal      = {AIDS EDUCATION AND PREVENTION},
  keywords     = {PREVENTION,EUROPE,HEALTH-CARE SETTINGS,SEXUALLY-TRANSMITTED INFECTIONS,BEHAVIOR,PERCEIVED BARRIERS,DIAGNOSIS,MISSED OPPORTUNITIES},
  language     = {eng},
  number       = {5},
  pages        = {456--468},
  title        = {'It is not easy' : challenges for provider-initiated HIV testing and counseling in Flanders, Belgium},
  url          = {http://dx.doi.org/10.1521/aeap.2012.24.5.456},
  volume       = {24},
  year         = {2012},
}

Altmetric
View in Altmetric
Web of Science
Times cited: