International Journal of HIV/AIDS Prevention, Education and Behavioural Science

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HIV Infection Testing and Service Delivery of One Accredited Treatment Center in Cameroon

Received: 02 September 2020    Accepted: 06 October 2020    Published: 13 October 2020
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Abstract

Effectiveness of Anonymous and free Voluntary Counseling and Testing (AVCT) Centers in the HIV prevention and care can be threatened by a low use of its service delivery, especially in developing countries. This study was designed to obtain reliable data on the current state of the quality of the services and, evaluate the factors that are associated with use of one Accredited HIV/AIDS Treatment Center (AHTC). A cross-sectional and prospective study was conducted among adults attending the AHTC of the Douala Laquintinie Hospital (DLH), Cameroon. Anonymous interviews including both open and closed ended questions were conducted in participants selected by convenience sampling. Descriptive and logistic regression analyses were performed using StataSE11 software (version 11 SE) in data analysis. Overall 80 (64%) of 125 adult volunteers for HIV testing reported that the reception at AHTC was excellent and 69.6% (80/115) of those who underwent the pre-test and among them, 49.6% were satisfied with the pre-test. Less than half of the participants were explained the merits of HIV testing. The interview was conducted in a confidential framework in 60% of those who underwent the pre-test and, 41.7% explained the merits of HIV testing. Among the 10 evaluated minimal items that the provider should have addressed, less than 6 items were done in 66.9% of the participants and between 9 and 10 items for 11.3%. Informed consent agreement was obtained in 89.60% of volunteers. Knowledge of HIV status was more reported among men than women who reported more requesting the HIV testing for prevention strategies for an exclusive sexual relation (p=0.038). The prevalence of HIV infection was 25.6% and, primary education remained significantly associated with higher risk of HIV infection in multivariate analysis (OR=0.11; IC95%=0.015-0.72; p=0.022). These results highlight the important of the appropriate sensibilization for the responsible implementation of the pretest counseling steps by health care providers in the AHTC of the DLH.

DOI 10.11648/j.ijhpebs.20200602.14
Published in International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 6, Issue 2, December 2020)
Page(s) 53-61
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

HIV, Anonymous and Free Voluntary Counseling and Testing, Quality of the Services, Cameroon

References
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[2] United Nations AIDS (UNAIDS). The Impact of Voluntary Counseling and Testing: A Global Overview of Challenges and Challenges, Geneva; 2002. 101p. Available at http://www.google.cm/data.unaids.org/publications/irc-pub02/jc580-vct_fr.pdf. Accessed April, 2019.
[3] Beogo T, Gaston E. Contribution to improving communication between caregivers and caregivers in the health area of Bittou, dissertation, ENSP, Department of Biology. 97p. 1997.
[4] Family Health International. HIV Testing Council in Africa, Strategic Framework. 15p. 2001.
[5] Bain LE, Nkoke C, Noubiap JJN. UNAIDS 90-90-90 targets to end the AIDS epidemic by 2020 are not realistic: comment on “can the UNAIDS 90-90-90 target be achieved? A systematic analysis of national HIV treatment cascades.” BMJ Glob Health. 2017; 2: e000227.
[6] Some F. Factors Influencing Interpersonal Communication in Maternity Facilities in the Ouagadougou District 30 Health District, Graduation Thesis, NPHS. 102p. 2001.
[7] Yahaya LA, Jimoh AA, Balogun OR. Factors hindering acceptance of HIV/AIDS voluntary counseling and testing (VCT) among youth in Kwara State, Nigeria. Afr J Reprod Health. 2010; 14 (3): 159-164.
[8] Kaufman MR, Massey M, Tsang SW, Kamala B, Serlemitsos E, Lyles E et al. An assessment of HIV testing in Tanzania to inform future strategies and interventions. AIDS Care. 2018; 27 (2): 213-7.
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[14] Isseu D, Nkurunzizaii T, Sagoe-Mosesii C, Conomboii G, Ketselaii T. Prevention of mother-to-child transmission of HIV / AIDS in sub-Saharan Africa. Regional Office of the World Health Organization for the African Region. 2013; 2-12.
[15] Xiao Z, Li X, Lin D, Tam CC. Mass Media and HIV / AIDS Prevention among Female Sex Workers in Beijing, China. J. Health. Common. 2015; 7: 1-12.
[16] Levu S, Semaille C. Anonymous and free HIV testing. Profile of CDAG consultants in 2004 - Cross-sectional epidemiological survey. InVS. 2006; IVS0170_CDAG_301106.
[17] Gouëzel P. Anonymous and free HIV screening (CDAG), focus on the consultants, national survey in 2004. Institute for Public Health Surveillance, Saint-Maurice, France. 2009. French file. https://hal.univ-lorraine.fr/hal-01733970/document.
[18] Kedote M. Analysis of the prevention program for mother-to-child transmission implementation in Benin. Doctoral thesis in Medicine, University of Montreal. 2012. 229p. French file. https://papyrus.bib.umontreal.ca/xmlui/bitstream/handle/1866/9223/Kedote_Marius_2012_these.pdf?sequence=7&isAllowed=y.
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Author Information
  • Laboratory of Physiology and Animal Biology, Faculty of Sciences, University of Douala, Douala, Cameroon

  • Department of Clinical Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon; Accredited HIV Care Center of Laquintinie Hospital of Douala, Douala, Cameroon; Laboratory of Parasitology, Mycology and Virology, Postgraduate Training Unit for Health Sciences, Postgraduate School for Pure and Applied Sciences, University of Douala, Douala, Cameroon

  • Laboratory of Physiology and Animal Biology, Faculty of Sciences, University of Douala, Douala, Cameroon

  • Department of Clinical Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon; Laboratory of Parasitology, Mycology and Virology, Postgraduate Training Unit for Health Sciences, Postgraduate School for Pure and Applied Sciences, University of Douala, Douala, Cameroon

  • Biological Laboratory, Laquintinie Hospital of Douala, Douala, Cameroon

  • Laboratory of Physiology and Animal Biology, Faculty of Sciences, University of Douala, Douala, Cameroon

  • Biological Sciences Department, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon; Laboratory of Parasitology, Mycology and Virology, Postgraduate Training Unit for Health Sciences, Postgraduate School for Pure and Applied Sciences, University of Douala, Douala, Cameroon; Center Pasteur of Cameroon, Yaounde, Cameroon

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  • APA Style

    Serge Bruno Ebong, Calixte Ida Penda, Juste Patient Mbébi Enoné, Patricia Epee Eboumbou, Madeleine Mbangue, et al. (2020). HIV Infection Testing and Service Delivery of One Accredited Treatment Center in Cameroon. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 6(2), 53-61. https://doi.org/10.11648/j.ijhpebs.20200602.14

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    ACS Style

    Serge Bruno Ebong; Calixte Ida Penda; Juste Patient Mbébi Enoné; Patricia Epee Eboumbou; Madeleine Mbangue, et al. HIV Infection Testing and Service Delivery of One Accredited Treatment Center in Cameroon. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2020, 6(2), 53-61. doi: 10.11648/j.ijhpebs.20200602.14

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    AMA Style

    Serge Bruno Ebong, Calixte Ida Penda, Juste Patient Mbébi Enoné, Patricia Epee Eboumbou, Madeleine Mbangue, et al. HIV Infection Testing and Service Delivery of One Accredited Treatment Center in Cameroon. Int J HIV/AIDS Prev Educ Behav Sci. 2020;6(2):53-61. doi: 10.11648/j.ijhpebs.20200602.14

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  • @article{10.11648/j.ijhpebs.20200602.14,
      author = {Serge Bruno Ebong and Calixte Ida Penda and Juste Patient Mbébi Enoné and Patricia Epee Eboumbou and Madeleine Mbangue and Samuel Honore Mandengue and Carole Else Eboumbou Moukoko},
      title = {HIV Infection Testing and Service Delivery of One Accredited Treatment Center in Cameroon},
      journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
      volume = {6},
      number = {2},
      pages = {53-61},
      doi = {10.11648/j.ijhpebs.20200602.14},
      url = {https://doi.org/10.11648/j.ijhpebs.20200602.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijhpebs.20200602.14},
      abstract = {Effectiveness of Anonymous and free Voluntary Counseling and Testing (AVCT) Centers in the HIV prevention and care can be threatened by a low use of its service delivery, especially in developing countries. This study was designed to obtain reliable data on the current state of the quality of the services and, evaluate the factors that are associated with use of one Accredited HIV/AIDS Treatment Center (AHTC). A cross-sectional and prospective study was conducted among adults attending the AHTC of the Douala Laquintinie Hospital (DLH), Cameroon. Anonymous interviews including both open and closed ended questions were conducted in participants selected by convenience sampling. Descriptive and logistic regression analyses were performed using StataSE11 software (version 11 SE) in data analysis. Overall 80 (64%) of 125 adult volunteers for HIV testing reported that the reception at AHTC was excellent and 69.6% (80/115) of those who underwent the pre-test and among them, 49.6% were satisfied with the pre-test. Less than half of the participants were explained the merits of HIV testing. The interview was conducted in a confidential framework in 60% of those who underwent the pre-test and, 41.7% explained the merits of HIV testing. Among the 10 evaluated minimal items that the provider should have addressed, less than 6 items were done in 66.9% of the participants and between 9 and 10 items for 11.3%. Informed consent agreement was obtained in 89.60% of volunteers. Knowledge of HIV status was more reported among men than women who reported more requesting the HIV testing for prevention strategies for an exclusive sexual relation (p=0.038). The prevalence of HIV infection was 25.6% and, primary education remained significantly associated with higher risk of HIV infection in multivariate analysis (OR=0.11; IC95%=0.015-0.72; p=0.022). These results highlight the important of the appropriate sensibilization for the responsible implementation of the pretest counseling steps by health care providers in the AHTC of the DLH.},
     year = {2020}
    }
    

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    T1  - HIV Infection Testing and Service Delivery of One Accredited Treatment Center in Cameroon
    AU  - Serge Bruno Ebong
    AU  - Calixte Ida Penda
    AU  - Juste Patient Mbébi Enoné
    AU  - Patricia Epee Eboumbou
    AU  - Madeleine Mbangue
    AU  - Samuel Honore Mandengue
    AU  - Carole Else Eboumbou Moukoko
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    JF  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    JO  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    SP  - 53
    EP  - 61
    PB  - Science Publishing Group
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