Client-provider interactions in provider-initiated and voluntary HIV counseling and testing services in Uganda

R.K. Wanyenze, D. Kyaddondo, J. Kinsman, F. Makumbi, R. Colebunders, A. Hardon

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    Abstract

    BACKGROUND: Provider-initiated HIV testing and counselling (PITC) is based on information-giving while voluntary counselling and testing (VCT) includes individualised client-centered counseling. It is not known if the provider-client experiences, perceptions and client satisfaction with the information provided differs in the two approaches. METHODS: In 2008, we conducted structured interviews with 627 individuals in Uganda; 301 tested through PITC and 326 through voluntary counselling and testing (VCT). We compared client experiences and perceptions based on the essential elements of consent, confidentiality, counseling, and referral for follow-up care. We conducted multivariate analysis for predictors of reporting information or counselling as sufficient. RESULTS: In VCT, 96.6% (282) said they were asked for consent compared to 91.3% (198) in PITC (P = 0.01). About the information provided, 92.0% (286) in VCT found it sufficient compared to 78.7% (221) in PITC (P =
    Original languageEnglish
    JournalBMC Health Services Research
    Volume13
    Issue number423
    Pages (from-to)1-8
    Number of pages8
    ISSN1472-6963
    DOIs
    Publication statusPublished - 2013

    Keywords

    • Viral diseases
    • HIV
    • AIDS
    • Prevention strategies
    • Voluntary counseling and testing (VCT)
    • VCT
    • Patient-to-professional
    • Interactions
    • Information
    • Perceptions
    • Patient satisfaction
    • Consent
    • Confidentiality
    • Referral
    • Follow-up
    • Predictors
    • Uganda
    • Africa-East

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