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

doi:10.1186/1472-6963-13-423

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

Research output: Contribution to journal › A1: Web of Science-article › peer-review

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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 language	English
Journal	BMC Health Services Research
Volume	13
Issue number	423
Pages (from-to)	1-8
Number of pages	8
ISSN	1472-6963
DOIs	https://doi.org/10.1186/1472-6963-13-423
Publication status	Published - 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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title = "Client-provider interactions in provider-initiated and voluntary HIV counseling and testing services in Uganda",

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 = ",

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AU - Wanyenze, R.K.

AU - Kyaddondo, D.

AU - Kinsman, J.

AU - Makumbi, F.

AU - Colebunders, R.

AU - Hardon, A.

N1 - ITG-C5A; DCS; U-HIVCLI; JIF; DOI; PDF; URL; Abstract; DSPACE56

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AB - 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 =

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

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Keywords

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