HIV testing in primary care: feasibility and acceptability of provider initiated HIV testing and counseling for sub-Saharan African migrants

Jasna Loos, Lazare Manirankunda, Kristin Hendrickx, Roy Remmen, Christiana Nöstlinger

Research output: Contribution to journalA1: Web of Science-article

Abstract

Provider-initiated HIV testing and counseling (PITC) is recommended to reduce late HIV diagnoses, common among Sub-Saharan African migrants (SAM) residing in Europe. Primary care represents an ideal entry point for PITC. To support Flemish general practitioners (GPs), we developed a culturally sensitive PITC tool. Over a 12-week period, 65 GPs implemented PITC to assess acceptability and feasibility of PITC. The qualitative evaluation showed high acceptability among physicians. Routine PITC was challenged by physicians' personal discomfort, assumptions of patients' sexual risk, perceived incoherence with reasons for consultation, and time pressure. The best opportunity for PITC was an indicated blood analysis for other medical reasons. Counseling skills improved during the implementation, but participants still advocated for reduced counseling requirements. PITC proved to be feasible in primary care settings, but the up-scaling requires a reformulation of counseling guidelines, a policy stipulating the role of GPs in the prevention-care continuum, and an investment in (continuous) training.

Original languageEnglish
JournalAIDS Education and Prevention
Volume26
Issue number1
Pages (from-to)81-93
Number of pages13
ISSN0899-9546
DOIs
Publication statusPublished - 2014

Keywords

  • Viral diseases
  • HIV
  • AIDS
  • Prevention strategies
  • Control strategies
  • Voluntary counseling and testing (VCT)
  • VCT
  • Primary health services
  • Migrants
  • Feasibility
  • Acceptability
  • General practitioners
  • Patient-to-doctor
  • Belgium
  • Europe-West

Fingerprint Dive into the research topics of 'HIV testing in primary care: feasibility and acceptability of provider initiated HIV testing and counseling for sub-Saharan African migrants'. Together they form a unique fingerprint.

Cite this