Document Detail

"It Is Not Easy": Challenges for Provider-Initiated HIV Testing and Counseling in Flanders, Belgium.
MedLine Citation:
PMID:  23016506     Owner:  NLM     Status:  In-Data-Review    
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.
Lazare Manirankunda; Jasna Loos; Pieterjan Debackaere; Christiana Nöstlinger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AIDS education and prevention : official publication of the International Society for AIDS Education     Volume:  24     ISSN:  1943-2755     ISO Abbreviation:  AIDS Educ Prev     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002873     Medline TA:  AIDS Educ Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  456-68     Citation Subset:  IM; X    
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