HIV self-testing for partners of women attending antenatal care in Central Uganda: Uptake and linkage to care post-test

2021 ◽  
Author(s):  
Rhoda Wanyenze ◽  
Jeffrey Korte
Keyword(s):  
Antenatal Care ◽  
Linkage To Care ◽  
Self Testing ◽  
Post Test

scholarly journals Increasing HIV self-testing and linkage to care for partners of women in antenatal care in Uganda

2019 ◽  
Author(s):  
Rhoda Wanyenze ◽  
◽  
Esther Buregyeya ◽  
Joseph Matovu ◽  
Rose Kisa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Linkage To Care ◽  
Self Testing

scholarly journals ‘I will welcome this one 101%, I will so embrace it’: a qualitative exploration of the feasibility and acceptability of HIV self-testing among men who have sex with men (MSM) in Lagos, Nigeria

2020 ◽  
Vol 35 (6) ◽  
pp. 524-537
Author(s):  
Osasuyi Dirisu ◽  
Adekemi Sekoni ◽  
Lung Vu ◽  
Sylvia Adebajo ◽  
Jean Njab ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Linkage To Care ◽  
Group Discussions ◽  
Innovative Strategy ◽  
Self Testing ◽  
Post Test ◽  
Distribution Process ◽  
Testing Uptake ◽  
Sex With Men ◽  
Qualitative Exploration

Abstract Men who have sex with men (MSM) are disproportionately affected by HIV in Nigeria. A key strategy in reducing transmission is to increase HIV testing uptake and linkage to treatment for those who test positive. HIV self-testing (HIVST) is an innovative strategy with the potential to increase uptake of HIV testing among key populations at higher risk for HIV. We conducted 23 in-depth-interviews with MSM and two focus group discussions with key opinion leaders to explore perceptions about the feasibility and acceptability of oral HIVST among MSM in Lagos, Nigeria. HIVST was highly acceptable because it was considered convenient to use, painless, private and addressed concerns about stigma. Concerns cited by participants included comprehensibility of instructions to perform and interpret results correctly, as well as lack of support mechanisms to facilitate post-test follow-up and linkage to care. Provision of adequate pre-test information was considered vital as part of the kit distribution process to ensure seamless use of HIVST kits. One-on-one peer-to-peer distribution strategies and retail outlets that facilitate anonymous pick-up are potential distribution channels identified in this study. Overall, our findings suggest that an HIVST program that incorporates these considerations would improve access to HIV testing among MSM in Nigeria.

scholarly journals Effectiveness of a Novel HIV Self-Testing Service with Online Real-Time Counseling Support (HIVST-Online) in Increasing HIV Testing Rate and Repeated HIV Testing among Men Who Have Sex with Men in Hong Kong: Results of a Pilot Implementation Project

2021 ◽  
Vol 18 (2) ◽  
pp. 729
Author(s):  
Paul Shing-fong Chan ◽  
Andrew Chidgey ◽  
Jason Lau ◽  
Mary Ip ◽  
Joseph T.F. Lau ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Real Time ◽  
Linkage To Care ◽  
Standard Of Care ◽  
Multiple Sources ◽  
Self Testing ◽  
Post Test ◽  
Pilot Implementation ◽  
Sex With Men ◽  
Testing Coverage

HIV self-testing (HIVST) with online real-time counseling (HIVST-online) is an evidence-based intervention to increase HIV testing coverage and to ensure linkage to care for men who have sex with men (MSM). A community-based organization (CBO) recruited 122 MSM who had ever used HIVST-online (ever-users) and another 228 new-users from multiple sources and promoted HIVST-online. A free oral fluid-based HIVST kit was sent to all the participants by mail. Experienced HIVST administrators implemented HIVST-online by providing real-time instruction, standard-of-care pre-test and post-test counseling via live-chat application. The number of HIVST-online sessions performed was documented by the administrators. The post-test evaluation was conducted 6 months after the pre-test survey. At month 6, 63.1% of ever-users and 40.4% of new-users received HIVST-online. Taking other types of HIV testing into account, 79.4% of ever-users and 58.6% of new-users being followed up at month 6 received any HIV testing during the project period. Ever-users were more likely to receive HIVST-online and any HIV testing as compared to new-users. Four HIVST-online users were screened to be HIV positive and linked to the treatment. The process evaluation of HIVST-online was positive. Implementation of HIVST-online was helpful to improve HIV testing coverage and repeated HIV testing among Chinese MSM. A larger scale implementation should be considered.

scholarly journals Perceptions of an HIV self-testing intervention and its potential role in addressing the barriers to HIV testing among at-risk heterosexual men: a qualitative analysis

2021 ◽  
pp. sextrans-2020-054773
Author(s):  
Yi-Roe Tan ◽  
Nashwinder Kaur ◽  
Angeline Jiajun Ye ◽  
Yiwen Zhang ◽  
Jerald Xuan Zheng Lim ◽  
...  
Keyword(s):  
At Risk ◽  
Hiv Testing ◽  
Perceived Risk ◽  
Linkage To Care ◽  
Ease Of Use ◽  
Barriers And Facilitators ◽  
Heterosexual Men ◽  
Factors Affecting ◽  
Self Testing ◽  
Post Test

ObjectivesVoluntary HIV testing rates are still low in several Asian countries including Singapore. HIV self-testing (HIVST) has the potential to increase testing, leading to earlier diagnosis and better prognosis. However, the views of at-risk individuals, especially heterosexual men (HSM), who are not coming forward for testing are still poorly understood. In this study, we examined the barriers and facilitators to and delivery preferences for HIVST in order to implement an effective intervention in Singapore.MethodsFrom May 2017 to June 2018, 48 in-depth interviews were conducted with HSM aged 21–66 years and at risk of HIV infection. Participants were purposively sampled based on ethnicity, age and testing behaviour. Recruitment was done mainly at brothels and entertainment establishments in Singapore. Participants gave their views on HIV testing, factors affecting HIVST use and their preferred HIVST service delivery model.ResultsMost participants preferred HIVST over conventional testing for its convenience, privacy, anonymity and autonomy, but older men still preferred conventional testing. Low self-perceived risk, low awareness and self-efficacy for HIVST, and non-comprehensive test for other STIs were reported as barriers to HIVST. There were mixed opinions on kit preference. A blood-based kit was favoured for higher accuracy, while the oral-fluid-based kit was favoured for ease of use. Participants wanted a human touch for post-test counselling and linkage to care only if they self-tested positive. Traditional media, internet and social media, and venue-based outreach were potential advertising platforms mentioned.ConclusionsA locally acceptable and feasible HIVST intervention must address the barriers and facilitators of using HIVST in order to improve HIV testing rates among this at-risk population who might otherwise delay or fail to present for testing.

EFFECTIVENESS OF USING MCH BOOKS AND MONSCA APPLICATIONS IN THE IMPLEMENTATION OF 14 T ANTENATAL SERVICE STANDARDS

2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Continuity Of Care ◽  
Control Design ◽  
Sampling Technique ◽  
Limited Time ◽  
Control Groups ◽  
Post Test ◽  
Service Standards

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T

scholarly journals Pelatihan Bidan tentang Komunikasi Interpersonal dan Konseling (KIP/K) dalam Upaya Peningkatan Kualitas Antenatal Care di Puskesmas Kalitidu Kabupaten Bojonegoro

2022 ◽  
Vol 1 (1) ◽  
pp. 134-148
Author(s):  
Siti Mar'atus Sholikah ◽  
Sri Anggraeni ◽  
Ari Tri Rahayu
Keyword(s):  
Antenatal Care ◽  
Health Center ◽  
Community Health Center ◽  
Infant Mortality Rate ◽  
Average Score ◽  
Lecture Method ◽  
Post Test ◽  
Service Training ◽  
And Child Health

ABSTRAK Indikator keteraturan pemeriksaan kehamilan menggambarkan kualitas pelayanan Program Kesehatan Ibu dan Anak (KIA). Pada tahun 2019 di Puskesmas Kalitidu cakupan Kunjungan Kehamilan (K4) di Puskesmas Kalitidu belum mencapai target 100% yaitu tercapai 91%. Komplikasi kehamilan targetnya 15-20%, tercapai 40.96% dan komplikasi persalinan 44,17%. Angka Kematian Bayi (AKB) sebesar 8,13/1000 KH. Sedangkan Bidan di wilayah Puskesmas Kalitidu yang belum mengikuti pelatihan KIP/K sebesar 20 orang (90,91%) dari 22 bidan.Tujuan umum untuk meningkatkan pengetahuan dan keterampilan Bidan  melalui pelatihan bidan tentang Komunikasi Interpersonal dan Konseling (KIP/K) dalam upaya peningkatan kualitas ANC. Pelatihan ini dilaksanakan selama tiga hari di Puskesmas Kalitidu, diikuti 22 bidan dengan metode ceramah tanya jawab,demonstrasi dan praktik KIP/K. Hasil kegiatan adalah peningkatan kualitas Bidan dalam KIP/K yaitu peningkatan pengetahuan dengan nilai rata-rata post tes 94,55 %, keterampilan KIP/K nilai rata-rata 82,50%, terbentuknya Komitmen Bersama Bidan dalam mendukung mensukseskan kegiatan Bidan tentang KIP&K dalam upaya peningkatan kualitas ANC. Luarannya peningkatan kualitas Bidan, HKI, Modul dan jurnal. Saran: sosialisasi KIP/K pada Bidan yang belum mengikuti pelatihan dan 7 hak ibu hamil pada pelayanan ANC serta menerapkannya dalam pelayanan ANC. Kata kunci: Bidan, KIP/K, Pengabmas, pelatihan.  ABSTRACT The indicators of regularity for antenatal care describe the quality of services for the Maternal and Child Health Program (MCH). In 2019 at the Kalitidu Health Center cThe coverage of Pregnancy Visits (K4) at the Kalitidu Health Center has not reached the 100% target, which is 91%. The target for pregnancy complications is 15-20%, achieved 40.96% and delivery complications 44.17%. The Infant Mortality Rate (IMR) is 8.13/1000 KH. Meanwhile, 20 midwives in the Kalitidu Community Health Center have not attended KIP/K training (90.91%) out of 22 midwives. ANC quality. This training was held for three days at the Kalitidu Health Center, attended by 22 midwives with a question and answer lecture method, demonstration, and KIP/K practice. The result of the activity is an increase in the quality of Midwives in KIP/K, namely an increase in knowledge with an average post-test score of 94.55%, KIP/K skills an average score of 82.50%, the formation of a Joint Commitment of Midwives in supporting the success of Midwives' activities on KIP&K in an effort to improve the quality of ANC. The output is improving the quality of midwives, HKI, modules, and journals. Suggestion: socialization of KIP/K to midwives who have not attended training and 7 rights of pregnant women in ANC services and apply them in ANC services. Keywords: Midwife, KIP/K, Community Service, training.

scholarly journals Improved health education for pregnant women in performing antenatal care in the COVID-19 pandemic

2021 ◽  
Vol 6 (4) ◽  
pp. 526-533
Author(s):  
Lestari Sudaryanti ◽  
Amellia Mardhika ◽  
Arina Qona’ah ◽  
Anestasia Pangestu Mei Tyas ◽  
Muhammad Ardian Cahya Laksana
Keyword(s):  
High Risk ◽  
Health Education ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Service ◽  
Human Life ◽  
Global Pandemic ◽  
Score Card ◽  
Post Test ◽  
Level Of Knowledge

COVID-19 has been declared by WHO as a global pandemic. COVID-19 affects various lines of human life, especially the health aspect. East Java has ranked second in the COVID-19 cases in Indonesia. One of the efforts made to reduce the spread of COVID-19 is through clean and healthy activities and behaviors stay at home causes people to be limited in their activities except for very important purposes, especially activities for pregnant women. Pregnant women must and should carry out regular antenatal care checks. COVID-19 causes anxiety problems and worries for pregnant women to leave the house, including having pregnancy checks. But the mother is also worried about the condition and development of the fetus. This will increase the risk of maternal and infant mortality and the SDGs target in the third objective will not be met. This community service aims to provide knowledge related to antenatal care to high-risk using Poedji Rochyati Score Card (score 6-10) and very high-risk pregnant women (score 12) during the COVID-19 period. The method used in the implementation of this community service is material from resource persons, implementation of health education, and evaluation. The pregnant women were very enthusiastic about participating in this event, it was seen from the questions given to the team and vice versa. The results of the questionnaire show that there are differences in the level of knowledge of pregnant women for pre-test and post-test.

scholarly journals Prevalence and Correlates of Pregnancy Self-Testing Among Pregnant Women Attending Antenatal Care in Western Kenya

2020 ◽  
Author(s):  
Nina Njeri Nganga ◽  
Julia Dettinger ◽  
John Kinuthia ◽  
Jared Baeten ◽  
Grace John-Stewart ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Sub Saharan Africa ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Western Kenya ◽  
Self Testing ◽  
Sub Saharan ◽  
Exposure Prophylaxis

Abstract In sub-Saharan Africa little is known about how often women use pregnancy self-tests or characteristics of these women despite evidence that pregnancy self-testing is associated with early antenatal care (ANC) attendance. Understanding the characteristics of women who use pregnancy self-tests may facilitate early access to ANC and preventive interventions in pregnancy. We conducted a cross-sectional survey on an ongoing pre-exposure prophylaxis (PrEP) implementation study which enrolled pregnant women to determine the prevalence and factors associated with pregnancy self-testing among women in western Kenya. Overall in our study population, the prevalence of pregnancy self-testing was 22% and higher among women who were employed, currently in school, had previous pregnancy complications, received services from urban health facilities, and had partners who had at least attended secondary school. The most reported reasons for non-use of pregnancy self-tests included not thinking it was necessary, lack of knowledge, and lack of money to pay for the test. Future research should focus on understanding the knowledge and attitudes of women toward pregnancy self-testing.

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