Exploration of Barriers and Possible Solutions for Nonutilization of Facility-based Integrated Counseling and Testing Center Using the Delphi Technique.
Journal
Indian journal of public health
ISSN: 0019-557X
Titre abrégé: Indian J Public Health
Pays: India
ID NLM: 0400673
Informations de publication
Date de publication:
01 Oct 2023
01 Oct 2023
Historique:
received:
15
11
2022
accepted:
29
10
2023
medline:
27
6
2024
pubmed:
27
6
2024
entrez:
27
6
2024
Statut:
ppublish
Résumé
A major group of the population, especially antenatal checkup (ANC) mothers and their spouses, people admitted for surgery, and people attending STI clinics, are reluctant to pretest counseling. This study has been taken up to explore the barriers and possible solutions to improve the utilization of Facility based integrated counseling and testing center (F-ICTC) counseling services. Phase 1: In-depth interview and ranking with stakeholders from the F-ICTC center (n = 13) were conducted to identify the barriers to utilization of F-ICTC and solution for the same. Phase 2. Delphi panel with experts (n = 17) was invited through mail to find out the potential solution to improve the utilization of F-ICTC counseling services. Possible barriers from the stakeholders' perspectives were fear of the disease, violate the privacy, unacceptance, gender bias, fear of social stigma and discrimination, and neglect attached to the disease. At third round of Delphi experts had arrived at a consensus regarding of following possible potential solutions: 1. Those who refuse pretest counseling they should be asked to answer a set of questions(which are usually told during counseling), only those questions not answered correctly by them can be corrected, 2.conducive hospital environment, 3.zero discrimination policy, 4. group counseling for ANC mothers and patients in waiting area of the hospital,5. phone counseling for unwilling patients and relocation of testing center and health education camping. Context-specific proactive evidence-based intervention will help in improving the proper utilization of the F-ICTC center.
Sections du résumé
BACKGROUND
BACKGROUND
A major group of the population, especially antenatal checkup (ANC) mothers and their spouses, people admitted for surgery, and people attending STI clinics, are reluctant to pretest counseling.
OBJECTIVES
OBJECTIVE
This study has been taken up to explore the barriers and possible solutions to improve the utilization of Facility based integrated counseling and testing center (F-ICTC) counseling services.
MATERIALS AND METHODS
METHODS
Phase 1: In-depth interview and ranking with stakeholders from the F-ICTC center (n = 13) were conducted to identify the barriers to utilization of F-ICTC and solution for the same. Phase 2.
A
UNASSIGNED
Delphi panel with experts (n = 17) was invited through mail to find out the potential solution to improve the utilization of F-ICTC counseling services.
RESULTS
RESULTS
Possible barriers from the stakeholders' perspectives were fear of the disease, violate the privacy, unacceptance, gender bias, fear of social stigma and discrimination, and neglect attached to the disease. At third round of Delphi experts had arrived at a consensus regarding of following possible potential solutions: 1. Those who refuse pretest counseling they should be asked to answer a set of questions(which are usually told during counseling), only those questions not answered correctly by them can be corrected, 2.conducive hospital environment, 3.zero discrimination policy, 4. group counseling for ANC mothers and patients in waiting area of the hospital,5. phone counseling for unwilling patients and relocation of testing center and health education camping.
CONCLUSION
CONCLUSIONS
Context-specific proactive evidence-based intervention will help in improving the proper utilization of the F-ICTC center.
Identifiants
pubmed: 38934833
doi: 10.4103/ijph.ijph_1529_22
pii: 01586002-202367040-00029
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
639-645Informations de copyright
Copyright © 2023 Copyright: © 2023 Indian Journal of Public Health.
Références
De Zoysa I, Phillips KA, Kamenga MC, O’Reilly KR, Sweat MD, White RA, et al. Role of HIV counseling and testing in changing risk behavior in developing countries. AIDS 1995;9 Suppl A: S95–101.
Summers T, Spielberg F, Collins C, Coates T. Voluntary counseling, testing, and referral for HIV: New technologies, research findings create dynamic opportunities. J Acquir Immune Defic Syndr 2000;25 Suppl 2:S128–35.
NACO. Government of India. National HIV Counselling and Testing Services (HCTS) Guidelines; 2016. Available from: https://naco.gov.in/sites/default/files/National%20HIV%20Counselling%20%26%20Testing%20Services%20Guideline%2C%20Dec%202016.pdf. [Last accessed on 2022 Sep 03].
White DA, Scribner AN, Vahidnia F, Dideum PJ, Gordon DM, Frazee BW, et al. HIV screening in an urban emergency department: Comparison of screening using an opt-in versus an opt-out approach. Ann Emerg Med 2011;58:S89–95.
Sankaran JR. Current situation of HIV/AIDS in India and our response. J Indian Acad Clin Med 2006;7:5–13.
UNAIDS. UNAIDS/WHO Policy Statement on HIV Testing; 2007. Available from: http://www.who.int/hiv/pub/vct/en/hivtestingpolicy04.pdf. [Last accessed on 2022 Aug 20].
Mohan R, Ganapathy K, Vinayagamoorthy V. Lost to follow-up during diagnosis (LTFU) of tuberculosis patients: A mixed method study on determinants and potential solutions. Online J Health Allied Sci 2020;19:6.
Tripathi S, Naevor AJ, Henrekin LL, Welke KF. Design and development of daily morning surgical rounds in ICU by quality function deployment. Pediatr Qual Saf 2019;4:e171.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19:349–57.
Kumar A, Kumar P, Gupta M, Kamath A, Maheshwar A, Singh S. Profile of Clients tested HIV positive in a voluntary counseling and testing center of a district hospital, Udupi, South Kannada. Indian J Community Med 2008;33:156–9.
Joardar GK, Sarkar A, Chatterjee C, Bhattacharya RN, Sarkar S, Banerjee P. Profile of attendees in the VCTC of North Bengal medical college in Darjeeling District of West Bengal. Indian J Community Med 2006;31:237–40.
Dixit S, Sahu D, Chandrakar A, Sagar P, Khes P, Kumar S. Profile of Human Immunodeficiency Virus seropositive attending Integrated Counselling and Testing Centre of a Medical College in Chhattisgarh. Int J Med Sci Public Health 2017:6:695–7.
Rout A, Dubey M, Ram R, Biswas N, Chakraborty M, Saha J. Socio-Demographic profile of Attendees of an Integrated counselling and testing centre: A cross-sectional study at a tertiary care hospital of Bihar. JEMDS 2015:4:3238–46.
Motshabi LC, Pengpid S, Peltzer K. HIV counselling and testing utilisation and attitudes of male inmates in a South African prison. SAHARA J 2011;8:107–14.
Mossdorf E, Stoeckle M, Vincenz A, Mwaigomole EG, Chiweka E, Kibatala P, et al. Impact of a national HIV voluntary counselling and testing (VCT) campaign on VCT in a rural hospital in Tanzania. Trop Med Int Health 2010;15:567–73.
Barss P, Grivna M, Ganczak M, Bernsen R, Al-Maskari F, El Agab H, et al. Effects of a rapid peer-based HIV/AIDS educational intervention on knowledge and attitudes of high school students in a high-income Arab country. J Acquir Immune Defic Syndr 2009;52:86–98.
Uys L, Chirwa M, Kohi T, Greeff M, Naidoo J, Makoae L, et al. Evaluation of a health setting-based stigma intervention in five African countries. AIDS Patient Care STDS 2009;23:1059–66.
Jha P, Mills A, Hanson K, Kumaranayake L, Conteh L, Kurowski C, et al. Improving the health of the global poor. Science 2002;295:2036–9.
Coovadia HM. Access to voluntary counseling and testing for HIV in developing countries. Ann N Y Acad Sci 2000;918:57–63.
Nuwaha F. Determinants of choosing public or private health care among patients with sexually transmitted infections in Uganda. Sex Transm Dis 2006;33:422–7.
Dongre AR, Norcini J. Strengths, weaknesses, and suggestions for improvement in postgraduate assessment in community medicine in India: A Delphi study. Indian J Community Med 2021;46:464–8.