Perceived Barriers Toward Provider-Initiated HIV Testing and Counseling (PITC) in Pediatric Clinics: A Qualitative Study Involving Two Regional Hospitals in Dar-Es-Salaam, Tanzania

Rose Marwa, Amani Anaeli Department of Public Health, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar-es- Salaam, TanzaniaCorrespondence: Rose Marwa P.O. Box 78838, Dar-es-Salaam, TanzaniaTel +255 716 482 348Email rmarwa10@gmail.comBackground: Acc...

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Autores principales:	Marwa R, Anaeli A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	pediatric clinics hiv/aids pitc perceived barriers Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/0e2dbe8a2e2445f0ba8cbea704d2e27e
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spelling	oai:doaj.org-article:0e2dbe8a2e2445f0ba8cbea704d2e27e2021-12-02T10:00:47ZPerceived Barriers Toward Provider-Initiated HIV Testing and Counseling (PITC) in Pediatric Clinics: A Qualitative Study Involving Two Regional Hospitals in Dar-Es-Salaam, Tanzania1179-1373https://doaj.org/article/0e2dbe8a2e2445f0ba8cbea704d2e27e2020-03-01T00:00:00Zhttps://www.dovepress.com/perceived-barriers-toward-provider-initiated-hiv-testing-and-counselin-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Rose Marwa, Amani Anaeli Department of Public Health, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar-es- Salaam, TanzaniaCorrespondence: Rose Marwa P.O. Box 78838, Dar-es-Salaam, TanzaniaTel +255 716 482 348Email rmarwa10@gmail.comBackground: According to Provider-Initiated HIV Testing and Counseling (PITC), healthcare providers recommend HIV testing and counseling to persons attending health care facilities as a standard component of medical care. In order to reduce the morbidity and mortality of late Human Immunodeficiency Virus (HIV) diagnosis, timely diagnosis and initiation of ARVs is necessary. This aims to accelerate universal access to HIV prevention, treatment, care, and support services for people living with HIV/AIDS. The present study aimed to explore perceived barriers toward PITC provision in pediatric clinics.Methods: The study had a cross-sectional exploratory study design. In-depth interviews were used to collect data from the informants in Mwananyamala and Temeke hospitals in Dar-es-Salaam. Nineteen informants were recruited purposely for in-depth interviews. All the interviews were audio recorded, transcribed verbatim, and translated from Swahili to English. Lastly, data were analyzed using a thematic analysis approach.Results: The study findings showed six barriers including inadequate training on PITC among healthcare providers, little practice of PITC provision, inability to properly counsel patients due to little knowledge, poor attitude of healthcare providers in providing PITC, shortage of healthcare providers, and little motivation and incentives among healthcare providers. Patient barriers included little understanding of PITC among parents/guardians of children and its importance in terms of their children’s health, absence of parents, overcrowding at clinics, HIV/AIDS stigma, lack of privacy at clinics, and harsh language of some of the healthcare providers. Health facility barriers included inadequate space to provide PITC and shortage of medical equipment and medical supplies for HIV testing. Policy-related barriers included the absence of PITC guidelines in each consultation room.Conclusion: Perceived barriers toward PITC must be understood for effective implementation of PITC to reach 90-90-90 goal. The study identified several barriers which need to be addressed in order to improve PITC provision.Keywords: pediatric clinics, HIV/AIDS, PITC, perceived barriersMarwa RAnaeli ADove Medical Pressarticlepediatric clinicshiv/aidspitcperceived barriersImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 12, Pp 141-150 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	pediatric clinics hiv/aids pitc perceived barriers Immunologic diseases. Allergy RC581-607
spellingShingle	pediatric clinics hiv/aids pitc perceived barriers Immunologic diseases. Allergy RC581-607 Marwa R Anaeli A Perceived Barriers Toward Provider-Initiated HIV Testing and Counseling (PITC) in Pediatric Clinics: A Qualitative Study Involving Two Regional Hospitals in Dar-Es-Salaam, Tanzania
description	Rose Marwa, Amani Anaeli Department of Public Health, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar-es- Salaam, TanzaniaCorrespondence: Rose Marwa P.O. Box 78838, Dar-es-Salaam, TanzaniaTel +255 716 482 348Email rmarwa10@gmail.comBackground: According to Provider-Initiated HIV Testing and Counseling (PITC), healthcare providers recommend HIV testing and counseling to persons attending health care facilities as a standard component of medical care. In order to reduce the morbidity and mortality of late Human Immunodeficiency Virus (HIV) diagnosis, timely diagnosis and initiation of ARVs is necessary. This aims to accelerate universal access to HIV prevention, treatment, care, and support services for people living with HIV/AIDS. The present study aimed to explore perceived barriers toward PITC provision in pediatric clinics.Methods: The study had a cross-sectional exploratory study design. In-depth interviews were used to collect data from the informants in Mwananyamala and Temeke hospitals in Dar-es-Salaam. Nineteen informants were recruited purposely for in-depth interviews. All the interviews were audio recorded, transcribed verbatim, and translated from Swahili to English. Lastly, data were analyzed using a thematic analysis approach.Results: The study findings showed six barriers including inadequate training on PITC among healthcare providers, little practice of PITC provision, inability to properly counsel patients due to little knowledge, poor attitude of healthcare providers in providing PITC, shortage of healthcare providers, and little motivation and incentives among healthcare providers. Patient barriers included little understanding of PITC among parents/guardians of children and its importance in terms of their children’s health, absence of parents, overcrowding at clinics, HIV/AIDS stigma, lack of privacy at clinics, and harsh language of some of the healthcare providers. Health facility barriers included inadequate space to provide PITC and shortage of medical equipment and medical supplies for HIV testing. Policy-related barriers included the absence of PITC guidelines in each consultation room.Conclusion: Perceived barriers toward PITC must be understood for effective implementation of PITC to reach 90-90-90 goal. The study identified several barriers which need to be addressed in order to improve PITC provision.Keywords: pediatric clinics, HIV/AIDS, PITC, perceived barriers
format	article
author	Marwa R Anaeli A
author_facet	Marwa R Anaeli A
author_sort	Marwa R
title	Perceived Barriers Toward Provider-Initiated HIV Testing and Counseling (PITC) in Pediatric Clinics: A Qualitative Study Involving Two Regional Hospitals in Dar-Es-Salaam, Tanzania
title_short	Perceived Barriers Toward Provider-Initiated HIV Testing and Counseling (PITC) in Pediatric Clinics: A Qualitative Study Involving Two Regional Hospitals in Dar-Es-Salaam, Tanzania
title_full	Perceived Barriers Toward Provider-Initiated HIV Testing and Counseling (PITC) in Pediatric Clinics: A Qualitative Study Involving Two Regional Hospitals in Dar-Es-Salaam, Tanzania
title_fullStr	Perceived Barriers Toward Provider-Initiated HIV Testing and Counseling (PITC) in Pediatric Clinics: A Qualitative Study Involving Two Regional Hospitals in Dar-Es-Salaam, Tanzania
title_full_unstemmed	Perceived Barriers Toward Provider-Initiated HIV Testing and Counseling (PITC) in Pediatric Clinics: A Qualitative Study Involving Two Regional Hospitals in Dar-Es-Salaam, Tanzania
title_sort	perceived barriers toward provider-initiated hiv testing and counseling (pitc) in pediatric clinics: a qualitative study involving two regional hospitals in dar-es-salaam, tanzania
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/0e2dbe8a2e2445f0ba8cbea704d2e27e
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Perceived Barriers Toward Provider-Initiated HIV Testing and Counseling (PITC) in Pediatric Clinics: A Qualitative Study Involving Two Regional Hospitals in Dar-Es-Salaam, Tanzania

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