Facilitators and barriers to community-based HIV testing in Guinea

A CFIR-based implementation analysis

Dados Bibliográficos

ID22078137
AutoresSoriba Camara, Soriba Naby Camara (0009-0009-8951-078X, Gamal Abdel Nasser University of Conakry, autor correspondente), Tamba Mina Millimouno (0000-0002-4628-1296, Gamal Abdel Nasser University of Conakry), Mory Kourouma (Gamal Abdel Nasser University of Conakry), Abdoulaye Sow (0000-0002-4437-9804, Gamal Abdel Nasser University of Conakry), Sidikiba Sidibé (0000-0002-7905-9042, Gamal Abdel Nasser University of Conakry), Aly Badara Toure (Gamal Abdel Nasser University of Conakry), Aly Badara Nabé (Gamal Abdel Nasser University of Conakry), Alexandre Délamou (0000-0002-9397-7106, Gamal Abdel Nasser University of Conakry)
Ano2025
Volume13
Páginas1593697-1593697
Data de publicação2025-07-24
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1593697
PMID40777655
OpenAlexW4412645204
IdiomaEN
Referências citadas45

Introduction: In Guinea, where 36% of people living with HIV (PLHIV) are unaware of their serostatus, innovative screening strategies are crucial to achieving the joint United Nations Program on HIV/AIDS' 95-95-95 targets. Community-based HIV testing, as recommended by the World Health Organization, aims to reach at-risk populations by leveraging local resources and actors. Using the Consolidated Framework for Implementation Research (CFIR), this study assessed facilitators and barriers to implementing community-based HIV screening across 10 pilot sites in Guinea, with the goal to optimizing its effectiveness. Methods: This qualitative descriptive study applied the CFIR framework to identify factors influencing the implementation of community-based HIV screening and capture the nuanced perspectives of stakeholders. Overall, 28 in-depth interviews were conducted with key participants, including PLHIV, health workers, community-based actors, and members of the national coordination teams. Results: Home-based testing was identified as a key facilitator for improving access to healthcare by reducing financial and logistical barriers. However, several barriers hindered its effectiveness, including frequent stock shortages, concerns about confidentiality and stigma, insufficient training and incentives for community counselors, and the absence of clear protocols defining the roles and responsibilities of stakeholders. Conclusion: The findings emphasize the need to strengthen community-based HIV testing in Guinea by ensuring a consistent supply of essential resources, enhancing coordination among stakeholders, and providing adequate incentives for community counselors. Integrating this approach into national policies could enhance both its effectiveness and sustainability, offering actionable insights for adapting HIV testing strategies in similar resource-limited settings

Business · Confidentiality · Facilitator · Family medicine · Implementation research · Incentive · Medical education · Political science · Psychological intervention · Public relations · Qualitative research · Serostatus · Viral load · Adolescent Sexual and Reproductive Health · Health Policy Implementation Science · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology