Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso

Datos Bibliográficos

ID19517239
AutoresAlice Desclaux (0000-0002-4268-2818, Cheikh Anta Diop University, autor de correspondencia), Odette Ky-Zerbo, Odette Ky‐Zerbo (0000-0002-0018-1580), Jean-François Somé (University of Lomé), Carla Makhlouf Obermeyer (American University of Beirut)
Año2014
Volumen14
Número1
Páginas27-27
Fecha de publicación2014-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBMC International Health and Human Rights (JOURNAL)
Identificadores de la revistaISSN: 1472-698X • E-ISSN: 1472-698X
EditorialSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/1472-698x-14-27
PMID25322668
PMCIDPMC4211928
OpenAlexW2098303799
IdiomaEN
Citas recibidas3
Referencias citadas20

BACKGROUND: Campaigns have been conducted in a number of low HIV prevalence African settings, as a strategy to expand HIV testing, and it is important to assess the extent to which individual rights and quality of care are protected during campaigns. In this article we investigate provider and client perceptions of ethical issues, including whether they think that accessibility of counseling and testing sites during campaigns may hinder confidentiality. METHODS: To examine how campaigns have functioned in Burkina Faso, we undertook a qualitative study based on individual interviews and focus group discussions with 52 people (providers and clients tested during or outside campaigns and individuals never tested). Thematic analysis was performed on discourse about perceptions and experiences of HIV-testing campaigns, quality of care and individual rights. RESULTS: Respondents value testing accessibility and attractiveness during campaigns; clients emphasize convenience, ripple effect, the sense of not being alone, and the anonymity resulting from high attendance. Confronted with numerous clients, providers develop context-specific strategies to ensure consent, counseling, confidentiality and retention in the testing process, and they adapt to workplace arrangements, local resources and social norms. Clients appreciate the quality of care during campaigns. However, new ethical issues arise about confidentiality and accessibility. Confidentiality of HIV-status may be jeopardized due to local social norms that encourage people to share their results with others, when HIV-positive people may not wish to do so. Providers' ethical concerns are consistent with WHO norms known as the '5 Cs,' though articulated differently. Clients and providers value the accessibility of testing for all during campaigns, and consider it an ethical matter. The study yields insights on the way global norms are adapted or negotiated locally. CONCLUSIONS: Future global recommendations for HIV testing and counseling campaigns should consider accessibility and propose ways for testing services to respond to new ethical issues related to high demand

Attendance · Business · Confidentiality · Focus group · Political science · Public relations · Qualitative research · Sociology · Thematic analysis · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Marketing