HIV testing and care in Burkina Faso, Kenya, Malawi and Uganda
Ethics on the ground
Bibliographic Data
| ID | 19517270 |
|---|---|
| Authors | Carla Makhlouf Obermeyer (Film Independent), Shannon Bott (0000-0003-1128-8612, Film Independent), Sarah Bott, Ron Bayer, Alice Desclaux (0000-0002-4268-2818, World Health Organization), Rachel Baggaley (0000-0001-6320-3444, World Health Organization) |
| Year | 2013 |
| Volume | 13 |
| Issue | 1 |
| Pages | 6-6 |
| Publication date | 2013-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMC International Health and Human Rights (JOURNAL) |
| Journal identifiers | ISSN: 1472-698X • E-ISSN: 1472-698X |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/1472-698x-13-6 |
| PMID | 23343572 |
| PMCID | PMC3561258 |
| OpenAlex | W2131960502 |
| Language | EN |
| Citations received | 9 |
| References cited | 108 |
BACKGROUND: The ethical discourse about HIV testing has undergone a profound transformation in recent years. The greater availability of antiretroviral therapy (ART) has led to a global scaling up of HIV testing and counseling as a gateway to prevention, treatment and care. In response, critics raised important ethical questions, including: How do different testing policies and practices undermine or strengthen informed consent and medical confidentiality? How well do different modalities of testing provide benefits that outweigh risks of harm? To what degree do current testing policies and programs provide equitable access to HIV services? And finally, what lessons have been learned from the field about how to improve the delivery of HIV services to achieve public health objectives and protections for human rights? This article reviews the empirical evidence that has emerged to answer these questions, from four sub-Saharan African countries, namely: Burkina Faso, Kenya, Malawi and Uganda. DISCUSSION: Expanding access to treatment and prevention in these four countries has made the biomedical benefits of HIV testing increasingly clear. But serious challenges remain with regard to protecting human rights, informed consent and ensuring linkages to care. Policy makers and practitioners are grappling with difficult ethical issues, including how to protect confidentiality, how to strengthen linkages to care, and how to provide equitable access to services, especially for most at risk populations, including men who have sex with men. SUMMARY: The most salient policy questions about HIV testing in these countries no longer address whether to scale up routine PITC (and other strategies), but how. Instead, individuals, health care providers and policy makers are struggling with a host of difficult ethical questions about how to protect rights, maximize benefits, and mitigate risks in the face of resource scarcity
Alternative medicine · Confidentiality · Economic growth · Harm · Health care · Human rights · Informed consent · Political science · Public health · Public relations · Adolescent Sexual and Reproductive Health · Ethics in Clinical Research · HIV/AIDS Research and Interventions · Law · Medicine · Nursing · Health Policy
HIV stigma and the experiences of young men with voluntary and routine HIV testing
Characterizing a Leak in the HIV Care Cascade
Wealthy and healthy? New evidence on the relationship between wealth and HIV vulnerability in Tanzania
Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso
Challenges in the delivery of public HIV testing and counselling (HTC) in Douala, Cameroon
Understanding client satisfaction with HIV testing and counseling services
Epidemiological profile of individuals diagnosed with HIV
Rewards and challenges of providing HIV testing and counselling services
There was no love there
Barriers to Prevention of Mother-to-Child Transmission of Hiv Services in Uganda
The Uptake and Accuracy of Oral Kits for HIV Self-Testing in High HIV Prevalence Setting
Men who have sex with men and HIV/Aids in sub-Saharan Africa
Shadow on the continent
Retention in HIV Care between Testing and Treatment in Sub-Saharan Africa
Prevention of HIV-1 Infection with Early Antiretroviral Therapy
Equity in HIV testing
Antenatal HIV testing in rural eastern Uganda in 2003
Provider‐initiated Hiv Testing and Counseling in Health Facilities – What Does This Mean for the Health and Human Rights of Pregnant Women
Should Rapid Tests for Hiv Infection Now Be Mandatory During Pregnancy? Global Differences in Scarcity and a Dilemma of Technological Advance
User fees and access to ARV treatment for persons living with HIV/Aids
Determinants of failure to access care in mothers referred to HIV treatment programs in Nairobi, Kenya
Acceptance of HIV testing among women attending antenatal care in south-western Uganda
Assessing male spousal engagement with prevention of mother-to-child transmission (pMTCT) programs in western Kenya
Disclosure of HIV results among discordant couples in Rakai, Uganda
Male involvement in antenatal HIV counseling and testing
A public health dilemma
“They Have Already Thrown Away Their Chicken”
Acceptability and feasibility of infant‐feeding options
Who has access to counseling and testing and anti-retroviral therapy in Malawi – an equity analysis
NGO-provided free HIV treatment and services in Burkina Faso
High acceptance of home-based HIV counseling and testing in an urban community setting in Uganda
Voluntary HIV counselling and testing among men in rural western Uganda
Promotion of couples' voluntary counselling and testing for HIV through influential networks in two African capital cities
Mortality and loss-to-follow-up during the pre-treatment period in an antiretroviral therapy programme under normal health service conditions in Uganda
Is 'Opt-Out HIV Testing' a real option among pregnant women in rural districts in Kenya
Mistrust in marriage-Reasons why men do not accept couple HIV testing during antenatal care- a qualitative study in eastern Uganda
Women's views on consent, counseling and confidentiality in PMTCT
HIV/Aids Stigma and Refusal of HIV Testing Among Pregnant Women in Rural Kenya
Testing differences
Facilitating HIV Disclosure Across Diverse Settings
Opt-out HIV testing during antenatal care
An offer you can't refuse? Provider-initiated HIV testing in antenatal clinics in rural Malawi
Ethical and Public Health Considerations in HIV Counseling and Testing
Gender asymmetry in healthcare-facility attendance of people living with HIV/Aids in Burkina Faso
Working outside of the box
Gender and HIV testing in Burkina Faso
Increasing the acceptability of HIV counseling and testing with three C's
The prevention of mother-to-child HIV transmission programme in Lilongwe, Malawi
Advocating prevention over punishment
Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa
Dynamics of Care, Situations of Choice
| Unique citing works | 9 |
|---|---|
| Citations per year | 0,75 |
| Citation span | 2014 - 2020 (7) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 8 |