PMID- 22032300
OWN - NLM
STAT- MEDLINE
DCOM- 20121119
LR  - 20220321
IS  - 1365-3156 (Electronic)
IS  - 1360-2276 (Linking)
VI  - 17
IP  - 1
DP  - 2012 Jan
TI  - Universal voluntary HIV testing in antenatal care settings: a review of the 
      contribution of provider-initiated testing & counselling.
PG  - 59-70
LID - 10.1111/j.1365-3156.2011.02893.x [doi]
AB  - OBJECTIVE: To assess the contribution of provider-initiated testing and 
      counselling (PITC) to achieving universal testing of pregnant women and, from 
      available data on components of PITC, assess whether PITC adoption adheres to 
      pre-test information, post-test counselling procedures and linkage to treatment. 
      METHODS: Systematic review of published literature. Findings were collated and 
      data extracted on HIV testing uptake before and after the adoption of a PITC 
      model. Data on pre- and post-test counselling uptake and linkage to 
      anti-retrovirals, where available, were also extracted. RESULTS: Ten eligible 
      studies were identified. Pre-intervention testing uptake ranged from 5.5% to 
      78.7%. Following PITC introduction, testing uptake increased by a range of 9.9% 
      to 65.6%, with testing uptake >/=85% in eight studies. Where reported, pre-test 
      information was provided to between 91.5% and 100% and post-test counselling to 
      between 82% and 99.8% of pregnant women. Linkage to ARVs for prevention of mother 
      to child transmission (PMTCT) was reported in five studies and ranged from 53.7% 
      to 77.2%. Where reported, PITC was considered acceptable by ANC attendees. 
      CONCLUSION: Our review provides evidence that the adoption of PITC within ANC can 
      facilitate progress towards universal voluntary testing of pregnant women. This 
      is necessary to increase the coverage of PMTCT services and facilitate access to 
      treatment and prevention interventions. We found some evidence that PITC adoption 
      does not undermine processes inherent to good conduct of testing, with high 
      levels of pre-test information and post-test counselling, and two studies 
      suggesting that PITC is acceptable to ANC attendees.
CI  - (c) 2011 Blackwell Publishing Ltd.
FAU - Hensen, Bernadette
AU  - Hensen B
AD  - Faculty of Infectious Diseases, London School of Hygiene and Tropical Medicine, 
      London, UK. bernadette.hensen@lshtm.ac.uk
FAU - Baggaley, Rachel
AU  - Baggaley R
FAU - Wong, Vincent J
AU  - Wong VJ
FAU - Grabbe, Kristina L
AU  - Grabbe KL
FAU - Shaffer, Nathan
AU  - Shaffer N
FAU - Lo, Ying-Ru Jacqueline
AU  - Lo YR
FAU - Hargreaves, James
AU  - Hargreaves J
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
DEP - 20111027
PL  - England
TA  - Trop Med Int Health
JT  - Tropical medicine & international health : TM & IH
JID - 9610576
RN  - 0 (Anti-HIV Agents)
SB  - IM
MH  - *AIDS Serodiagnosis
MH  - Access to Information
MH  - Anti-HIV Agents/therapeutic use
MH  - *Counseling
MH  - Female
MH  - HIV
MH  - HIV Infections/*diagnosis/prevention & control/transmission
MH  - Humans
MH  - Infectious Disease Transmission, Vertical/*prevention & control
MH  - *Mass Screening
MH  - *Patient Acceptance of Health Care
MH  - Pregnancy
MH  - Pregnancy Complications, Infectious/*diagnosis
MH  - Prenatal Care
MH  - Voluntary Programs
EDAT- 2011/10/29 06:00
MHDA- 2012/12/10 06:00
CRDT- 2011/10/29 06:00
PHST- 2011/10/29 06:00 [entrez]
PHST- 2011/10/29 06:00 [pubmed]
PHST- 2012/12/10 06:00 [medline]
AID - 10.1111/j.1365-3156.2011.02893.x [doi]
PST - ppublish
SO  - Trop Med Int Health. 2012 Jan;17(1):59-70. doi: 10.1111/j.1365-3156.2011.02893.x. 
      Epub 2011 Oct 27.