Missed opportunities for HIV testing among newly diagnosed HIV-infected adults in Abidjan, Côte d'Ivoire

• Published in: PloS one Vol. 12; no. 10; p. e0185117
• Main Authors: Inghels, Maxime, Niangoran, Serge, Minga, Albert, Yoboue, Jean Michel, Dohoun, Lambert, Yao, Abo, Eholié, Serge, Anglaret, Xavier, Danel, Christine
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 04-10-2017; Public Library of Science (PLoS)
• Subjects: Acquired immune deficiency syndrome; Adult; Adults; AIDS; AIDS Serodiagnosis; AIDS Serodiagnosis - utilization; Antiretroviral drugs; Biology and Life Sciences; Blood & organ donations; Blood donors; CD4 Lymphocyte Count; Consultation; Cote d'Ivoire; Drug therapy; Female; Fever; Health care; Health care facilities; Health risks; Herpes zoster; HIV; HIV Infections; HIV Infections - diagnosis; Human immunodeficiency virus; Humans; Indicators; Infections; Infectious diseases; Laboratories; Life Sciences; Male; Medical diagnosis; Medical personnel; Medical tests; Medicine and health sciences; Middle Aged; Patients; Pregnancy; Professionals; Risk groups; Risk taking; Santé publique et épidémiologie; Sexual behavior; Sexually transmitted diseases; STD; Studies; Surveys and Questionnaires; United Kingdom > UK; France
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0185117

HIV testing is crucial for starting ART earlier in HIV-infected people. We describe Missed Opportunities (MO) for HIV testing among adults newly diagnosed with HIV in Abidjan, Côte d'Ivoire.
Between april,2nd 2013 and april 1st 2014, a cross-sectional study was conducted among all adults newly diagnosed (< 1year) for HIV at the Blood Donors Medical Center of Abidjan with face to face questionnaire. An MO for HIV testing was defined as a medical consultation for a clinical indicator (e.g. symptoms, hospitalization, and pregnancy) or a non-clinical indicator (e.g. high-risk sexual behavior, HIV-infected partner) potentially related to an HIV infection but did not lead to HIV test proposal by a health care professional.
Of the 341 patients who attended the center suring this period, 273 (157 women and 116 men) were included in this analysis. 130 (47.6%) reported at least one medical consultation for an indicator relevant for a test proposal between 1 month and five years prior to their diagnosis. Among them, 92 (77.3%) experienced at least one MO for testing. The 273 included patients reported a total of 216 indicators; 146 (67.6%) were reported without test proposal and thus were MO. Hospitalization, extreme lose of weight, chronic or repeat fever and herpes zoster were the indicators with the largest number of MO. While 66 (24.2%) patients experienced non-clinical indicators relevant to risk of HIV infection, only 11 (4.0%) mentioned it to a health professional.
MO for HIV testing are frequent, even in situations for which testing is clearly recommended. Better train healthcare professionals and creating new opportunities of testing inside and, outside of medical settings are crucial to improve HIV control.