Table 3 Facilitators, barriers and attitudes to provide HIV testing in CHC (n = 3580)
Total % (95% CI) | Doctors % (95% CI) | Nurses % (95% CI) | |
|---|---|---|---|
Resources needed before HIV testing offered at CHC | |||
- More medical training | 41 (39-43) | 39 (36-41) | 43 (40-45) |
- Guidelines | 19 (18-21) | 19 (17-21) | 19 (17-21) |
- Better support from hospitals | 12 (11-13) | 12 (11-14) | 12 (10-13) |
- Direct hotline to specialists | 3 (3-4) | 3 (2-4) | 3 (3-4) |
- Other | 2 (2-2) | 2 (1-3) | 2 (1-3) |
- Already provide testing | 23 (21-24) | 24 (22-26) | 21 (19-23) |
Worries about offering HIV testing to high-risk populations | |||
- Drive other patients away | 44 (42-46) | 42 (39-44) | 46 (43-48) |
- Patients too difficult to manage | 60 (58-61) | 60 (58-63) | 59 (56-61) |
- Get infected by them | 38 (37-40) | 32 (29-34) | 44 (42-47) |
- Not interested | 6 (5-7) | 6 (5-8) | 6 (5-7) |
- Hate these people | 7 (6-8) | 6 (5-7) | 7 (6-9) |
- Others | 6 (5-7) | 7 (6-8) | 4 (3-5) |
Attitude towards offering HIV testing in CHC | |||
- HIV testing is an important part of healthcare | 81 (79-83) | 83 (81-85) | 84 (82-86) |
- Concerned about costs and reimbursement for HIV testing | 80 (79-82) | 79 (77-81) | 81 (79-83) |
- Concerned that patients will be offended by being offered HIV testing | 83 (82-85) | 83 (81-85) | 83 (81-85) |
- Comfortable discussing HIV testing | 56 (55-58) | 55 (53-58) | 57 (55-60) |
- Patients receive adequate pre-test information for HIV testing | 82 (80-83) | 81 (79-83) | 82 (81-84) |
- Patients received adequate post-test information for HIV testing | 84 (83-85) | 83 (81-85) | 84 (82-86) |
- HIV testing is voluntary | 73 (71-75) | 74 (72-76) | 72 (70-74) |
- Patients do not expect to be offered HIV testing | 64 (62-66) | 65 (62-68) | 63 (60-65) |