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Brou Alexis Kouadio, Séverine Carillon, Anne Bekelynck

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
    Summary

    Donor and field constraints in Côte d'Ivoire hinder outreach HIV testing quality. Pressure on NGOs compromises testing standards, necessitating a shift towards qualitative evaluation and strategy development for better HIV status awareness.

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    Area of Science:

    • Public Health
    • HIV/AIDS Research
    • International Aid Effectiveness

    Context:

    • Outreach HIV testing is crucial in sub-Saharan Africa for increasing HIV status awareness.
    • Côte d'Ivoire's health districts face challenges in implementing these strategies.
    • Qualitative research explored donor and field-level constraints impacting HIV testing programs.

    Purpose:

    • To analyze the articulation of donor and field constraints on outreach HIV testing implementation in Côte d'Ivoire.
    • To understand how external pressures and local realities affect HIV testing services.

    Summary:

    • Implementing organizations face pressure to meet unattainable donor objectives, leading to insufficient training and funding.
    • This pressure results in non-adherence to the "three Cs" (counselling, informed consent, confidentiality) and testing of off-target populations.

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  • NGOs experience constraints from international aid structures and local contextual factors, impacting service quality.

    • Impact:

    • The quality of HIV testing services is negatively affected by multilevel pressure on implementing NGOs.
    • There is a critical need for a more qualitative approach in defining strategies and evaluation criteria for HIV testing programs.
    • Findings highlight the importance of aligning donor expectations with local realities for effective HIV outreach.