Related Experiment Video
Updated: Sep 12, 2025
23:56
Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
16.8K
Facilitators and barriers to community-based HIV testing in Guinea: a CFIR-based implementation analysis.
Soriba Camara1,2, Tamba Mina Millimouno1,2, Mory Kourouma1,3
1Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
Frontiers in Public Health
|August 8, 2025
Summary
Community-based HIV testing in Guinea improves access but faces challenges like stock shortages and stigma. Addressing these barriers through better resources and training is key to reaching HIV testing goals.
Area of Science:
- Public Health
- Implementation Science
- HIV/AIDS Research
Background:
- Guinea faces a high rate of undiagnosed HIV, necessitating innovative screening strategies to meet global 95-95-95 targets.
- Community-based HIV testing is recommended by WHO to reach at-risk populations in resource-limited settings.
Purpose of the Study:
- To assess facilitators and barriers to implementing community-based HIV screening in Guinea using the Consolidated Framework for Implementation Research (CFIR).
- To optimize the effectiveness of community-based HIV screening programs.
Main Methods:
- Qualitative descriptive study applying the CFIR framework.
- Conducted 28 in-depth interviews with key stakeholders including people living with HIV, health workers, and community actors.
Main Results:
- Home-based testing facilitated access by reducing logistical and financial barriers.
- Key barriers included stock shortages, confidentiality concerns, stigma, inadequate training and incentives for counselors, and unclear stakeholder roles.
Conclusions:
- Strengthening community-based HIV testing requires consistent resource supply, improved coordination, and adequate counselor incentives.
- Integration into national policies can enhance effectiveness and sustainability for HIV testing in similar settings.
