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首页> 外文期刊>European Journal of Preventive Medicine >High Rate of HIV- Positives in a Surgery Focused Medical Outreach in Jos Nigeria: Lessons from a Provider Initiated HIV Counseling and Testing
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High Rate of HIV- Positives in a Surgery Focused Medical Outreach in Jos Nigeria: Lessons from a Provider Initiated HIV Counseling and Testing

机译：在尼日利亚乔斯，针对以外科手术为主的医疗服务中的艾滋病毒阳性率很高：提供者发起的艾滋病咨询和检测的经验教训

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Background: Despite the multisectoral response to HIV epidemic and the promotion of combination prevention with HIV Counseling and Testing (HCT) as an entry into Treatment, Care and Support, coverage has remained low and certain HIV positive persons continue to witness stigmatization and discrimination.Though strategies to scale up HCT services have largely promoted provider initiated mobile HCT including home testing, we investigated the outcome of a provider initiated faith based organization, Faith Alive Foundation and Hospital located in Jos and its facility based HCT among pre-surgical patients in Jos Plateau state, North Central Nigeria.Methods: We conducted a cross sectional survey among pre-surgical patients at Faith Alive Foundation and Hospital in Jos Plateau state from 16-20th December 2013. Participants were selected by simple random as they presented at the hospital after vital signs and clinical diagnosis. HIV Counseling and Testing was provided according to the National guidelines and standards with the "opt out" algorithm.Data were captured and analyzed on Epi Info 6.04. Cross tabulations were used to generate descriptive statistics including frequency distribution, percentages and Fisher's exact odds ratios at 95% confidence limits with 5% probability level of significance. Results:More than half (56%) of participants were males, 44% were females with a median age of 39 years. HIV seropositive rate was at least two fold higher in females than in male participants and overall HIV positive estimate was 12.2% ( 95%CI, 9.6 - 16.3). In addition, majority (84%) of surgical presentations identified during the outreach were hernia cases (33%), and the rest lipoma (25%), appendicitis (12%) and other forms of lumps (12%). Response rate during the provider initiated pre-surgical HCT "opt-out" design was 100%.Conclusion: Though strategies to scale up HCT services have largely promoted provider initiated mobile HCT, we found high rate of HIV in a provider initiated facility based HCT among pre-surgical patients in Jos, Plateau state of North Central Nigeria with 100% response rate in an "opt-out" design.Therefore, pre-surgical Patient Initiated HIV Testing and Counseling (PITC) is a viable strategy that may significantly contribute towards Universal Access to HIV/AIDS prevention services.
机译：背景：尽管对艾滋病流行采取了多部门应对措施，并通过将艾滋病咨询与检测（HCT）作为治疗，护理和支持的手段来促进联合预防，但覆盖率仍然很低，并且某些HIV阳性患者继续受到污名化和歧视。扩大HCT服务规模的策略在很大程度上促进了医疗服务提供者发起的移动HCT，包括家庭测试，我们调查了医疗服务提供者发起的基于信仰的组织，位于乔斯的Faith Alive Foundation和医院及其基于设施的HCT在手术前患者中的结果。方法：我们于2013年12月16日至20日在Jos Plateau州的Faith Alive基金会和医院的术前患者中进行了一项横断面调查。体征和临床诊断。根据国家指南和标准，使用“选择退出”算法提供了HIV咨询和检测。在Epi Info 6.04上捕获并分析了数据。交叉表用于生成描述性统计信息，包括频率分布，百分比和Fisher精确比值比（在95％置信度限制和5％显着概率水平下）。结果：一半以上（56％）的参与者为男性，女性为44％，中位年龄为39岁。女性的艾滋病毒血清阳性率至少比男性高出两倍，总体艾滋病毒阳性估计值为12.2％（95％CI，9.6-16.3）。此外，在外展期间确定的大多数外科手术表现（84％）是疝气病例（33％），其余的脂肪瘤（25％），阑尾炎（12％）和其他形式的肿块（12％）。由提供者发起的术前HCT“选择退出”设计期间的响应率为100％。结论：尽管扩大HCT服务的策略在很大程度上促进了提供者发起的移动HCT，但我们发现由提供者发起的基于HCT的设施中的艾滋病毒感染率很高在尼日利亚中北部高原州乔斯市的术前患者中，“选择退出”设计的回应率为100％。因此，术前患者发起的HIV检测和咨询（PITC）是可行的策略，可能会做出重要贡献争取普遍获得艾滋病毒/艾滋病预防服务。

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