Barriers to accessibility and utilization of HIV testing and counseling services in Tanzania: experience from Angaza Zaidi programme

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dc.contributor.authorMeremo, Alfred
dc.contributor.authorMboya, Beati
dc.contributor.authorNgilangwa, David Paul
dc.contributor.authorDulle, Robert
dc.contributor.authorTarimo, Edith
dc.contributor.authorUrassa, David
dc.contributor.authorMichael, Emillian
dc.contributor.authorGibore, Nyasiro
dc.contributor.authorMpondo, Bonaventura
dc.contributor.authorMchonde, Gabriel
dc.contributor.authorErnest, Alex
dc.contributor.authorNoronha, Rita
dc.contributor.authorIlako, Festus
dc.date.accessioned2023-05-24T08:55:24Z
dc.date.available2023-05-24T08:55:24Z
dc.date.issued2016
dc.descriptionFull text article. Also available at https://doi.org/10.11604/pamj.2016.23.189.5683en_US
dc.description.abstractIntroduction: While HIV testing and counseling (HTC) services remain to be amongst the effective strategies in slowing HIV transmission, its accessibility and uptake in Tanzania is low. In 2011, 50% of adults have been ever tested and received their results. We conducted this study to assess barriers to accessibility and utilization of HTC services in Tanzania. Methods: A mixed methods study was conducted using both quantitative and qualitative approaches. Data were collected in in 9 regions of Tanzania in 2012. Twelve (12) in-depth interviews, 8 Focus Group Discussions and 422 clients were approached for data collection. Quantitative data were entered and analysed using SPSS, proportions were compared using chi-square test. Qualitative data, content analysis approach was used. Results: Overall 422 exit clients were enrolled into the study, 4.9% clients reported spending >2 hours at the HTC centre before they were attended (p<0.0001). Of the 422 clients in our study 5.7 % received HIV testing before getting HIV counseling (p=0.0001). Of those clients who received counseling, 21.8% of reported counseling to be done in a group (p=0.0001). Majority of study participants reported that the counselling sessions were private, with sufficient information, and interactive (p<0.0001). Mobile services clinics, the Post Test Clubs and couple counselling and testing were effective approaches in stimulating demand for and use of HTC services. Conclusion: Findings show that coverage of HTC was high, however long waiting time and lack of confidentiality impeded its accessibility and utilization. We recommend increase of staff and adherence to counselling ethics to safeguard clients' privacy.en_US
dc.identifier.citationMeremo, A., Mboya, B., Ngilangwa, D. P., Dulle, R., Tarimo, E., Urassa, D., ... & Ilako, F. (2016). Barriers to accessibility and utilization of HIV testing and counseling services in Tanzania: experience from Angaza Zaidi programme. Pan African Medical Journal, 23(1).en_US
dc.identifier.otherURL: http://www.panafrican-med-journal.com/content/article/23/189/full/
dc.identifier.otherDOI: https://doi.org/10.11604/pamj.2016.23.189.5683
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3911
dc.language.isoenen_US
dc.publisherThe PAMJen_US
dc.subjectHIV testingen_US
dc.subjectCounseling servicesen_US
dc.subjectTanzaniaen_US
dc.subjectAngaza Zaidi programmeen_US
dc.subjectHIV counseling servicesen_US
dc.subjectCounselingen_US
dc.subjectBarriersen_US
dc.titleBarriers to accessibility and utilization of HIV testing and counseling services in Tanzania: experience from Angaza Zaidi programmeen_US
dc.typeArticleen_US
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