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Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study

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dc.contributor.author Mahendradhata, Y.
dc.contributor.author Ahmad, R. A.
dc.contributor.author Lefèvre, P.
dc.contributor.author Boelaert, M.
dc.contributor.author Van der Stuyft, P.
dc.date.accessioned 2009-01-08T09:17:31Z
dc.date.available 2009-01-08T09:17:31Z
dc.date.issued 2008
dc.identifier.issn 1471-2458
dc.identifier.doi http://dx.doi.org/10.1186/1471-2458-8-385
dc.identifier.other ITG-H1B
dc.identifier.other ITG-H3A
dc.identifier.other ITG-H4A
dc.identifier.other ITG-HLA
dc.identifier.other HEALTH
dc.identifier.other U-EPID
dc.identifier.other ELECTRONIC
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other URL
dc.identifier.other UPD8
dc.identifier.other FTA
dc.identifier.other ABSTRACT
dc.identifier.uri http://hdl.handle.net/10390/2440
dc.description.abstract BACKGROUND: HIV and HIV-TB co-infection are slowly increasing in Indonesia. WHO recommends HIV testing among TB patients as a key response to the dual HIV-TB epidemic. Concerns over potential negative impacts to TB control and lack of operational clarity have hindered progress. We investigated the barriers and opportunities for introducing HIV testing perceived by TB patients and providers in Jogjakarta, Indonesia. METHODS: We offered Voluntary Counselling and Testing (VCT) to TB patients in parallel to a HIV prevalence survey. We conducted in-depth interviews with 33 TB patients, 3 specialist physicians and 3 disease control managers. We also conducted 4 Focus Group Discussions (FGDs) with nurses. All interviews and FGDs were recorded and data analysis was supported by the QSR N6 software. RESULTS: Patients' and providers' knowledge regarding HIV was poor. The main barriers perceived by patients were: burden for accessing VCT and fear of knowing the test results. Stigma caused concerns among providers, but did not play much role in patients' attitude towards VCT. The main barriers perceived by providers were communication, patients feeling offended, stigmatization and additional burden. CONCLUSION: Introduction of HIV testing among TB patients in Indonesia should be accompanied by patient and provider education as well as providing conditions for effective communication. en
dc.language English en
dc.publisher BioMed Central en_US
dc.subject Co-infections en
dc.subject Viral diseases en
dc.subject HIV en
dc.subject AIDS en
dc.subject Bacterial diseases en
dc.subject Tuberculosis en
dc.subject Voluntary counseling and testing (VCT) en
dc.subject VCT en
dc.subject Acceptability en
dc.subject Barriers en
dc.subject Knowledge en
dc.subject Attitudes en
dc.subject Stigma en
dc.subject Accessibility en
dc.subject Indonesia en
dc.subject Asia, Southeast en
dc.title Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study en
dc.type Article-E en
dc.citation.issue 385 en
dc.citation.jtitle BMC Public Health en
dc.citation.volume 8 en
dc.citation.pages 10 en
dc.publisher.place London en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/19014468
dc.identifier.url http://www.biomedcentral.com/1471-2458/8/385
dc.citation.jabbreviation BMC Public Health en


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