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

  • Alfred Meremo
  • Beati Mboya
  • David Paul Ngilangwa
  • Robert Dulle
  • Edith Tarimo
  • David Urassa
  • Emillian Michael
  • Nyasiro Gibore
  • Bonaventura Mpondo
  • Gabriel Mchonde
  • Alex Ernest
  • Rita Noronha
  • Festus Ilako

Abstract

Introduction: 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.

Pan African Medical Journal 2016; 23

Author Biographies

Alfred Meremo
Amref Health Africa, Dar es Salaam, Tanzania; School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania; School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
Beati Mboya
Amref Health Africa, Dar es Salaam, Tanzania; School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
David Paul Ngilangwa
Amref Health Africa, Dar es Salaam, Tanzania; School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
Robert Dulle
Amref Health Africa, Dar es Salaam, Tanzania; School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
Edith Tarimo
School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
David Urassa
School of Public Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
Emillian Michael
Amref Health Africa, Dar es Salaam, Tanzania
Nyasiro Gibore
School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
Bonaventura Mpondo
School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
Gabriel Mchonde
School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
Alex Ernest
School of Medicine, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
Rita Noronha
Amref Health Africa, Dar es Salaam, Tanzania
Festus Ilako
Amref Health Africa, Dar es Salaam, Tanzania
Published
2016-07-13
Section
Articles

Journal Identifiers


eISSN: 1937-8688