Routine HIV testing in Botswana: A population-based study on attitudes, practices, and human rights concerns
2006

Routine HIV Testing in Botswana: A Study on Attitudes and Practices

Sample size: 1268 publication Evidence: moderate

Author Information

Author(s): Weiser Sheri D, Heisler Michele, Leiter Karen, Percy-de Korte Fiona, Tlou Sheila, DeMonner Sonya, Phaladze Nthabiseng, Bangsberg David R, Iacopino Vincent

Primary Institution: Physicians for Human Rights, Cambridge, Massachusetts, United States of America

Hypothesis

What are the attitudes and practices regarding routine HIV testing in Botswana after its implementation?

Conclusion

Routine HIV testing is widely supported in Botswana and may help reduce barriers to testing.

Supporting Evidence

  • 81% of participants were in favor of routine testing.
  • 89% believed routine testing would decrease barriers to testing.
  • 60% thought it would reduce HIV-related stigma.
  • 93% believed it would increase access to antiretroviral treatment.
  • 48% of participants reported having been tested for HIV.

Takeaway

Most people in Botswana think routine HIV testing is a good idea and believe it will help more people get tested for HIV.

Methodology

A cross-sectional, population-based study using structured surveys among 1,268 adults from five districts in Botswana.

Potential Biases

Self-reporting may introduce bias, and the policy was not uniformly implemented across all medical facilities.

Limitations

The study's cross-sectional design limits causal inferences, and results may not be generalizable to all of Botswana.

Participant Demographics

Adults aged 18-49 from five districts in Botswana, with a seroprevalence of 37% among adults.

Statistical Information

Confidence Interval

AOR = 1.5, 95% CI = 1.1–1.9; AOR = 2.0, 95% CI = 1.5–2.7; AOR = 1.9, 95% CI = 1.3–2.7; AOR = 1.6, 95% CI = 1.1–2.5; AOR = 0.7, 95% CI = 0.5–0.9; AOR = 0.59, 95% CI = 0.45–0.76

Digital Object Identifier (DOI)

10.1371/journal.pmed.0030261

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