Practices of Provider-Initiated HIV Testing and Counseling (PITC) remains suboptimal in Côte d’Ivoire. The aim of this survey was to identify the practices and obstacles to PITC among healthcare professionals in Côte d'Ivoire. A nationally representative cross-sectional survey was conducted in 2018 by telephone among three separate samples of midwives, nurses and physicians practicing in Côte d'Ivoire. The number of HIV tests proposed during consultation in the month preceding the survey was collected for each professional. Factors associated with the number of proposed tests were identified through ordinal logistic regression models. A total of 298 midwives, 308 nurses and 289 physicians were interviewed. Midwives proposed the test more frequently, followed by nurses and physicians. Among midwives, a higher number of proposed tests was associated with the perception that HIV testing does not require specific consent compared to other diseases (aOR 4.00 [95% CI 1.37–14.29]). Among nurses, having received HIV training and the presence of community HIV counselors were associated with a higher number of proposed tests (aOR 2.01 [1.31–3.09] and aOR 1.75 [1.14–2.70], respectively). For physicians, the presence of a voluntary testing center was associated with a higher number of proposed tests (aOR 1.69 [1.01–2.86]). PITC practices and barriers differed across professions. Beyond improving environmental opportunities such as dedicated staff or services, strengthening the motivations and capabilities of healthcare professionals to propose testing could improve PITC coverage.

在科特迪瓦，提供者发起的艾滋病毒检测和咨询服务（PITC）的实践仍然不是最理想的。这项调查的目的是在科特迪瓦的医疗保健专业人员中确定PITC的做法和障碍。2018年，通过电话对在科特迪瓦执业的助产士，护士和医生的三个独立样本进行了全国代表性的横断面调查。在调查前一个月的咨询过程中，为每个专业人员收集了建议的HIV检测数量。通过序数逻辑回归模型确定与建议的测试数量相关的因素。总共采访了298名助产士，308名护士和289名医生。助产士更频繁地提出测试要求，随后是护士和医师。在助产士中，与其他疾病相比，更多的建议进行的检测与以下观点有关：艾滋病毒检测不需要特殊同意（aOR 4.00 [95％CI 1。37–14.29]）。在接受过HIV培训和社区HIV辅导员在岗的护士中，建议的检测数量更高（分别为aOR 2.01 [1.31-3.09]和aOR 1.75 [1.14-2.70]）。对于医生来说，自愿检测中心的存在与大量建议的检测相关（aOR 1.69 [1.01-2.86]）。PITC的做法和障碍因专业而异。除了增加环境机会（例如敬业的员工或服务）之外，增强医疗保健专业人员提出测试的动机和能力还可以扩大PITC的覆盖范围。自愿检测中心的存在与大量建议的检测相关（aOR 1.69 [1.01-2.86]）。PITC的做法和障碍因专业而异。除了增加环境机会（例如敬业的员工或服务）之外，加强医疗保健专业人员提出测试的动机和能力还可以扩大PITC的覆盖范围。自愿检测中心的存在与大量建议的检测相关（aOR 1.69 [1.01-2.86]）。PITC的做法和障碍因专业而异。除了增加环境机会（例如敬业的员工或服务）之外，增强医疗保健专业人员提出测试的动机和能力还可以扩大PITC的覆盖范围。