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Title: An Outcome Evaluation of PITC (Provider Initiated HIV Testing and Counselling) Program at Ingutsheni Central Hospital in Bulawayo.
Authors: Ndlovu, Vusumuzi
Keywords: Provider Initiated HIV Testing and Counselling (PITC)
Health Belief Model (HBM)
Interactive Decision Model (IDM)
Normalization Process Theory (NPT)
Issue Date: May-2016
Publisher: Lupane State University.
Abstract: This is an evaluation report on the outcomes of PITC program that has been implemented at Ingutsheni central hospital for the period 2011 to 2015. The intent of the study was to evaluate firstly the level of effectiveness and outcome achievement of PITC in terms of access and acceptance of PITC and to test results, Linkages to treatment, care and support services; and integration or normalization issues, Behavioral outcomes of PITC program and secondly the health systems-related challenges associated with implementation and expanding PITC program, as well as, thirdly the strategies for leveraging resources to maximize the outcomes and sustainability of PITC program at the institution. The evaluator used a qualitative- quantitative phonological approach to the evaluation utilizing an exploratory- descriptive field study design. The evaluation is grounded on theory based evaluation approach as its theoretical linchpin, with three social sciences theories underpinning its outcome assumptions, these are: the Health Belief Model (HBM), the interactive Decision Model (IDM) theory and the Normalization Process Theory (NPT). The purposive and convenience non- probability sampling was used to come up with a sample of 23 clients (semi structured interview respondents), 15 health care workers (questionnaire respondents), 5 key informants. Data collection methods used included key informant interviews, semi structured interviews, and self- administered questionnaire and secondary data sources (documents review). Data analysis for quantitative data was through SPSS version 21 and MS Excel 2013, and qualitative data it was through content analysis so as to come up with inferences, speculation and reason. The evaluation study established that the program was not only effective in increasing awareness, access and uptake of testing services to the clients, but also viewed as necessary part of health care delivery system by both the client and health care wonder (program implementers). Also the evaluation established that the program was successful to a greater extent to achieve its short- medium term outcomes of increased uptake of treatment, care and psycho social support services such as HAART initiation, STIs screening and psycho social support through continuous counselling as result of increased number of clients knowing their status. The medium-long term outcomes such as behaviour change, risk reduction measures/behaviour, consistent correct condom use, reduction in HIV prevalence, mortality and morbidity as well as increased quality of life were beyond scope of this evaluation, thus the evaluator recommends that an in depth longitudinal evaluation study be carried out to establish these medium-long term outcomes specific to PITC and particularly in mentally ill population groups.
Appears in Collections:Department of Development Studies

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