{"doi":"10.1016/j.puhip.2020.100025","title":"Implementation of blanket provider-initiated testing and counselling: Predictors of HIV seropositivity among infants, children and adolescents in Cameroon","abstract":"Objectives: The number needed to test (NNT) to identify a child infected with HIV remains high in the context of the implementation of the blanket provider-initiated testing and counselling (bPITC) strategy. This study assessed the predictors of HIV seropositivity among outpatient children/adolescents (6 weeks-19 years) in Cameroon. This information is needed to improve the yield of bPITC and reduce the current gap in pediatric and adolescent ART coverage in this country and beyond. Study design: Cross-sectional study conducted in 3 hospitals in Cameroon. Methods: Through biological parents and guardians we systematically invited children and adolescents visiting the outpatient departments for any reason to test for HIV (bPITC) in a 6-month period. Children and adolescents were tested for HIV following the national guidelines and the predictors of HIV seropositivity were assessed using multivariate logistic regression at 5% significant level. Results: A total of 2729 eligible children/adolescents were enrolled. Among these, 90.3% (2465/2729) were tested for HIV. Out of these, 1.6% (40/2465) tested HIV-positive, corresponding to a NNT of 62. In multivariate analysis, HIV seropositivity was 2.5, 3.3, and 5 times more likely to be reported among children/adolescents of the female sex [aOR ​= ​0.4 (0.2-0.8), p ​= ​0.008]; whose fathers had no formal school education [aOR ​= ​0.3 (0.1-0.6), p ​= ​0.004] and those whose mothers had died [aOR ​= ​0.2 (0.0-0.9), p ​= ​0.041], respectively. Conclusions: Focusing HIV testing among female children/adolescents, whose fathers had no education level and whose mothers had died could reduce the NNT, improve the yield of bPITC and increase the pediatric and adolescent ART coverage.","journal":"Public Health in Practice","year":2020,"id":130253,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9133,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":389301,"name":"Denis Nsame","orcid":null,"position":1,"is_corresponding":false},{"id":582970,"name":"Pius B. Kuwoh","orcid":null,"position":2,"is_corresponding":false},{"id":582971,"name":"M.B. Njabon","orcid":null,"position":3,"is_corresponding":false},{"id":422708,"name":"Isidore Sieleunou","orcid":"0000-0001-7264-4540","position":4,"is_corresponding":false},{"id":422709,"name":"Jackson Jr Nforbewing Ndenkeh","orcid":"0000-0003-1437-660X","position":5,"is_corresponding":false},{"id":582972,"name":"Gilbert Tene","orcid":null,"position":6,"is_corresponding":false},{"id":61495,"name":"Peter Memiah","orcid":"0000-0002-3067-188X","position":7,"is_corresponding":false},{"id":422710,"name":"Christopher Kuaban","orcid":"0000-0002-6268-9195","position":8,"is_corresponding":false},{"id":582542,"name":"Marcus Beißner","orcid":"0000-0001-9238-2998","position":9,"is_corresponding":false},{"id":422707,"name":"Habakkuk Azinyui Yumo","orcid":"0000-0001-5192-0964","position":0,"is_corresponding":true}],"reference_count":22,"raw_metadata":null,"created_at":"2026-07-18T23:15:53.196774Z","pmid":"36101680","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}