title: [Identification of barriers to routine HIV testing prescription by midwifes and doctors in Guadeloupe].
abstract: OBJECTIVE
  Guadeloupe is the second highest French area for diagnosis and prevalence of HIV infection and AIDS. In October 2009, the French High Health Authority has published guidelines for a more systematic HIV screening. The goal of this study is to identify the limitations in HIV testing prescription by the Guadeloupian prescribers according to these new recommendations.
  
  
  METHODS
  Data were collected with a questionnaire submitted to physicians and midwives after random selection.
  
  
  RESULTS
  Among 285 randomly selected prescribers, 67 midwives and 40 physicians participated from August to December 2010. The main limitations to HIV testing prescription were: a consultation for another purpose, patient or his life style were known, and lack of HIV infection symptoms. Some characteristics of more easily screened patient did not match with those who had been newly diagnosed in Guadeloupe. Finally, both quantitative and qualitative knowledge of these new recommendations was insufficient.
  
  
  CONCLUSIONS
  Implementation of these new testing recommendations should give emphasis to the systematic and annual nature of HIV testing for whole population. It should also insist on distinction between HIV testing and diagnosis of a symptomatic patient.
authors.affiliation: Service de gynécologie-obstétrique, pôle mère-enfants, centre hospitalier universitaire de Pointe-à-Pitre/Abymes, Pointe-à-Pitre cedex, France.
authors.forename: L
authors.initials: L
authors.lastname: Beyssac
authors.forename: P
authors.initials: P
authors.lastname: Kadhel
authors.forename: M-T
authors.initials: MT
authors.lastname: Goerger-Sow
authors.forename: E
authors.initials: E
authors.lastname: Janky
mesh_terms: D015492:AIDS Serodiagnosis; D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis / Q000453:epidemiology; D000328:Adult; D005260:Female; D019430:Guadeloupe / Q000453:epidemiology; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D006284:Health Plan Implementation; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D008880:Midwifery; D010820:Physicians; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011795:Surveys and Questionnaires