Barriers and Facilitators to HIV and Viral Hepatitis Testing in Primary Health Care Settings in the Kyrgyz Republic (BarTest): Protocol for a Mixed Methods Study
BackgroundIn the Kyrgyz Republic, it is estimated that 18% of people living with HIV are undiagnosed and more than half are diagnosed late (CD4 lymphocyte count of <350 cells/μL). For viral hepatitis, before 2023, free testing was only available to people living with HIV,...
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JMIR Publications
2025-05-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2025/1/e62929 |
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| author | Ida Sperle Nikolay Lunchenkov Zuridin S Nurmatov Aybek A Bekbolotov Anastassiya Stepanovich-Falke Michael Brandl Olena Kysil Stela Bivol Viviane Bremer Barbara Gunsenheimer-Bartmeyer Sandra Dudareva |
| author_facet | Ida Sperle Nikolay Lunchenkov Zuridin S Nurmatov Aybek A Bekbolotov Anastassiya Stepanovich-Falke Michael Brandl Olena Kysil Stela Bivol Viviane Bremer Barbara Gunsenheimer-Bartmeyer Sandra Dudareva |
| author_sort | Ida Sperle |
| collection | DOAJ |
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BackgroundIn the Kyrgyz Republic, it is estimated that 18% of people living with HIV are undiagnosed and more than half are diagnosed late (CD4 lymphocyte count of <350 cells/μL). For viral hepatitis, before 2023, free testing was only available to people living with HIV, which led to a low testing uptake. A new national program on the elimination of HIV and viral hepatitis infection for the years 2023-2027 recognizes the need to scale up testing to reduce the gap in undiagnosed people in the country.
ObjectiveThis study aimed to identify and describe the most important barriers and facilitators to HIV and viral hepatitis B, C, and D testing from the perspective of health care workers working in primary health care settings in the Kyrgyz Republic.
MethodsA cross-sectional, mixed methods study was conducted in 2 phases. A purposive sampling approach was applied to recruit health care workers in primary health care settings. In phase I, in-depth, semistructured interviews were conducted with 22 participants to gather detailed information about the key barriers and facilitators for testing. We applied a thematic approach for qualitative analysis. The themes identified informed the development of a questionnaire with the main barriers and facilitators for phase II. The questionnaire was distributed electronically, and the target sample size was 400 participants. We performed descriptive analyses of the questionnaire data, reporting the most frequently mentioned barriers and facilitators for HIV and viral hepatitis testing.
ResultsThe study received financial support in the framework of the Global Health Protection Programme by the Federal Government of Germany. Data collection took place in June 2024 for phase I and in November 2024 for phase II. Data analyses and writing up of results will be done in early 2025 and results are expected to be published in spring 2025.
ConclusionsThe results of the study will improve the understanding of existing barriers and facilitators to HIV and viral hepatitis testing in order to increase testing offers and uptake in primary health care settings in the Kyrgyz Republic. Importantly, the findings will inform steps to improve the implementation of the new testing strategy and, ultimately, increase the number of people diagnosed and treated in the Kyrgyz Republic.
International Registered Report Identifier (IRRID)PRR1-10.2196/62929 |
| format | Article |
| id | doaj-art-5d65726c3b024fe38b3f5026cde404d1 |
| institution | DOAJ |
| issn | 1929-0748 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | JMIR Publications |
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| spelling | doaj-art-5d65726c3b024fe38b3f5026cde404d12025-08-20T03:12:53ZengJMIR PublicationsJMIR Research Protocols1929-07482025-05-0114e6292910.2196/62929Barriers and Facilitators to HIV and Viral Hepatitis Testing in Primary Health Care Settings in the Kyrgyz Republic (BarTest): Protocol for a Mixed Methods StudyIda Sperlehttps://orcid.org/0000-0002-8024-582XNikolay Lunchenkovhttps://orcid.org/0000-0001-8567-9240Zuridin S Nurmatovhttps://orcid.org/0000-0003-3481-227XAybek A Bekbolotovhttps://orcid.org/0000-0001-9931-3311Anastassiya Stepanovich-Falkehttps://orcid.org/0000-0003-0113-189XMichael Brandlhttps://orcid.org/0000-0003-2820-5019Olena Kysilhttps://orcid.org/0000-0002-1408-0422Stela Bivolhttps://orcid.org/0000-0002-4711-9100Viviane Bremerhttps://orcid.org/0000-0003-0158-7053Barbara Gunsenheimer-Bartmeyerhttps://orcid.org/0000-0001-6126-7786Sandra Dudarevahttps://orcid.org/0000-0003-1803-704X BackgroundIn the Kyrgyz Republic, it is estimated that 18% of people living with HIV are undiagnosed and more than half are diagnosed late (CD4 lymphocyte count of <350 cells/μL). For viral hepatitis, before 2023, free testing was only available to people living with HIV, which led to a low testing uptake. A new national program on the elimination of HIV and viral hepatitis infection for the years 2023-2027 recognizes the need to scale up testing to reduce the gap in undiagnosed people in the country. ObjectiveThis study aimed to identify and describe the most important barriers and facilitators to HIV and viral hepatitis B, C, and D testing from the perspective of health care workers working in primary health care settings in the Kyrgyz Republic. MethodsA cross-sectional, mixed methods study was conducted in 2 phases. A purposive sampling approach was applied to recruit health care workers in primary health care settings. In phase I, in-depth, semistructured interviews were conducted with 22 participants to gather detailed information about the key barriers and facilitators for testing. We applied a thematic approach for qualitative analysis. The themes identified informed the development of a questionnaire with the main barriers and facilitators for phase II. The questionnaire was distributed electronically, and the target sample size was 400 participants. We performed descriptive analyses of the questionnaire data, reporting the most frequently mentioned barriers and facilitators for HIV and viral hepatitis testing. ResultsThe study received financial support in the framework of the Global Health Protection Programme by the Federal Government of Germany. Data collection took place in June 2024 for phase I and in November 2024 for phase II. Data analyses and writing up of results will be done in early 2025 and results are expected to be published in spring 2025. ConclusionsThe results of the study will improve the understanding of existing barriers and facilitators to HIV and viral hepatitis testing in order to increase testing offers and uptake in primary health care settings in the Kyrgyz Republic. Importantly, the findings will inform steps to improve the implementation of the new testing strategy and, ultimately, increase the number of people diagnosed and treated in the Kyrgyz Republic. International Registered Report Identifier (IRRID)PRR1-10.2196/62929https://www.researchprotocols.org/2025/1/e62929 |
| spellingShingle | Ida Sperle Nikolay Lunchenkov Zuridin S Nurmatov Aybek A Bekbolotov Anastassiya Stepanovich-Falke Michael Brandl Olena Kysil Stela Bivol Viviane Bremer Barbara Gunsenheimer-Bartmeyer Sandra Dudareva Barriers and Facilitators to HIV and Viral Hepatitis Testing in Primary Health Care Settings in the Kyrgyz Republic (BarTest): Protocol for a Mixed Methods Study JMIR Research Protocols |
| title | Barriers and Facilitators to HIV and Viral Hepatitis Testing in Primary Health Care Settings in the Kyrgyz Republic (BarTest): Protocol for a Mixed Methods Study |
| title_full | Barriers and Facilitators to HIV and Viral Hepatitis Testing in Primary Health Care Settings in the Kyrgyz Republic (BarTest): Protocol for a Mixed Methods Study |
| title_fullStr | Barriers and Facilitators to HIV and Viral Hepatitis Testing in Primary Health Care Settings in the Kyrgyz Republic (BarTest): Protocol for a Mixed Methods Study |
| title_full_unstemmed | Barriers and Facilitators to HIV and Viral Hepatitis Testing in Primary Health Care Settings in the Kyrgyz Republic (BarTest): Protocol for a Mixed Methods Study |
| title_short | Barriers and Facilitators to HIV and Viral Hepatitis Testing in Primary Health Care Settings in the Kyrgyz Republic (BarTest): Protocol for a Mixed Methods Study |
| title_sort | barriers and facilitators to hiv and viral hepatitis testing in primary health care settings in the kyrgyz republic bartest protocol for a mixed methods study |
| url | https://www.researchprotocols.org/2025/1/e62929 |
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