Document Detail


Perceived acceptability of home-based couples voluntary HIV counseling and testing in Northern Tanzania.
MedLine Citation:
PMID:  21939369     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is estimated that 5.6% of the Tanzanian population ages 15-49 are infected with HIV, but only 30% of adults have ever had an HIV test. Couples' testing has proven to increase testing coverage and introduce HIV prevention, but barriers include access to testing services and unequal gender dynamics in relationships. Innovative approaches are needed to address barriers to couple's testing and increase uptake of HIV testing. Using qualitative data collection methods, a formative study was conducted to assess the acceptability of a home-based couples counseling and testing (HBCCT) approach. Eligible study participants included married men and women, HIV-infected individuals, health care and home-based care providers, voluntary counseling and testing counselors, and community leaders. A total of 91 individuals participated in focus group discussions (FGDs) and in-depth interviews conducted between September 2009 and January 2010 in rural settings in Northern Tanzania. An HBCCT intervention appears to be broadly acceptable among participants. Benefits of HBCCT were identified in terms of access, confidentiality, and strengthening the relationship. Fears of negative consequences from knowing one's HIV status, including stigma, blame, physical abuse, or divorce, remain a concern and a potential barrier to the successful provision of the intervention. Lessons for implementation highlighted the importance of appointments for home visits, building relationships of confidence and trust between counselors and clients, and assessing and responding to a couple's readiness to undergo HIV testing. HBCCT should addresses HIV stigma, emphasize confidentiality, and improve communication skills for disclosure and decision-making among couples.
Authors:
B Njau; M H Watt; J Ostermann; R Manongi; K J Sikkema
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-09-22
Journal Detail:
Title:  AIDS care     Volume:  24     ISSN:  1360-0451     ISO Abbreviation:  AIDS Care     Publication Date:  2012  
Date Detail:
Created Date:  2012-04-11     Completed Date:  2013-01-15     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  8915313     Medline TA:  AIDS Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  413-9     Citation Subset:  IM; X    
Affiliation:
Kilimanjaro Christian Medical College of Tumaini University, Moshi, Tanzania. biesein2007@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Counseling* / methods,  organization & administration
Emotional Intelligence
Female
Focus Groups
HIV Infections* / diagnosis,  epidemiology,  prevention & control,  psychology
HIV Seropositivity / diagnosis,  epidemiology,  psychology
Health Services Needs and Demand
Home Care Services / organization & administration*
Humans
Interpersonal Relations
Male
Mass Screening* / methods,  organization & administration,  psychology
Middle Aged
Patient Acceptance of Health Care
Rural Health
Social Perception*
Social Stigma
Spouses / psychology*
Tanzania / epidemiology
Grant Support
ID/Acronym/Agency:
5P30 AI064518-04/AI/NIAID NIH HHS; P30 AI064518/AI/NIAID NIH HHS
Comments/Corrections

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