BackgroundDisclosure of HIV status by women to their partners is the backbone for prevention of HIV transmission among couples as well as promotion of the prevention of mother to child transmission of HIV interventions. The aim of this study was to determine the prevalence and factors associated with disclosure of HIV test results by women to their sexual partners following antenatal HIV testing in Kamwokya slum community, Kampala, Uganda.MethodsThis was a population based cross-sectional study carried out from October to November 2011. A total of 408 randomly selected women aged 18–45 years, who had delivered a child within 2 years prior to the study, and had tested for HIV during antenatal care were recruited from Kamwokya community. A standardised interviewer- administered questionnaire was used to collect data. Data was entered into Epidata 2.1b and analysed using SPSS software version 16.0 and StatsDirect version 2.8.0.ResultsOverall 83.8% (95% CI: 79.9- 87.1) of the women reported that they had disclosed their HIV status to their sexual partners. Disclosure was significantly higher among women whose partners had also tested for HIV (OR=24.86, 95% CI: 5.30 - 116.56). Other factors that were associated with disclosure were secondary education or above (OR=2.66, 95% CI: 1.34 - 5.30), having attended 3 or more antenatal care visits (OR=3.62, 95% CI: 1.70 - 7.72), being married/cohabiting (OR=8.76, 95% CI: 4.06 - 18.81) and whether or not they would opt not to disclose a family member’s HIV status (OR=1.61, 95% CI: 1.003 - 2.58). Overall, stigma was not significantly associated with disclosure.ConclusionsDisclosure of HIV test results to sexual partners in this group of women was relatively high. The results suggest that having a sexual partner who had also tested probably made it easier to disclose the woman’s HIV status. Other predictors of disclosure were secondary education and above and having attended more antenatal care visits. These findings suggest the need for promotion of sexual partner HIV testing, improvement of literacy levels of women, and encouragement of women to attend antenatal care, as key factors in promoting disclosure of HIV results.
Postharvest losses (PHL) result in direct food and income losses to farmers and consumers globally. PHL reduction strategies offer unique opportunities to contribute to sustainable food systems for increased food security and farm incomes for more than 200 million food insecure people in sub-Saharan Africa. Lack of empirical information remains a major challenge to operationalization of PHL reduction strategies in many countries of the region. This paper utilizes cross-sectional data to determine the extent and factors that are influencing postharvest losses in the cooking-banana value chain in Uganda. We find that 14.9% of all the cooking bananas that are produced in Uganda suffer postharvest deterioration along the value chain (7.2% of the bananas deteriorate completely and have no residual value, while 7.7% deteriorate partially and are sold at discounted prices), mostly affecting retailers. At farm level, female headed households experience more losses than those headed by males. Household headship, household size, proportion of land allocated to banana production, and monthly banana production are the principal determinants of PHL at farm level. At retail level, such losses are mainly determined by sex of the vendor and group membership. The findings call for comprehensive and gender-responsive PHL reduction strategies.
Effective management of plant health is fundamental for food and income security to meet the growing demands of local and global markets. This however requires farmers' adequate access to quality planting materials under the prevailing contextual and psycho-social factors. This study, anchored in the Unified Theory of Acceptance and Use of Technologies, unravels technology-acceptance factors that influence farmers' intentions to use banana tissue culture planting materials in the control of Banana Xanthomonas Wilt. Data were collected from 248 randomly sampled banana farmers using a structured questionnaire and analyzed using structural equation modelling to examine hypothesized paths in the uptake of banana tissue culture planting materials. Results show that farmer intentions to use tissue culture planting materials are dependent on two constructs: social influence and farmer innovativeness. However, social influence is the main predictor of intentions to use tissue culture planting materials. In particular, farmer innovativeness mediates facilitating conditions and social influence in predicting intentions to use tissue culture planting materials. Thus, this study reveals two factors that influence farmer intentions to use tissue culture planting materials: social influence and farmer innovativeness. The findings imply that social influence and farmer innovativeness are critical in disseminating novel agricultural technologies in Uganda and elsewhere.
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