Barriers to and acceptability of provider-initiated HIV testing and counselling and adopting HIV-prevention behaviours in rural Uganda: A qualitative study

Kiene, Susan M.; Sileo, Katelyn M.; Wanyenze, Rhoda K.; Lule, Haruna; Bateganya, Moses; Jasperse, Joseph; Nantaba, Harriet; Jayaratne, Kia

doi:10.1177/1359105313500685

Cited by 18 publications

(22 citation statements)

References 31 publications

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“…These findings mimic our previous qualitative work in this same Ugandan clinical setting; despite women’s interest in getting their partners to test, women expressed difficulty in convincing them to do so (54, 55). Consistent with other research in Uganda (35), in our prior qualitative work, both men and women cited men’s fear of HIV stigma, of losing sexual partnerships if testing positive, and feeling the clinic was a place for women and not men as major barriers to male testing (54, 55).…”

Section: Discussionsupporting

confidence: 83%

“…Consistent with other research in Uganda (35), in our prior qualitative work, both men and women cited men’s fear of HIV stigma, of losing sexual partnerships if testing positive, and feeling the clinic was a place for women and not men as major barriers to male testing (54, 55). The gender disparities observed in the present study in getting partners to test may also be a result of upstream cultural norms related to men’s higher social status.…”

Section: Discussionsupporting

confidence: 82%

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How Do We Get Partners to Test for HIV?: Predictors of Uptake of Partner HIV Testing Following Individual Outpatient Provider Initiated HIV Testing in Rural Uganda

et al. 2017

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In a sample of outpatients (152 females, 152 males) receiving individual provider-initiated HIV testing and counselling (PITC) we aimed to identify factors associated with subsequent uptake of partner HIV testing. Purposively sampled outpatients receiving PITC at a Ugandan hospital completed a questionnaire immediately prior to testing for HIV, and then at 3 and 6 months post-test. By 6-month follow-up 96% of participants reported disclosing their HIV test results to their partner and 96.4% reported asking their partner to test. 38.8% of women and 78.9% of men reported that their partner tested and they knew their results. Recent (men: AOR 5.84, 95.0% CI 1.90–17.99; women AOR 6.19, 95.0% CI 2.74–13.59) or any previous testing by the partner (women: AOR 4.01, 95% CI 1.06–15.10) predicted uptake of partner testing by the 6-month follow-up. Among women, perceiving greater social support from their partner, which perhaps reflects better relationship quality, was predictive of their male partner testing for HIV (AOR 2.37, 95% CI 1.22–4.58). Notably intimate partner violence showed no negative association with partner testing. Our findings demonstrate that women are at a disadvantage compared to men in their ability to influence their partner to test for HIV, and that improving social support in intimate relationships should be a focus of HIV partner testing interventions. However, more research on interventions to improve partner testing is needed, particularly in identifying effective ways to support women in engaging their partners to test.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 82%

How Do We Get Partners to Test for HIV?: Predictors of Uptake of Partner HIV Testing Following Individual Outpatient Provider Initiated HIV Testing in Rural Uganda

et al. 2017

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“…Focus groups were conducted by an experienced facilitator in Luganda using standard focus group procedures [29] and following a protocol adapted from prior work by the research team in Uganda [30]. Initial meetings with key informants in the community also informed development of the protocol, including local council leaders and other local experts.…”

Section: Methodsmentioning

confidence: 99%

“Such Behaviors Are Not in My Home Village, I Got Them Here”: A Qualitative Study of the Influence of Contextual Factors on Alcohol and HIV Risk Behaviors in a Fishing Community on Lake Victoria, Uganda

Sileo

Kintu²,

Chanes-Mora

et al. 2015

AIDS Behav

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In Uganda, elevated HIV prevalence in fishing communities along Lake Victoria have been attributed in part to heavy alcohol use, but qualitative research is needed to understand the contextual factors influencing alcohol and sexual risk. Eight focus group discussions were conducted (N=50; 23 male, 27 female) in Gerenge, Uganda with five occupational groups: fishermen, fishmongers, alcohol-sellers, commercial sex workers (CSWs), and restaurant owners. Data was analyzed using content analysis. Alcohol use was prevalent, and said to influence risky sex. Sex-related alcohol expectancies and occupational factors influenced individuals to drink during sex and structural factors related to the built environment, economy, and policy were identified as key contributors to both alcohol use and sexual risk in general. The findings highlight alcohol reduction as an important component of HIV/AIDS prevention, and suggest structural interventions should be prioritized in this context.

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“…This view was also reinforced by the counsellors who were interviewed. In a study conducted in Uganda (Kiene et al, 2015), this tendency was testified by users who suggested that counselling should include, besides general information about HIV, more awareness about available treatments and possible their implications.…”

Section: Discussionmentioning

confidence: 99%

Counselling in STD/HIV/AIDS in the context of rapid test: Perception of users and health professionals at a counselling and testing centre in Porto Alegre

Carvalho¹,

Both²,

Alnoch³

et al. 2016

J Health Psychol

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This article discusses the perceptions of professionals and users about counselling practices at a counselling and testing centre in Porto Alegre/RS based on interviews with 27 service users and 14 members of the staff. The following categories emerged from thematic analysis: professionals' perceptions on counselling, users' perceptions on counselling and changes in counselling due to the introduction of rapid test procedures. The results show that, although initially there were some imprecision and apparent contradictions in its use, rapid testing was considered an invitation to rethink practices, bringing service closer to users' needs.

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Barriers to and acceptability of provider-initiated HIV testing and counselling and adopting HIV-prevention behaviours in rural Uganda: A qualitative study

Cited by 18 publications

References 31 publications

How Do We Get Partners to Test for HIV?: Predictors of Uptake of Partner HIV Testing Following Individual Outpatient Provider Initiated HIV Testing in Rural Uganda

How Do We Get Partners to Test for HIV?: Predictors of Uptake of Partner HIV Testing Following Individual Outpatient Provider Initiated HIV Testing in Rural Uganda

“Such Behaviors Are Not in My Home Village, I Got Them Here”: A Qualitative Study of the Influence of Contextual Factors on Alcohol and HIV Risk Behaviors in a Fishing Community on Lake Victoria, Uganda

Counselling in STD/HIV/AIDS in the context of rapid test: Perception of users and health professionals at a counselling and testing centre in Porto Alegre

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