Barriers to uptake of early infant HIV testing in Zambia: the role of intimate partner violence and HIV status disclosure within couples

Hampanda, Karen; Nimz, Abigail; Abuogi, Lisa

doi:10.1186/s12981-017-0142-2

Cited by 25 publications

(33 citation statements)

References 31 publications

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“…Another study conducted in Awi Zone, shows that those unwilling to disclose themselves utilized HCT services 38% less than their counterparts (AOR: 0.62; 95% CI: 0.44, 0.88) (27). Another consistent study in Zambia shows, HIV status disclosure to the male partner has higher odds to get families tested (AOR = 13.73, 95% CI: 3.59-52.49, p < 0.001) (32).…”

Section: Discussionmentioning

confidence: 96%

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Assessment of the proportion and the factors associated with partner and family based index case HIV testing in Woliso town, Oromia, Ethiopia: a cross-sectional study

Haile¹,

Gulema²

2020

Preprint

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Background: Despite the enormous expansion of HIV testing services (HTS), an estimated 40% of people with HIV infection remain undiagnosed. In Ethiopia, the current working UNAIDS spectrum estimate for PLHIV is 649,264, of the estimated PLHIV, only about 72% know their status. Methods: A facility based cross-sectional study design with internal comparison was conducted among randomly selected 346 people currently on ART in Woliso town. Data entry carried out by Epi Info™ version 7.2.3.1 and analyzed using SPSS version 21.0 statistical software for Windows.Results: Among 345 study participants, 333 (96.5%) with 95 % CI (94.5 - 98.3) of index cases have tested families. The odds of HIV testing were 7.22 times higher among those who disclosed their HIV status (AOR=7.22 95% CI: 1.45, 35.82) compared to those who did not disclosed. Those who have stayed <12 months on ART are 87% less likely to have tested families (AOR=0.13 95% CI: 0.03, 0.63) compared to those who stayed ≥12 months on ART. Conclusion: this study finding shows that higher proportions of families of index cases have been tested for HIV. It also shows that partner and family based index case HIV testing has significant association with HIV status disclosure of index cases and the length of the duration that the index cases stayed on ART. It is essential to sustain the platform of partner and family based index case HIV testing service through strengthening disclosure counselling and assisting HIV status disclosure in health facilities with fully trained provider and qualified health providers. It also suggests the need to focus on those who received ART for less than 12 months duration and communicate on the timing of HIV testing for HIV negative families with ongoing risk of acquiring HIV.

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Section: Discussionmentioning

confidence: 96%

“…Financial incentives have overcome nancial barriers to identify HIV-infected children in other populations by offsetting direct and indirect costs (31). In Zambia, emotional intimate partner violence and HIV status disclosure to the male partner, may play an important role in maternal uptake of early infant HIV testing (32).…”

Section: Introductionmentioning

confidence: 99%

Assessment of the proportion and the factors associated with partner and family based index case HIV testing in Woliso town, Oromia, Ethiopia: a cross-sectional study

Haile¹,

Gulema²

2020

Preprint

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“…The original aim of the study was to explore the relationship between gender power dynamics and HIV-positive women’s adherence across the PMTCT cascade of care, including ART adherence during and after pregnancy [12], safe infant feeding [13], and pediatric HIV testing [14]. All of the participants from the parent study are included in our sub-analysis, which expands the previous work by exploring status disclosure to male partners as the outcome of interest.…”

Section: Methodsmentioning

confidence: 99%

HIV Status Disclosure Among Postpartum Women in Zambia with Varied Intimate Partner Violence Experiences

Hampanda

Rael

2017

AIDS Behav

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HIV-positive pregnant and postpartum women’s status disclosure to male sexual partners is associated with improved HIV and maternal and child health outcomes. Yet, status disclosure remains a challenge for many women living with HIV in sub-Saharan Africa, particularly those who are fearful of violence. The objective of the present study is to advance the current understanding of the relationship between intimate partner violence against women and their HIV status disclosure behaviors. We specifically evaluate how the severity, frequency, and type of violence against postpartum HIV-positive women affect status disclosure within married/cohabiting couples. A cross-sectional survey was administered by trained local research assistants to 320 HIV-positive postpartum women attending a large public health center for pediatric immunizations in Lusaka, Zambia. Survey data captured women’s self-reports of various forms of intimate partner violence and whether they disclosed their HIV status to the current male partner. Multiple logistic regression models determined the odds of status disclosure by the severity, frequency, and type of violence women experienced. Our findings indicate a negative dose-response relationship between the severity and frequency of intimate partner violence and status disclosure to male partners. Physical violence has a more pronounced affect on status disclosure than sexual or emotional violence. Safe options for women living with HIV who experience intimate partner violence, particularly severe and frequent physical violence, are urgently needed. This includes HIV counselors’ ability to evaluate the pros and cons of status disclosure among women and support some women’s decisions not to disclose.

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“…It has DOI: 10.21522/TIJPH.2013.SE.19.01.Art001 ISSN: 2520-3134 been described that relationship within couple and particularly the HIV status disclosure to the male partner may play an important role in the maternal uptake of early infant HIV testing. Hampanda et al(2017) shows that uptake of early infant HIV testing was associated with female -directed emotional intimate partner violence (aOR 0.41; 95% CI 0.21-0.79; p˂0.01), HIV status disclosure to the male partner (aOR 13.73; 95% CI 3.59-52.49; p˂0.001) (Hampanda, Nimz, & Abuogi, 2017) .…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing the HIV Positivity of Exposed Children in Two Health Facilities in Yaoundé – Cameroon

Maka¹

2019

TIJPH

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AIDS is a pandemic. Over 90% of HIV infections in children less than 15 years are as a result of Mother-to-child transmission (MTCT) and more than 90% of MTCT occur in sub-Saharan Africa. Several strategies have been developed to reduce HIV infections in children, with variable successes. We aimed to understand factors influencing the infant HIV positivity at the operational level of the Cameroonian health system.We carried out a prospective and descriptive study that lasted one year. We followed mother-baby (Zero to 18months) pairs enrolled in PMTCT program in Biyem-Assi and Efoulan district hospitals. We addressed questionnaire and structured interviews to mothers and their caregivers to answer research questions. Data were recorded on excel, and analyzed using SPSS version 23. The Chi square was used to analyze the effect of the level of the education, marital status of the mother on the seropositivity of the exposed child.We recruited 113 HIV exposed children out of which 111 (98.23%) had early infant diagnosis. 7 over 111 children (6.30%) were tested positive, and most of them had low socio-economic situation. We found an association between the sites of the PCR analysis with the sero-status of the HIVexposed child.EID is acceptable in these two health facilities and seropositivity of the child is found mostly among women with low socio-economic status (jobless). Better strategies should increase the family sensitization during perinatal period, to reduce the related cost of EID, and the long waiting time.

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Barriers to uptake of early infant HIV testing in Zambia: the role of intimate partner violence and HIV status disclosure within couples

Cited by 25 publications

References 31 publications

Assessment of the proportion and the factors associated with partner and family based index case HIV testing in Woliso town, Oromia, Ethiopia: a cross-sectional study

Assessment of the proportion and the factors associated with partner and family based index case HIV testing in Woliso town, Oromia, Ethiopia: a cross-sectional study

HIV Status Disclosure Among Postpartum Women in Zambia with Varied Intimate Partner Violence Experiences

Factors Influencing the HIV Positivity of Exposed Children in Two Health Facilities in Yaoundé – Cameroon

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