Determinants In HIV Counselling And Testing In Couples In North Rift Kenya

Ayuo, Paul; Were, Edwin; Wools-Kaloustian, K; Baliddawa, Joyce; Sidle, John E.; Fife, Kenneth H.

doi:10.4314/eamj.v86i2.46940

Cited by 2 publications

(3 citation statements)

References 15 publications

(19 reference statements)

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“…This finding is consistent with observation by Ayuo et al (2009) that voluntary HIV counselling and testing is important in the fight against HIV/AIDS. Couple counselling and testing is, therefore, important in ensuring that couples know their status and plan accordingly in their marriage.…”

Section: Discussionsupporting

confidence: 93%

Unmasking Remarriage Practices of Surviving Spouses in the Midst of the HIV/AIDS Pandemic

Maphosa¹,

Maphosa²

2014

MJSS

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Section: Discussionsupporting

confidence: 93%

Unmasking Remarriage Practices of Surviving Spouses in the Midst of the HIV/AIDS Pandemic

Maphosa¹,

Maphosa²

2014

MJSS

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“…This may have resulted in increased awareness on CHTC among the participants. According to Ayuo et al 2009, CHTC awareness was found to increase the uptake of CHTC in a study conducted in Kenya on the determinants in HIV counselling and testing in couples [ 14 ]. The qualitative findings of the study demonstrated that the increased awareness on the benefits of CHTC influenced clients to initiate discussions with their partners on mutual testing and disclosure of HIV.…”

Section: Discussionmentioning

confidence: 99%

“…Factors associated with high uptake of CHTC include prior discussions on HTC with partner, awareness of CHTC benefits, availability of time to test as a couple, positive attitude of service providers, and short distance to testing facility, partner invitation for CHTC uptake and follow-up/tracing of partners for uptake of CHTC [ 10 – 12 ]. Factors associated with low uptake of CHTC include conflicting work schedules, fear of negative outcomes of disclosure, unwillingness of partner to test, low risk perception of HIV infection, prior testing of HIV, marital status, and lack of CHTC awareness [ 11 , 12 , 14 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

Use of a counsellor supported disclosure model to improve the uptake of couple HIV testing and counselling in Kenya: a quasi-experimental study

Kababu

Sakwa²,

Karuga

et al. 2018

BMC Public Health

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BackgroundHeterosexual couples account for 44% of new HIV infections in Kenya and there’s low awareness of self and partner HIV status. Different strategies have been employed to promote couple HIV testing and counselling (CHTC). Despite this, HIV incidence among couples continues to rise. This study sought to assess the use of a counsellor-supported disclosure (CSD) model in enhancing the uptake of CHTC and the factors that were associated with it.MethodsA pre-post quasi experimental study design with an intervention and a comparison arm was utilized. The study was conducted in Nairobi, Nakuru, Kisumu, and Homa Bay counties in Kenya. A total of 276 participants were recruited; 149 and 127 in the comparison and intervention arms, respectively. Standard HIV testing & counselling (HTC) was offered in the comparison arm whereas the counsellor-supported disclosure model was administered in the intervention arm. The model empowered index clients to invite their sexual partner for CHTC. Telephone follow-up and subsequent community health volunteer (CHV) follow-up for non-responders were embedded in the model. Semi-structured questionnaires were used to collect data at baseline and 3 months into the study. In-depth interviews were conducted with 15 participants who took up the intervention and 7 of the HTC providers who offered CSD. The quantitative and qualitative data were analyzed using STATA version 13 and NVIVO 10, respectively.ResultsUptake of CHTC was 28% in the intervention arm of the study compared to 7% in the comparison arm (p < 0.001). Participants in the intervention arm of the study had eight times higher odds of taking up CHTC compared to their counterparts. The outcome of the qualitative interviews revealed that the CSD counselling, skills on partner invitation, and follow-up for partner invitation increased the uptake of CHTC. On the other hand, unwillingness to test together with partner, lack of availability to test together as a couple, and provision of the wrong contact information by the participants reduced the uptake of CHTC.ConclusionThe CSD model improved the uptake of CHTC. This model can be integrated into the existing HTC structures to enhance the uptake of CHTC.

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Determinants In HIV Counselling And Testing In Couples In North Rift Kenya

Cited by 2 publications

References 15 publications

Unmasking Remarriage Practices of Surviving Spouses in the Midst of the HIV/AIDS Pandemic

Unmasking Remarriage Practices of Surviving Spouses in the Midst of the HIV/AIDS Pandemic

Use of a counsellor supported disclosure model to improve the uptake of couple HIV testing and counselling in Kenya: a quasi-experimental study

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