Disclosure of Hiv status to sexual partners among people who ...

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700 600 500 400 300 200 100 Table 2. Sexual Behaviour among clients on ART in TASO Tororo (Bunnell, Ekwaru, Solberg, Wamai, Bikaako-Kajura & Were, 2006). Sexual Behavior Among People on ART in TASO HBAC, Tororo (N=992) Baseline 6 Months P- value Men: Sexually Active 47% 53% 0.2 Unprotected sex 21% 11% 0.004 Sexual desire 2% 38%
1.6 Problem Statement With the evidence of increased sexual activity and low disclosure among clients on ART, there is growing concern about likely increase in HIV (UAC, 2006). TASO management, staff and clients’ representatives on the TASO governance structure have acknowledged the need for interventions to improve disclosure of sero-status to sexual partners. However, it is not clear what individual, social- cultural, service/environmental or socio- economically related factors drive inhibition to disclosure of sero-status among ART clients at TASO. There is need for an in-depth exploration of the processes people living with HIV use to make disclosure decisions to sexual partners and the factors that promote or hinder disclosure of sero status to the sexual partners. It is therefore important to explore the context that influences decisions regarding HIV disclosure to the sexual partners among TASO Mulago clients on ART. This might avail more information that might provide a deep understanding of the situation within TASO and inform management in policy development as well as guide the counsellors and other health service providers in the development of interventions addressing sexual health among TASO clients on ART in relation to HIV disclosure to sexual partners. 1.7 Study Aim and Objectives The aim of the study was to explore and describe disclosure of HIV status to sexual partners among HIV positive persons receiving ART at TASO Mulago, in Kampala, Uganda. Specific objectives of the study were: 1) To describe disclosure behaviour among clients on ART in TASO Mulago. 2) To explore enabling factors for disclosure among ART clients. 3) To explore barriers to disclosure among ART clients. 4) To make recommendations for interventions to improve disclosure behaviour to sexual partners among TASO Mulago ART client 10
Page 1 and 2: DISCLOSURE OF HIV STATUS TO SEXUAL
Page 3 and 4: ABBREVIATIONS AND ACRONYMS AIDS - A
Page 5 and 6: While strategies like HBHCT and cou
Page 7 and 8: ACKNOWLEDGEMENTS I am grateful to t
Page 9 and 10: 4.5.2 Fear of abandonment .........
Page 11 and 12: partners, behavioural dis-inhibitio
Page 13 and 14: engage in preventive behaviours as
Page 15 and 16: opportunistic infections and ART, i
Page 17: Mulago centre had registered 270 di
Page 21 and 22: 2.2 Benefits of HIV Status Disclosu
Page 23 and 24: approaches including suggesting tha
Page 25 and 26: that people selectively disclose in
Page 27 and 28: Length of time after testing Women
Page 29 and 30: clients who are on antiretroviral t
Page 31 and 32: Stigma and discrimination The stigm
Page 33 and 34: 2001) had fear of the partners’re
Page 35 and 36: gender based violence as well as du
Page 37 and 38: & Ezzy, 2005). This was relevant fo
Page 39 and 40: the personal experiences but also g
Page 41 and 42: participants was raised to the grou
Page 43 and 44: methods besides the data recorded,
Page 45 and 46: CHAPTER 4: RESULTS 4.1 Description
Page 47 and 48: The other common reason for taking
Page 49 and 50: Although most of the participants w
Page 51 and 52: 4.3.2 Timing of disclosure Disclosu
Page 53 and 54: I thought he would probably blame m
Page 55 and 56: 4.4.1. Desire for partner to get tr
Page 57 and 58: In the FGD a female participant who
Page 59 and 60: Some men particularly are afraid to
Page 61 and 62: Some male participants commented th
Page 63 and 64: so that she too could come and they
Page 65 and 66: [Female, 36 years, has a steady par
Page 67 and 68: [Female, 42 years, married] Even th
Page 69 and 70:
consequences of disclosure among se
Page 71 and 72:
esults (Maman et al., 2003; Kassaye
Page 73 and 74:
fear of stigma and discrimination.
Page 75 and 76:
them and emulate the good examples.
Page 77 and 78:
• Couples should be encouraged to
Page 79 and 80:
Brou, H., Djohan, G., Becquet, R. A
Page 81 and 82:
Greene, K., Derlega, V. J., Yep, G.
Page 83 and 84:
Kitzinger, J. (1994). The Methodolo
Page 85 and 86:
Mugenyi, K., Kabasinguzi, R., & Ali
Page 87 and 88:
Prevention with Positives Committee
Page 89 and 90:
Annual Report, 2007. Kampala, Ugand
Page 91 and 92:
choose not to. The research is tryi
Page 93 and 94:
Appendix 2 UNIVERSITY OF THE WESTER
Page 95 and 96:
A3. Date of interview: ____________
Page 97 and 98:
A2. Interviewee Identification Numb
Page 99:
The counsellors at the different TA
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