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

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
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