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

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3.8 Study Limitations The study was conducted in one centre among TASO clients on ART; the findings may not be generalisable (transferable) to all TASO clients in particular and may not be representative of HIV infected individuals not enrolled in any HIV/AIDS care organisation or all people living with HIV in general. However, they present a documentation of the range of the experiences of disclosure /non-disclosure to sexual partners of some TASO Mulago clients on ART living in both rural and urban sites during disclosure of sero-status within TASO Mulago catchment area. The sample size was limited due to time and money considerations thus could not pursue data collection until data saturation. Nevertheless, the aim was to capture the range of views and experiences, rather than produce an exhaustive account, which is used in theory development. The study also focused on people living with HIV on ART who had already been counselled for more than one year. Clients who had just known their HIV status did not participate in the study. However, the findings provide an indication of the challenges faced when HIV positive people try to disclose their status to sexual partners. While the researcher had expected to conduct the study in English only as per the protocal, there were some participants who were not very comfortable being interviewed in English due to their literacy levels. Most of the clients at this centre do not have a high level of education. 35
CHAPTER 4: RESULTS 4.1 Description of Study Participants The study involved 22 purposively selected participants, 11 male and 11 female, who are clients of TASO Mulago on ART. 14 of the participants were interviewed individually while 8 took part in a focus group discussion. In the study, over half (15 or 68%) of the study participants were between 30 and 49 years of age. Most participants (16 or 73%) had at least primary and some part of secondary level education. The majority of participants who stopped at primary level were female (6 out of 11) and only two male participants had attained tertiary education (Table 1). Fourteen participants were married, of which two were in polygamous relationships and three in discordant relationships; six (27%) were co-habiting and two (9%) had a steady partner (Table 1). All the married participants disclosed their HIV status to their partners; while only one participant who was cohabiting disclosed to her partner. None of the participants who had steady a partner disclosed. Table 1: Demographic characteristics of study participants Characteristic Male Female Total Age (Years) 20-29 3 2 5 30-39 2 6 8 40-49 4 3 7 50-59 2 - 2 Total participants 22 Education Primary 4 6 10 Partly Secondary 3 3 6 Completed Secondary 2 2 4 University 2 - 2 Total participants 22 Marital status Married 8 6- 14 (1-Polygamous) (1Polygamous) Cohabiting 2 (Not disclosed) 4 (3 Not disclosed) 6 Steady Relationship 1 (Not disclosed) 1(Not disclosed) 2 Total Participants 22 36
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 and 18: Mulago centre had registered 270 di
Page 19 and 20: 1.6 Problem Statement With the evid
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: methods besides the data recorded,
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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