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

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

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4.2 Self- Disclosure Among the fourteen participants interviewed individually, only seven had disclosed their serostatus to the current partner. Of the seven, three disclosed within the same year they found out about their serostatus (1998 and 2007 respectively) while four took about one to three years before they disclosed to the current partner (Table 2). The results show that disclosure to sexual partners was not necessarily related to the time frame within which the participant found out his/ her serostatus. In fact, the participants who were among the first in the group to find out about their serostatus in 1990 and 1996 respectively had not yet disclosed to their current partners. Table 2. Self-disclosure to Current Sexual partner Year tested Disclosed (Year) Not Disclosed 1990 1 1996 1 1998 2 (1998, 1998) 1999 1 (2002) 2001 1 2002 2 (2003,2004) 2003 1 2007 2 (2007, 2008) 1 2008 2 Total 7 7 4. 2.1 Reasons for taking an HIV test Most people decide to test for HIV in reaction to triggers such as long illness or persistent illness episodes. I had been sick and bedridden for two years and my wife who was very committed to me, was looking after me. In 1999, a friend came to see me and encouraged me to go and take an HIV test. [Male, 41 years, married] I first took an HIV test in 2002. During that time I had frequent fever and really wanted to know what was happening in my body. [Male, 50 years, married] 37

The other common reason for taking an HIV test among women was attending antenatal clinic, where routine counselling and testing for pregnant women under the PMTCT programme takes place. I tested HIV positive in 1998 when I was 18 years old while attending an antenatal clinic in Mulago Hospital. [Female, 29 years, married] One participant mentioned that she had not considered the probability of any personal risk to HIV infection since she had been faithful and her husband seemed healthy. I learnt of my status at the Antenatal clinic in Mulago when I was pregnant and we were tested. But I did not believe it because I had never had any other man apart from my husband who also looked healthy. [Female, 32 years, married] Other reasons for testing included death of a spouse or a child, having symptoms like herpes zoster and being urged to take an HIV test by friends or family members. One client who lost two children explained. I had lost my first child earlier but did not consider that the cause of death was HIV related. It was only when I lost my second child that I was advised to go to AIC for HIV testing [Female, 40 years, married] Another client after losing his wife and children and attributing it to witchcraft was convinced to test by a friend. A friend of mine got concerned whenever he found me drunk. He asked me what the problem was and I told him about my aunt bewitching me. He would not buy my story because he was born-again Christian and insisted that I go for an HIV test [Male, 35 years, married. A participant who found out about her serostatus when she went for treatment said. In 2002 I got kisipi ( herpes zoster) and had to go for treatment. The doctor then advised me to take an HIV test and that is when I discovered I was HIV positive. [Female, 36 years, cohabiting] 38

The other common reason for taking an HIV test <strong>among</strong> women was attending antenatal<br />

clinic, where routine counselling and testing for pregnant women under the PMTCT<br />

programme takes place.<br />

I tested HIV positive in 1998 when I was 18 years old while attending an<br />

antenatal clinic in Mulago Hospital. [Female, 29 years, married]<br />

One participant mentioned that she had not considered the probability <strong>of</strong> any personal<br />

risk <strong>to</strong> HIV infection since she had been faithful and her husband seemed healthy.<br />

I learnt <strong>of</strong> my <strong>status</strong> at the Antenatal clinic in Mulago when I was pregnant and<br />

we were tested. But I did not believe it because I had never had any other man<br />

apart from my husband <strong>who</strong> also looked healthy. [Female, 32 years, married]<br />

Other reasons for testing included death <strong>of</strong> a spouse or a child, having symp<strong>to</strong>ms like<br />

herpes zoster and being urged <strong>to</strong> take an HIV test by friends or family members.<br />

One client <strong>who</strong> lost two children explained.<br />

I had lost my first child earlier but did not consider that the cause <strong>of</strong> death was<br />

HIV related. It was only when I lost my second child that I was advised <strong>to</strong> go <strong>to</strong><br />

AIC for HIV testing [Female, 40 years, married]<br />

Another client after losing his wife and children and attributing it <strong>to</strong> witchcraft was<br />

convinced <strong>to</strong> test by a friend.<br />

A friend <strong>of</strong> mine got concerned whenever he found me drunk. He asked me what the<br />

problem was and I <strong>to</strong>ld him about my aunt bewitching me. He would not buy my s<strong>to</strong>ry<br />

because he was born-again Christian and insisted that I go for an HIV test [Male, 35<br />

years, married.<br />

A participant <strong>who</strong> found out about her sero<strong>status</strong> when she went for treatment said.<br />

In 2002 I got kisipi ( herpes zoster) and had <strong>to</strong> go for treatment. The doc<strong>to</strong>r then<br />

advised me <strong>to</strong> take an HIV test and that is when I discovered I was HIV positive.<br />

[Female, 36 years, cohabiting]<br />

38

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