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

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DECLARATION I declare that DISCLOSURE OF HIV STATUS TO SEXUAL PARTNERS AMONGST PEOPLE WHO RECEIVE ANTIRETROVIRAL TREATMENT IN KAMPALA, UGANDA is my own work, that it has not been submitted for any degree or examination in any university and that all sources I have used or quoted have been indicated and acknowledged by complete references. Signed by: ________________________________________________ Tina Achilla This _____________________date of ____________________2010 vi
ACKNOWLEDGEMENTS I am grateful to the following people who have contributed in one way or another towards the success of this study. I owe all my gratitude to God Almighty for all His love, care protection, provision and for leading me on during the tough times. Special thanks go to my supervisor Dr Brian van Wyk for the tremendous technical guidance and support from Protocol writing, to the final report. I am very grateful indeed. I wish to express my sincere gratitude to Dr Alex Coutinho who strongly believed that this work could be done and therefore shared the vision. I am grateful to Mr Robert Ochai, TASO Executive Director for all his support as well as Dr Christine Nabiryo, my immediate supervisor for her encouragement. I am equally indebted to the TASO family and other friends like Dr Sara Ssali and Agnes Ssali. I would never have progressed with my UWC studies and specifically this study without the support of my loving family. My love and gratitude go to my husband, Stephen and our children; Victor, Ruth, Gloria & Joshua. Thank you all for praying, for the support and for allowing me to go back and study. I would also like to appreciate all those friends who prayed and supported in one way or the other. May God bless you all. vii
Page 1 and 2: DISCLOSURE OF HIV STATUS TO SEXUAL
Page 3 and 4: ABBREVIATIONS AND ACRONYMS AIDS - A
Page 5: While strategies like HBHCT and cou
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 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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