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

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Some female clients <strong>who</strong> had been educated about PMTCT during antenatal clinics<br />

experienced discrimination when it came <strong>to</strong> delivery. One participant narrated her<br />

experience.<br />

When I pleaded with the nurse telling her that I preferred <strong>to</strong> deliver by caesarean<br />

section and she refused, I explained <strong>to</strong> her that I was HIV positive and was opting<br />

for surgery in order <strong>to</strong> protect my baby from HIV infection. To my surprise the<br />

nurse <strong>who</strong> had been examining me added another pair <strong>of</strong> gloves <strong>to</strong> the ones she<br />

already had on in order <strong>to</strong> handle me. Can you imagine such discrimination?<br />

That is why some <strong>of</strong> us decide not <strong>to</strong> disclose<br />

[Female, 32 years, married – polygamous relationship]<br />

All the participants in the FGD have disclosed their <strong>status</strong> <strong>to</strong> their current <strong>partners</strong> and are<br />

also publicly open about their <strong>status</strong> in their communities where they spend time<br />

conducting HIV/AIDS education. Nevertheless, they sometimes experience stigma when<br />

members <strong>of</strong> the public confront them and wonder how they can say that they are HIV<br />

positive when they have no signs or symp<strong>to</strong>ms. One participant narrated what community<br />

members tell them.<br />

How do you tell <strong>people</strong> that you are sick when you don’t have any signs? If we<br />

were in your position, we simply would not utter a word about our sero <strong>status</strong><br />

unless we showed signs. Once you disclose, no one will marry you and you will<br />

generally be deprived <strong>of</strong> many things.<br />

The participant then commented:<br />

That is why disclosure for the clients on ARVS and <strong>who</strong> are looking well is a<br />

problem since <strong>people</strong> hardly believe that they are HIV positive.<br />

[Female, 35 years, married]<br />

TASO promotes couple counselling <strong>to</strong> ensure that <strong>partners</strong> <strong>to</strong> registered clients, <strong>who</strong> need<br />

HIV services, can access them. However, stigma interferes with disclosure <strong>to</strong> the <strong>partners</strong><br />

thus limits their access <strong>to</strong> services. A male participant in the FGD narrated the experience<br />

<strong>of</strong> a client <strong>who</strong> after registering with TASO was asked by the counsellor <strong>to</strong> bring his wife<br />

53

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