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

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[Male, 50 years, cohabiting] This same participant when asked about the ideal condition that would enable him to disclose to the current partner said; Maybe if the counsellors met us as a couple, counselled us and warned her not to talk to anybody and to accept treatment if she tests HIV positive. [Male, 50 years, cohabiting] Some other participants also seemed to prefer taking the HIV test together with the partners because of the advantage of discussing with a counsellor. One participant said: Probably if we took a test together it would be possible for me to disclose. I think after discussing and planning with the counsellor I would be in position to inform her… [Male, 27 years, cohabiting] 4.6.2 Economic independence Women’s economic situation greatly influences their decisions to disclose. This was a key issue identified by the participants during discussions. Most of the female participants’ fear about being abandoned or separating with their partners is based on the fact that they depend on their male partners for their livelihood. One participant when asked what she thought would be an ideal condition for disclosure responded; When I am confident that I can take care of myself and the children if he left me, then can I go ahead and disclose to him [Female, 46 years, cohabiting] Other female participants expressed the dilemma regarding disclosure, the need for economic support and the type of relationships they engage in as a result. A female participant who has not disclosed to the partner remarked; Some women have sex with their partners not because they want it but because they want financial support from these partners they have sex with. It becomes impossible to tell such a partner that you are infected if you hope to remain financially supported. 55
[Female, 36 years, has a steady partner] During the discussion, the male participants also acknowledged that many women are willing to disclose as long as they have their own income so that in case their partners abandon them, they will not be stranded. Most women are economically dependant and as a result can only disclose when they have their own income [Male 40 years old, married polygamous] Another male participant added; When a woman has economic support she can easily disclose; therefore there is need for women economic empowerment [Male 35 years, married] 4.6.3 Peer Support Support from peers is very critical in disclosure; it even favours adherence to treatment. Participants in the FGD reported how they were supported by peers and how they have often persuaded their peers to disclose by sharing their own experiences. Participants who are involved in peer counselling and community sensitisation have made a significant contribution in supporting their peers to disclose as they share their own experiences and other HIV prevention information with them. We personally go to the homes of other clients and support them during disclosure or share our experiences during the peer support group meetings about how we also managed to do the same. I think increased male involvement in our peer support groups will make a lot of difference in reducing HIV transmission because in the groups, we as peers share important information like condom use, Family planning and positive prevention [Male 35 years, Married] Since I disclosed my status in my village, I have supported many of my peers to open up too. I am referred to as the “TASO person” and I have become a 56
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 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: so that she too could come and they
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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