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

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‘counsellor’ in the village. Disclosure helps one avoid many problems. Even my children now know about my status [Male, 40 years, married]. 4.6.4 Involvement of the TASO staff in disclosure Disclosure counselling is one of the key aspects that are handled during the counselling sessions with HIV positive clients who register at TASO Mulago. The issues discussed by the counsellors during the counselling session on disclosure mainly focus on the advantages and disadvantages of disclosure, who to disclose to, and planning for disclosure.The counsellors’ role is important therefore in facilitating disclosure as expressed by some participants. Most participants proposed that the counsellors should visit the clients’ homes and help women disclose to their spouses as well as move from house to house conducting counselling and testing. I would suggest that counsellors plan to visit families and help the women tell their partners or they can ask the women for their spouses’ phone numbers so that they (counsellors) contact them [Female 36 years old, has a steady partner] Another female participant who has not disclosed because she is afraid of her partner’s possible reaction said; I think that if counsellors and doctors moved from house to house conducting home based HIV counselling and testing, maybe some people like my partner would accept to be tested and treated. I realise many of my friends keep quiet in order to avoid conflict at home [Female 46 years old, cohabiting]] One client who at first was shocked by her HIV positive results but was later counselled and encouraged to disclose said: My counsellor has helped me a lot because she even supported me as I told my husband my results. This happened after I had tried on my own and failed. Today we are all happy because he also tested positive and he is being treated. 57
[Female, 42 years, married] Even the male participants also acknowledged that talking to counsellors can prepare them to disclose to their partners. One participant in the FGD remarked: It is safer when the counsellor is there and you plan what to say with him or her so that when you get stuck, they will convince your partner and also counsel him or her. [Male 35 years, married] Some participants however, still found it difficult to disclose in spite of the possibility of support the counsellors could provide. Participants raised varying issues that include a sense of hopelessness because the participant felt there was nothing the counsellors could do, the fear of separation due to discordance and the need for more time to gauge when disclosure would be appropriate. One such participant said: I am not sure about disclosure at present because there were some clients who were encouraged to go and test then found out they were discordant and separated. Some people fear that their spouses may abandon them so it is wise to assess the situation before disclosure [Female 32 years, cohabiting] 4.7 Conclusion This chapter covered the results and findings of the study. The next chapter will now present discussion of the research findings comparing them to the already known findings. It will also cover the conclusion and recommendations drawn from the main issues of this study. 58
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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
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ACKNOWLEDGEMENTS I am grateful to t
Page 9 and 10:
4.5.2 Fear of abandonment .........
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partners, behavioural dis-inhibitio
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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: [Female, 36 years, has a steady par
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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