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

TABLE OF CONTENTS
KEY WORDS ..................................................................................................................... ii
ABBREVIATIONS AND ACRONYMS .......................................................................... iii
ABSTRACT ....................................................................................................................... iv
DECLARATION ............................................................................................................... vi
CHAPTER ONE: INTRODUCTION ................................................................................. 1
1.1 Global HIV/AIDS Pandemic ............................................................................ 1
1.2 HIV/AIDS Epidemic in Uganda ....................................................................... 1
1.3 Prevention of HIV Transmission ..................................................................... 2
1.4 Antiretroviral Therapy and Risky sexual behaviour ....................................... 4
1.5 Study Setting ..................................................................................................... 5
1.7 Study Aim and Objectives .............................................................................. 10
CHAPTER TWO: LITERATURE REVIEW ................................................................... 11
2.0 Introduction......................................................................................................11
2.1 Definition and conceptualization of disclosure............................................... 11
2.2 Benefits of HIV Status Disclosure .................................................................. 12
2.3 Content of Disclosure ..................................................................................... 13
2.4 Process of Disclosure ...................................................................................... 13
2.5 Facilitators of HIV Disclosure ........................................................................ 16
2.6 Barriers to disclosure ...................................................................................... 21
2.7 Summary.........................................................................................................25
CHAPTER THREE: METHODOLOGY ......................................................................... 27
3.1 Study Design ................................................................................................... 27
3.2 Study population ............................................................................................. 28
3.3 Sampling and Sample Size.............................................................................. 28
3.4 Data Collection ............................................................................................... 30
3.5 Data Analysis .................................................................................................. 32
3.6 Strategies to ensure Rigour ......................................................................... 3332
3.7 Ethical Considerations. ................................................................................... 34
3.8 Study Limitations ............................................................................................ 35
CHAPTER 4: RESULTS .................................................................................................. 36
4.1 Description of Study Participants ................................................................... 36
4.2 Self- Disclosure ............................................................................................... 37
4. 2.1 Reasons for taking an HIV test ................................................................... 37
4.2.2 Reactions after receiving HIV Test Results ................................................. 39
4.3 Process of disclosure ....................................................................................... 40
4.3.1 Targets of disclosure .................................................................................... 40
4.3.2 Timing of disclosure .................................................................................... 42
4.3.3 Partners’ reactions ........................................................................................ 43
4.4. Reasons for disclosure ................................................................................... 45
4.4.1. Desire for partner to get treatment ............................................................. 46
4.4.3 Prior Knowledge of the Partner’s HIV status ............................................. 47
4.4.4 Anger ............................................................................................................ 47
4.4.5 Anxiety about the future ............................................................................... 48
4.5 Barriers to disclosure ...................................................................................... 48
4.5.1. Fear of blame or disappointing the partner ............................................... 49
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