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

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Appendix 1 Dear Participant UNIVERSITY OF THE WESTERN CAPE School of Public Health Private Bag X17 ● BELLVILLE ● 7535 ● South Africa Tel: 021- 959 2809, Fax: 021- 959 2872 PARTICIPANT INFORMATION SHEET Thank you for your willingness to hear about this research. What follows will explain the purpose and process of this research and your possible involvement. The research is being conducted for a mini-thesis. This is a requirement for the Masters in Public Health which I am completing at the School of Public Health, University of Western Cape. Please ask me if there is anything you do not understand or are unclear about. My contact details and those of my supervisor to whom I am accountable are recorded at the end of this Information sheet. TITLE OF RESEARCH Disclosure of HIV status to sexual partners amongst people who receive antiretroviral therapy in Kampala, Uganda. PURPOSE OF THE STUDY The counsellors at the different TASO sites have noticed that some of the clients who attend their centres choose to disclose their HIV status to their partners while others 81
choose not to. The research is trying to explore disclosure of HIV status to sexual partners among TASO clients on ART, what motivates and what inhibits some from disclosing their HIV status to their partners. It is hoped that with your participation a better understanding of what influences clients’ decisions to disclose or not to disclose their HIV status to their sexual partners will be gained and suggestions can be presented on how to improve the disclosure. This research will inform the development of guidelines that will aim to support a more effective way of assisting clients to disclose their serostatus to sexual partners, within TASO Mulago in Kampala. DESCRIPTION OF THE STUDY AND YOUR INVOLVEMENT The study will include individual interviews and a focus group discussion with clients on ART in TASO Mulago who have partners. Questions about your experiences/challenges in serostatus disclosure to your partner(s) will guide the interview/or discussion with you. CONFIDENTIALITY Your name will be kept confidential at all times. I shall keep away any other records of your participation including a consent form you will sign should you agree to participate in this research study, and destroy them after the research has been completed. VOLUNTARY PARTICIPATION AND WITHDRAWAL Your participation in this research is entirely voluntary in other words you do not have to participate. You will be free to stop at anytime if you choose to participate. The decision about whether or not to participate or to answer any specific questions asked in this study will not have any impact on your access to TASO services. If there is anything that you would prefer not to discuss, please feel free to say so. You will be free to get counselling support from your counsellor in case there are uncomfortable issues that arise that you feel need to be addressed. BENEFITS AND COSTS You will not receive any direct benefit from participating in this study, though some individuals will have opportunity to interact with other clients facing similar experiences. 82
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DISCLOSURE OF HIV STATUS TO SEXUAL
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ABBREVIATIONS AND ACRONYMS AIDS - A
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While strategies like HBHCT and cou
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ACKNOWLEDGEMENTS I am grateful to t
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4.5.2 Fear of abandonment .........
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partners, behavioural dis-inhibitio
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engage in preventive behaviours as
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opportunistic infections and ART, i
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Mulago centre had registered 270 di
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1.6 Problem Statement With the evid
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2.2 Benefits of HIV Status Disclosu
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approaches including suggesting tha
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that people selectively disclose in
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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: Annual Report, 2007. Kampala, Ugand
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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