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Disclosure of HIV results among discordant couples in Rakai, Uganda: a facilitated couple counselling approach
| Content Provider | Scilit |
|---|---|
| Author | Kairania, Robert Gray, Ronald H. Kiwanuka, Noah Makumbi, Fredrick Sewankambo, Nelson K. Serwadda, David Nalugoda, Fred Kigozi, Godfrey Semanda, John Wawer, Maria J. |
| Copyright Year | 2010 |
| Description | Disclosure of HIV sero-positive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospective linkage of married or cohabiting consenting adults individually enrolled into a cohort study and into two randomised trials of male circumcision in Rakai, Uganda. HIV-discordant couples and a random sample of HIV-infected concordant and HIV-negative concordant couples (to mask HIV status) were invited to sensitisation meetings to discuss the benefits of disclosure and couple counselling. HIV-infected partners were subsequently contacted to encourage HIV disclosure to their HIV-uninfected partners. If the index positive partner agreed, the counsellor facilitated the disclosure of HIV results, and provided ongoing support. The proportion of disclosure was determined. Eighty-one per cent of HIV-positive partners in discordant relationships disclosed their status to their HIV-uninfected partners in the presence of the counsellor. The rates of disclosure were 81.3% in male HIV-positive and 80.2% in female HIV-positive discordant couples. Disclosure did not vary by age, education or occupation. In summary, disclosure of HIV-positive results in discordant couples using facilitated couple counselling approach is high, but requires a stepwise process of sensitisation and agreement by the infected partner. |
| Related Links | http://europepmc.org/articles/pmc2936701?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2936701/pdf |
| Ending Page | 1051 |
| Page Count | 11 |
| Starting Page | 1041 |
| ISSN | 09540121 |
| e-ISSN | 13600451 |
| DOI | 10.1080/09540121003602226 |
| Journal | AIDS Care |
| Issue Number | 9 |
| Volume Number | 22 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2010-09-06 |
| Access Restriction | Open |
| Subject Keyword | Health Policy and Services Hiv Disclosure Facilitated Couple Counselling Discordant Couples |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health Health (social science) Social Psychology |
