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Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study
BACKGROUND: Women’s ability to safely disclose their HIV-positive status to male partners is essential for uptake and continued use of prevention of mother-to-child transmission (PMTCT) services. However, little is known about the acceptability of potential approaches for facilitating partner disclo...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3907031/ https://www.ncbi.nlm.nih.gov/pubmed/24294994 http://dx.doi.org/10.1186/1471-2458-13-1115 |
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author | Walcott, Melonie M Hatcher, Abigail M Kwena, Zachary Turan, Janet M |
author_facet | Walcott, Melonie M Hatcher, Abigail M Kwena, Zachary Turan, Janet M |
author_sort | Walcott, Melonie M |
collection | PubMed |
description | BACKGROUND: Women’s ability to safely disclose their HIV-positive status to male partners is essential for uptake and continued use of prevention of mother-to-child transmission (PMTCT) services. However, little is known about the acceptability of potential approaches for facilitating partner disclosure. To lay the groundwork for developing an intervention, we conducted formative qualitative research to elicit feedback on three approaches for safe HIV disclosure for pregnant women and male partners in rural Kenya. METHODS: This qualitative acceptability research included in-depth interviews with HIV-infected pregnant women (n = 20) and male partners of HIV-infected women (n = 20) as well as two focus groups with service providers (n = 16). The participants were recruited at health care facilities in two communities in rural Nyanza Province, Kenya, during the period June to November 2011. Data were managed in NVivo 9 and analyzed using a framework approach, drawing on grounded theory. RESULTS: We found that facilitating HIV disclosure is acceptable in this context, but that individual participants have varying expectations depending on their personal situation. Many participants displayed a strong preference for couples HIV counseling and testing (CHCT) with mutual disclosure facilitated by a trained health worker. Home-based approaches and programs in which pregnant women are asked to bring their partners to the healthcare facility were equally favored. Participants felt that home-based CHCT would be acceptable for this rural setting, but special attention must be paid to how this service is introduced in the community, training of the health workers who will conduct the home visits, and confidentiality. CONCLUSION: Pregnant couples should be given different options for assistance with HIV disclosure. Home-based CHCT could serve as an acceptable method to assist women and men with safe disclosure of HIV status. These findings can inform the design and implementation of programs geared at promoting HIV disclosure among pregnant women and partners, especially in the home-setting. |
format | Online Article Text |
id | pubmed-3907031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39070312014-01-31 Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study Walcott, Melonie M Hatcher, Abigail M Kwena, Zachary Turan, Janet M BMC Public Health Research Article BACKGROUND: Women’s ability to safely disclose their HIV-positive status to male partners is essential for uptake and continued use of prevention of mother-to-child transmission (PMTCT) services. However, little is known about the acceptability of potential approaches for facilitating partner disclosure. To lay the groundwork for developing an intervention, we conducted formative qualitative research to elicit feedback on three approaches for safe HIV disclosure for pregnant women and male partners in rural Kenya. METHODS: This qualitative acceptability research included in-depth interviews with HIV-infected pregnant women (n = 20) and male partners of HIV-infected women (n = 20) as well as two focus groups with service providers (n = 16). The participants were recruited at health care facilities in two communities in rural Nyanza Province, Kenya, during the period June to November 2011. Data were managed in NVivo 9 and analyzed using a framework approach, drawing on grounded theory. RESULTS: We found that facilitating HIV disclosure is acceptable in this context, but that individual participants have varying expectations depending on their personal situation. Many participants displayed a strong preference for couples HIV counseling and testing (CHCT) with mutual disclosure facilitated by a trained health worker. Home-based approaches and programs in which pregnant women are asked to bring their partners to the healthcare facility were equally favored. Participants felt that home-based CHCT would be acceptable for this rural setting, but special attention must be paid to how this service is introduced in the community, training of the health workers who will conduct the home visits, and confidentiality. CONCLUSION: Pregnant couples should be given different options for assistance with HIV disclosure. Home-based CHCT could serve as an acceptable method to assist women and men with safe disclosure of HIV status. These findings can inform the design and implementation of programs geared at promoting HIV disclosure among pregnant women and partners, especially in the home-setting. BioMed Central 2013-12-02 /pmc/articles/PMC3907031/ /pubmed/24294994 http://dx.doi.org/10.1186/1471-2458-13-1115 Text en Copyright © 2013 Walcott et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Walcott, Melonie M Hatcher, Abigail M Kwena, Zachary Turan, Janet M Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study |
title | Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study |
title_full | Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study |
title_fullStr | Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study |
title_full_unstemmed | Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study |
title_short | Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study |
title_sort | facilitating hiv status disclosure for pregnant women and partners in rural kenya: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3907031/ https://www.ncbi.nlm.nih.gov/pubmed/24294994 http://dx.doi.org/10.1186/1471-2458-13-1115 |
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