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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Disclosure of HIV results among discordant couples in Rakai, Uganda: A facilitated couple counselling approach
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 22, No. 9, Year 2010
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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. © 2010 Taylor and Francis.
Authors & Co-Authors
Kairania, Robert M.
Uganda, Entebbe
Uganda Virus Research Institute
Gray, Ronald H.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Kiwanuka, Noah
Uganda, Entebbe
Uganda Virus Research Institute
Uganda, Kampala
Makerere University School of Public Health
Makumbi, Fredrick Edward
Uganda, Entebbe
Uganda Virus Research Institute
Uganda, Kampala
Makerere University School of Public Health
Sewankambo, Nelson K.
Uganda, Kampala
Makerere University College of Health Sciences
Serwadda, David Musoke
Uganda, Kampala
Makerere University School of Public Health
Nalugoda, Fred Kakaire
Uganda, Entebbe
Uganda Virus Research Institute
Kigozi, Godfrey G.
Uganda, Entebbe
Uganda Virus Research Institute
Semanda, John Baptist
Uganda, Entebbe
Uganda Virus Research Institute
Wawer, Maria J.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Statistics
Citations: 80
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.1080/09540121003602226
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Infectious Diseases
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
Uganda
Participants Gender
Male
Female