Perceptions of couple HIV counseling and testing in Botswana: a stakeholder analysis.
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Author list: Kebaabetswe P, Ndase P, Mujugira A, Sekoto T, Ntshimane M, Owor A, Makhema J, Thior I, Essex M
Publisher: Elsevier: 12 months
Publication year: 2010
Journal: Patient Education and Counseling (0738-3991)
Journal acronym: Patient Educ Couns
Volume number: 79
Issue number: 1
Start page: 120
End page: 3
Number of pages: -116
ISSN: 0738-3991
Languages: English-Great Britain (EN-GB)
Abstract
OBJECTIVE\nMETHODS\nRESULTS\nCONCLUSION\nPRACTICE IMPLICATIONS\nTo explore stakeholder's perceptions of Couples HIV Counseling and Testing (CHCT) as opposed to individual testing and potential couples' preferences for CHCT promotion and service provision.\nStudy was conducted as formative research for a phase III clinical trial of Herpes (HSV-2) suppression to prevent HIV transmission among HIV discordant couples. We used non-probability purposive sampling and snowballing techniques to identify study participants. Data were collected using key informant interviews and focus group discussions. Systematic textual data analysis was used. Two independent coders coded and compared their codes for agreement. Data was categorized by emerging themes.\nThe general themes from both key informant interviews and focus group discussions were a preference for CHCT as opposed to individual counseling in HIV prevention and the need for a client-centered approach to promotion and provision of couple HIV testing services.\nCHCT is important in HIV prevention and should be integrated in existing HIV testing programs. The study also demonstrates the challenges of HIV status disclosure and discordance among sexual partners who test as individuals.\nCurrent low HIV status disclosure rates imply that reducing HIV incidence rates will require integrating CHCT into current testing programs. Increasing CHCT uptake however, requires improving access, training providers and addressing social, cultural, political and logistical barriers.
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