Attitudes to voluntary counselling and testing for HIV among pregnant women in rural south-west Uganda
Attitudes to voluntary counselling and testing for HIV among pregnant women in rural south-west Uganda
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DOI：
10.1080/09540120120063232
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发表时间：
2001-10-01
影响因子：
1.7
通讯作者：
Whitworth, JAG
中科院分区：
文献类型：
--
作者：
Pool, R;Nyanzi, S;Whitworth, JAG
本文介绍了一项研究的结果，探讨在乌干达西南部的农村地区的妇女参加产科诊所自愿咨询和检测怀孕期间的态度。这是一项定性研究，采用焦点小组讨论（FGD）。在乌干达西南部农村地区的三个地点，对208名妇女进行了24次妇科检查。所有的FGD都被记录和转录，并使用标准的基于计算机的定性技术进行分析。几乎所有妇女原则上都愿意在怀孕时接受艾滋病毒检测，并向产科工作人员透露其艾滋病毒状况。然而，她们对保密感到焦虑，人们普遍担心，如果她们的身份被人知道，到了分娩的时候，产科工作人员可能会拒绝帮助她们。这种情况更多地适用于传统助产士，而不是生物医学保健人员。还有传言说，医务人员故意杀害艾滋病毒阳性患者，以遏制这一流行病的蔓延。妇女们担心，如果丈夫发现她们是艾滋病毒抗体阳性者，她们会受到指责，并可能导致分居或家庭暴力。最后：尽管原则上可以接受怀孕期间的自愿咨询和检测，但仍需做大量工作，以确保保密性，并减轻妇女对分娩期间遭受羞辱和歧视的恐惧。社区宣传是必要的，如果干预措施是可以接受的，男性伴侣必须参与。
This paper describes the results of a study exploring the attitudes of women attending maternity clinics to voluntary counselling and testing during pregnancy in rural areas in south-west Uganda. It was a qualitative study using focus group discussions (FGDs). Twenty-four FGDs were carried out with 208 women attending maternity clinics in three sites in rural south-west Uganda. The FGDs were all recorded and transcribed, and analysed using standard computer-based qualitative techniques. Almost all women were willing in principle to take an HIV test in the event of pregnancy, and to reveal their HIV status to maternity staff. They were anxious, however, about confidentiality, and there was a widespread fear that maternity staff might refuse to assist them when the time came to deliver if their status were known. This applied more to traditional birth attendants than to biomedical health staff. There were also rumours about medical staff intentionally killing HIV-positive patients in order to stern the spread of the epidemic. Women were concerned that if their husbands found out they were HIV-positive they would be blamed and separation or domestic violence might result. In conclusion: although VCT during pregnancy is acceptable in principle, much will need to be done to ensure confidentiality and allay women's fears of stigmatisation and discrimination during delivery. Community sensitisation will be necessary and male partners will have to be involved if interventions are to be acceptable.