Home-based HIV counseling and testing: client experiences and perceptions in Eastern Uganda.
Home-based HIV counseling and testing: client experiences and perceptions in Eastern Uganda.
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家庭艾滋病毒咨询和测试：乌干达东部的客户经验和看法。
DOI：
10.1186/1471-2458-12-966
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发表时间：
2012-11-12
影响因子：
4.5
通讯作者：
Hardon A
中科院分区：
文献类型：
--
作者：
Kyaddondo D;Wanyenze RK;Kinsman J;Hardon A
尽管预防和治疗取决于个人对其艾滋病毒状况的了解，但在撒哈拉以南非洲，接受检测的人数仍然很低。鼓励艾滋病毒检测的一项举措包括在家中提供服务。然而，人们对以家庭为基础的艾滋病毒咨询和检测（HBHCT）是否能遵守包括同意、保密和获得艾滋病毒检测后护理在内的道德惯例表示怀疑。本研究探讨了与这些伦理问题相关的客户体验。我们在乌干达Kumi地区进行了395次个人访谈，提供hbct的小组在访谈前6-12个月访问了该地区。半结构化的调查问卷收集了从最初的社区动员到收到结果和在检测后获得艾滋病毒服务的信息。我们发现95%的答复者曾经进行过检测（乌干达的平均水平为38%）。在接受HIV提供者接触的人群中，98%的人被告知他们有权拒绝HIV检测。大多数受访者是单独接受咨询的，但69%的已婚/同居人士是作为夫妻接受咨询的。大多数受访者（94%）对提供给他们的信息以及与hbbhct提供者的互动感到满意。大多数答复者认为他们自己的家比医疗机构更私密。12名受访者报告他们的检测结果呈阳性，11人被转诊接受后续治疗，7人实际上接受了治疗，只有5人知道他们的CD4计数。所有已婚或同居的艾滋病毒感染者都向其伴侣披露了自己的状况。这些发现表明，人们对艾滋病毒检测的接受程度和对hbct的满意度非常高，作为夫妻接受检测的已婚应答者比例很大，信息披露率也很高。HBHCT可以在扩大获得检测和克服信息披露挑战方面发挥重要作用。然而，在检测后获得艾滋病毒服务可能需要关注。
Though prevention and treatment depend on individuals knowing their HIV status, the uptake of testing remains low in Sub-Saharan Africa. One initiative to encourage HIV testing involves delivering services at home. However, doubts have been cast about the ability of Home-Based HIV Counseling and Testing (HBHCT) to adhere to ethical practices including consent, confidentiality, and access to HIV care post-test. This study explored client experiences in relation these ethical issues. We conducted 395 individual interviews in Kumi district, Uganda, where teams providing HBHCT had visited 6–12 months prior to the interviews. Semi-structured questionnaires elicited information on clients’ experiences, from initial community mobilization up to receipt of results and access to HIV services post-test. We found that 95% of our respondents had ever tested (average for Uganda was 38%). Among those who were approached by HBHCT providers, 98% were informed of their right to decline HIV testing. Most respondents were counseled individually, but 69% of the married/cohabiting were counseled as couples. The majority of respondents (94%) were satisfied with the information given to them and the interaction with the HBHCT providers. Most respondents considered their own homes as more private than health facilities. Twelve respondents reported that they tested positive, 11 were referred for follow-up care, seven actually went for care, and only 5 knew their CD4 counts. All HIV infected individuals who were married or cohabiting had disclosed their status to their partners. These findings show a very high uptake of HIV testing and satisfaction with HBHCT, a large proportion of married respondents tested as couples, and high disclosure rates. HBHCT can play a major role in expanding access to testing and overcoming disclosure challenges. However, access to HIV services post-test may require attention.
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影响因子：
168.9
作者：
Montaner, Julio S. G.;Lima, Viviane D.;Barrios, Rolando;Yip, Benita;Wood, Evan;Kerr, Thomas;Shannon, Kate;Harrigan, P. Richard;Hogg, Robert S.;Daly, Patricia;Kendall, Peny
通讯作者：
Kendall, Peny
影响因子：
3.8
作者：
Bunnell, Rebecca;Opio, Alex;Mermin, Jonathan
通讯作者：
Mermin, Jonathan
DOI：
10.1097/01.qai.0000151079.33935.79
发表时间：
2005-08-01
影响因子：
3.6
作者：
Marks, G;Crepaz, N;Janssen, RS
通讯作者：
Janssen, RS
影响因子：
5.4
作者：
Angotti, Nicole;Bula, Agatha;Yeatman, Sara E.
通讯作者：
Yeatman, Sara E.
影响因子：
3.3
作者：
Matovu, JKB;Kigozi, G;Gray, RH
通讯作者：
Gray, RH