Le conseil post-test encourage-t-il les PVVIH à partager leur statut sérologique? Pratiques et suggestions des conseillers au Burkina Faso Does post-test counseling support PLHIV in disclosing their HIV status? Practices and propositions by counselors in Burkina Faso

Ky-Zerbo, Odette; Somé, J.F.; Simaga, F.

doi:10.1080/02664763.2012.755341

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…In this kind of situation, the seropositive person may repeat the HIV test at the same time as the partner, and then pretend to discover his/her seropositivity for the first time when the results are made known to the couple (Henry et al, 2010). Strategies involving medical personnel in the announcement of seropositivity to a partner have been identified in other studies (Collignon et al, 1994;Ky-Zerbo et al, 2013). The PLHIV's primary concern is to ensure that their partner takes the HIV test.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Hiv Voluntary Disclosure to One's Steady Sexual Partner in Mali: Results From a Community-Based Study

Cissé

Diop

Abadie³

et al. 2015

J. Biosoc. Sci.

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Despite the widespread dissemination of HIV information through public awareness campaigns in Mali, disclosing seropositivity to one's steady sexual partner (SSP) remains difficult for people living with HIV (PLHIV). Disclosure is a public health concern with serious implications and is also strongly linked to the quality of life of PLHIV. This study aimed to analyse factors associated with voluntary HIV disclosure to one's SSP, using a community-based cross-sectional study on 300 adult PLHIV in contact with a Malian community-based organization working in the field of AIDS response. A 125-item questionnaire was administered by trained personnel to study participants between May and October 2011. Analysis was restricted to the 219 participants who both reported having a SSP and answered to the question on disclosure to their SSP. A weighted multivariate logistic regression was used to determine variables independently associated with disclosure. In total, 161 participants (73%) reported HIV disclosure to their SSP. Having children (odds ratio [95% confidence interval]: 4.52 [1.84-11.12]), being accompanied to the survey site (3.66 [1.00-13.33]), knowing others who had publicly declared their seropositivity (3.12 [1.59-6.12]), having higher self-esteem (1.55 [1.09-2.19]) and using means other than anti-retroviral treatment to treat HIV (0.33 [0.11-1.00]) were independently associated with disclosure. This study identified several factors that should be considered for the design of interventions aimed at facilitating disclosure if/when desired in this cultural context.

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Section: Discussionmentioning

confidence: 99%

Factors Associated With Hiv Voluntary Disclosure to One's Steady Sexual Partner in Mali: Results From a Community-Based Study

Cissé

Diop

Abadie³

et al. 2015

J. Biosoc. Sci.

View full text Add to dashboard Cite

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“…By contrast, in Burkina Faso counseling is provided on an individual basis even when facilities are crowded, and providers devote much attention to avoid leakage of personal information. Providers feel responsible for the protection of secrecy about their client’s status long after counseling session, and during counseling they still advise HIV-positive clients to avoid disclosing (except to partners and a limited number of persons), independently of the reduction of stigma in society [ 31 ]. Ethnographies of campaigns have highlighted variations in the social framing of secrecy and private information sharing, in households and in health settings: in Malawi and Kenya, clients explain high uptake rates in home-based testing by stating that confidentiality is better at home than when individual counseling is performed in health facilities [ 9 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso

Desclaux

Ky-Zerbo²,

Somé

et al. 2014

BMC Int Health Hum Rights

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BackgroundCampaigns have been conducted in a number of low HIV prevalence African settings, as a strategy to expand HIV testing, and it is important to assess the extent to which individual rights and quality of care are protected during campaigns. In this article we investigate provider and client perceptions of ethical issues, including whether they think that accessibility of counseling and testing sites during campaigns may hinder confidentiality.MethodsTo examine how campaigns have functioned in Burkina Faso, we undertook a qualitative study based on individual interviews and focus group discussions with 52 people (providers and clients tested during or outside campaigns and individuals never tested). Thematic analysis was performed on discourse about perceptions and experiences of HIV-testing campaigns, quality of care and individual rights.ResultsRespondents value testing accessibility and attractiveness during campaigns; clients emphasize convenience, ripple effect, the sense of not being alone, and the anonymity resulting from high attendance. Confronted with numerous clients, providers develop context-specific strategies to ensure consent, counseling, confidentiality and retention in the testing process, and they adapt to workplace arrangements, local resources and social norms. Clients appreciate the quality of care during campaigns. However, new ethical issues arise about confidentiality and accessibility. Confidentiality of HIV-status may be jeopardized due to local social norms that encourage people to share their results with others, when HIV-positive people may not wish to do so. Providers’ ethical concerns are consistent with WHO norms known as the ‘5 Cs,’ though articulated differently. Clients and providers value the accessibility of testing for all during campaigns, and consider it an ethical matter. The study yields insights on the way global norms are adapted or negotiated locally.ConclusionsFuture global recommendations for HIV testing and counseling campaigns should consider accessibility and propose ways for testing services to respond to new ethical issues related to high demand.

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Patterns and Predictors of HIV Status Disclosure in the 12 Months After Diagnosis in Mozambique

Taylor

Lamb

Lahuerta

et al. 2020

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: HIV disclosure benefits people living with HIV, their partners, and HIV programs. However, data on the prevalence of disclosure and associated correlates have come largely from patients already in HIV care, potentially overestimating disclosure rates and precluding examination of the impact of disclosure on HIV care outcomes. Setting: We used data from an implementation study conducted in Maputo City and Inhambane Province, Mozambique. Adults were enrolled at HIV testing clinics after diagnosis and traced in the community 1 and 12 months later when they reported on disclosure and other outcomes. Methods: We examined patterns of participants' disclosure to their social networks (N = 1573) and sexual partners (N = 1024) at both follow-up assessments and used relative risk regression to identify correlates of nondisclosure. Results: Disclosure to one's social network and sexual partners was reported by 77.8% and 57.7% of participants, respectively, at 1 month and 92.9% and 72.4% of participants, respectively, at 12 months. At both time points, living in Inhambane Province, being single or not living with a partner, having high levels of anticipated stigma, and not initiating HIV treatment were associated with increased risks of nondisclosure to social networks. Nondisclosure to sexual partners at both follow-up assessments was associated with being women, living in Inhambane Province and in a household without other people living with HIV, and reporting that posttest counseling addressed disclosure. Conclusions: Although reported disclosure to social networks was high, disclosure to sexual partners was suboptimal. Effective and acceptable approaches to support partner disclosure, particularly for women, are needed.

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Le conseil post-test encourage-t-il les PVVIH à partager leur statut sérologique? Pratiques et suggestions des conseillers au Burkina Faso Does post-test counseling support PLHIV in disclosing their HIV status? Practices and propositions by counselors in Burkina Faso

Cited by 4 publications

References 16 publications

Factors Associated With Hiv Voluntary Disclosure to One's Steady Sexual Partner in Mali: Results From a Community-Based Study

Factors Associated With Hiv Voluntary Disclosure to One's Steady Sexual Partner in Mali: Results From a Community-Based Study

Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso

Patterns and Predictors of HIV Status Disclosure in the 12 Months After Diagnosis in Mozambique

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