Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa

Painter, Thomas M.

doi:10.1016/s0277-9536(00)00427-5

Cited by 206 publications

(160 citation statements)

References 50 publications

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“…In the early 2000s, UNAIDS 46 and others 47 were advocating for couple-centred approaches to HIV prevention: "Married couples should be encouraged to go for HIV counselling together so that serodiscordant couples can be identified and counselled… Offering VCT to couples overcomes the problem of sharing results… The majority of studies of couple counselling report successful outcomes." 46 At the same time, studies of PMTCT, although not couple-centred, have also concluded that there was a need to "involve" male partners.…”

Section: Discussionmentioning

confidence: 99%

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Loû¹,

Orne-Gliemann²

2008

Reproductive Health Matters

101

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In Africa, a large proportion of HIV infections occur within stable relationships, either because of prior infection of one of the partners or because of infidelity. In five African countries at least two-thirds of couples with at least one HIV-positive partner were HIV serodiscordant; in half of them, the woman was the HIV-positive partner. Hence, there is an urgent need to define strategies to prevent HIV transmission within couple relationships. HIV counselling and testing have largely been organised on an individual and sex-specific basis, for pregnant women in programmes for prevention of mother-to-child transmission of HIV and in STI consultations and recently male circumcision for men. A couple-centred approach to HIV counselling and testing would facilitate communication about HIV status and adoption of preventive behaviours within couples. This paper reviews what is known about HIV serodiscordance in heterosexual couples in sub-Saharan Africa and what has been published about couple-centred initiatives for HIV counselling and testing since the early 1990s. Despite positive outcomes, couple-oriented programmes have not been implemented on a large scale. In order to stimulate and strengthen HIV prevention efforts, increased attention is required to promote prevention and testing and counselling for couples in stable relationships.

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Section: Discussionmentioning

confidence: 99%

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Loû¹,

Orne-Gliemann²

2008

Reproductive Health Matters

101

View full text Add to dashboard Cite

show abstract

“…Recent mathematical modeling using data from Zambia and Rwanda indicates that most heterosexual HIV transmission takes place within marriage or cohabiting relationships (Dunkle et al 2008). Encouraging partners to test together is therefore an important strategy for African countries to consider implementing more widely, given the high levels of HIV-discordancy in stable heterosexual relationships (Allen et al 2007;Painter 2001). It is vital, however, that couples voluntary counseling and testing receives endorsement from government and community leaders, while health care providers are capacitated to provide this service (Allen et al 2007).…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with HIV Testing Among Public Sector Clinic Attendees in Johannesburg, South Africa

et al. 2008

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Uptake of VCT remains low in many sub-Saharan African countries. Men and women aged 15 and older were recruited from a family planning, STI, and VCT clinic in inner-city Johannesburg between 2004 and 2005 to take part in a cross-sectional survey on HIV testing (n = 198). Fourty-eight percent of participants reported previously testing for HIV and, of these, 86.9% reported disclosing their status to their sex partner. In multivariable analyses, individuals whose partners had been tested for HIV were more likely to have tested (AOR 2.92; 95% CI: 1.38-6.20). In addition, those who reported greater blame/ shame attitudes towards people living with HIV/AIDS were less likely to have tested (AOR 0.35; 95% CI: 0.16-0.77) while those reporting more equitable attitudes towards people living with HIV/AIDS were more likely to have tested (AOR 2.87; 95% CI: 1.20-6.86). Promotion of and increased access to couples HIV testing should be made available within the South African context. Abstract Uptake of VCT remains low in many subSaharan African countries. Men and women aged 15 and older were recruited from a family planning, STI, and VCT clinic in inner-city Johannesburg between 2004 and 2005 to take part in a cross-sectional survey on HIV testing (n = 198). Fourty-eight percent of participants reported previously testing for HIV and, of these, 86.9% reported disclosing their status to their sex partner. In multivariable analyses, individuals whose partners had been tested for HIV were more likely to have tested (AOR 2.92; 95% CI: 1.38-6.20). In addition, those who reported greater blame/ shame attitudes towards people living with HIV/AIDS were less likely to have tested (AOR 0.35; 95% CI: 0.16-0.77) while those reporting more equitable attitudes towards people living with HIV/AIDS were more likely to have tested (AOR 2.87; 95% CI: 1.20-6.86). Promotion of and increased access to couples HIV testing should be made available within the South African context.

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“…Moreover, there are few documented successful experiences of HTC programs reaching couples (Padian et al, 1993;Painter, 2001). …”

Section: Introductionmentioning

confidence: 99%

Using provider performance incentives to increase HIV testing and counseling services in Rwanda

Walque

Gertler

Bautista‐Arredondo

et al. 2015

Journal of Health Economics

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Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa

Cited by 206 publications

References 50 publications

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Factors Associated with HIV Testing Among Public Sector Clinic Attendees in Johannesburg, South Africa

Using provider performance incentives to increase HIV testing and counseling services in Rwanda

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