Matovu Joseph Kb, Buregyeya Esther, Arinaitwe Jim, Wanyenze Rhoda K
1 Department of Community Health and Behavioral Sciences, Makerere University School of Public Health, Kampala, Uganda.
2 Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.
Int J STD AIDS. 2017 Nov;28(13):1341-1347. doi: 10.1177/0956462417705800. Epub 2017 Apr 27.
In 2015, the World Health Organization reported that more than 60 million people were tested for HIV in 122 low- and middle-income countries between 2010 and 2014. Despite this level of progress, over 40% of people living with HIV remain unaware of their HIV status. This calls for innovative approaches to improve uptake of HIV testing services, including use of HIV self-test (HIVST) kits. We conducted a cross-sectional, qualitative study to assess pregnant women and their male partners' perceptions regarding female partner-delivered HIVST kits. This study was conducted at two health facilities in Central Uganda between November and December 2015. Data were collected on pregnant women's willingness to take HIVST kits to their male partners and other household members using eight focus group discussions and 30 in-depth interviews. Data were analyzed following a thematic framework approach. Overall, pregnant women were willing to take HIVST kits to their partners and other household members, with the exception of their cowives. Male partners were willing to use HIVST kits brought by their female partners. Our findings suggest that secondary distribution of HIVST kits through female partners is acceptable and has the potential to improve male partner and household-member HIV testing.
2015年,世界卫生组织报告称,2010年至2014年期间,122个低收入和中等收入国家有超过6000万人接受了艾滋病毒检测。尽管取得了这一进展水平,但仍有超过40%的艾滋病毒感染者不知道自己的艾滋病毒感染状况。这就需要创新方法来提高艾滋病毒检测服务的接受率,包括使用艾滋病毒自我检测(HIVST)试剂盒。我们进行了一项横断面定性研究,以评估孕妇及其男性伴侣对女性伴侣提供的HIVST试剂盒的看法。这项研究于2015年11月至12月在乌干达中部的两个卫生机构进行。通过八次焦点小组讨论和30次深入访谈,收集了关于孕妇将HIVST试剂盒带给其男性伴侣和其他家庭成员的意愿的数据。采用主题框架方法对数据进行分析。总体而言,孕妇愿意将HIVST试剂盒带给其伴侣和其他家庭成员,但不包括其妾室。男性伴侣愿意使用其女性伴侣带来的HIVST试剂盒。我们的研究结果表明,通过女性伴侣对HIVST试剂盒进行二次分发是可以接受的,并且有可能改善男性伴侣和家庭成员的艾滋病毒检测。