Women’s views on consent, counseling and confidentiality in PMTCT: a mixed-methods study in four African countries

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dc.contributor.authorHardon, Anita
dc.contributor.authorVernooij, Eva
dc.contributor.authorBongololo-Mbera, Grace
dc.contributor.authorCherutich, Peter
dc.contributor.authorDesclaux, Alice
dc.contributor.authorKyaddondo, David
dc.contributor.authorKy-Zerbo, Odette
dc.contributor.authorNeuman, Melissa
dc.contributor.authorWanyenze, Rhoda
dc.contributor.authorObermeyer, Carla
dc.date.accessioned2021-12-11T12:47:30Z
dc.date.available2021-12-11T12:47:30Z
dc.date.issued2012
dc.description.abstractAmbitious UN goals to reduce the mother-to-child transmission of HIV have not been met in much of Sub-Saharan Africa. This paper focuses on the quality of information provision and counseling and disclosure patterns in Burkina Faso, Kenya, Malawi and Uganda to identify how services can be improved to enable better PMTCT outcomes. Methods: Our mixed-methods study draws on data obtained through: (1) the MATCH (Multi-country African Testing and Counseling for HIV) study’s main survey, conducted in 2008-09 among clients (N = 408) and providers at health facilities offering HIV Testing and Counseling (HTC) services; 2) semi-structured interviews with a sub-set of 63 HIV-positive women on their experiences of stigma, disclosure, post-test counseling and access to follow-up psycho-social support; (3) in-depth interviews with key informants and PMTCT healthcare workers; and (4) document study of national PMTCT policies and guidelines. We quantitatively examined differences in the quality of counseling by country and by HIV status using Fisher’s exact tests. Results: The majority of pregnant women attending antenatal care (80-90%) report that they were explained the meaning of the tests, explained how HIV can be transmitted, given advice on prevention, encouraged to refer their partners for testing, and given time to ask questions. Our qualitative findings reveal that some women found testing regimes to be coercive, while disclosure remains highly problematic. 79% of HIV-positive pregnant women reported that they generally keep their status secret; only 37% had disclosed to their husband. Conclusion: To achieve better PMTCT outcomes, the strategy of testing women in antenatal care (perceived as an exclusively female domain) when they are already pregnant needs to be rethought. When scaling up HIV testing programs, it is particularly important that issues of partner disclosure are taken seriously.en_US
dc.identifier.citationHardon, A., Vernooij, E., Bongololo-Mbera, G., Cherutich, P., Desclaux, A., Kyaddondo, D., ... & Obermeyer, C. (2012). Women's views on consent, counseling and confidentiality in PMTCT: a mixed-methods study in four African countries. BMC Public health, 12(1), 1-15.en_US
dc.identifier.otherhttps://link.springer.com/article/10.1186/1471-2458-12-26
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/328
dc.language.isoenen_US
dc.publisherBMC Public Healthen_US
dc.subjectPMTCTen_US
dc.subjectAfricaen_US
dc.subjectHIV testingen_US
dc.subjectCounselingen_US
dc.subjectConsenten_US
dc.subjectDisclosureen_US
dc.titleWomen’s views on consent, counseling and confidentiality in PMTCT: a mixed-methods study in four African countriesen_US
dc.typeArticleen_US
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