Opt-out HIV testing during antenatal care
Experiences of pregnant women in rural Uganda
Bibliographic Data
| ID | 11492037 |
|---|---|
| Authors | Elin C Larsson (0000-0002-5189-808X, Karolinska Institutet, corresponding author), Anna Thorson (0000-0002-8703-6561, Heidelberg University), George Pariyo (0000-0002-4411-2309, Heidelberg University), P Conrad (Heidelberg University), Moses Arinaitwe (0000-0001-6340-465X, Heidelberg University), Margaret Kemigisa (Heidelberg University), Jaran Eriksen (0000-0003-1146-5615, Heidelberg University), G Tomson (0000-0001-9222-3604, Heidelberg University), Anna Mia Ekström (0000-0002-3912-1171, Heidelberg University) |
| Year | 2012 |
| Volume | 27 |
| Issue | 1 |
| Pages | 69-75 |
| Publication date | 2012-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czr009 |
| PMID | 21292708 |
| OpenAlex | W2101558825 |
| Language | EN |
| Citations received | 14 |
| References cited | 25 |
Two years after the introduction of provider-initiated, opt-out HIV counselling and testing during antenatal care (ANC) in Uganda, HIV testing uptake is still low. This study was carried out to explore pregnant women's experiences of, and views on, the policies for opt-out, and couple HIV testing, and to understand how the policy implementation could be improved in order to increase access to prevention of mother-to-child-transmission (PMTCT) services. The study was conducted at three ANC health facilities at different levels of care in rural eastern Uganda. Data were collected through sit-in observations during ANC and 18 semi-structured interviews with pregnant women receiving ANC, and thereafter analysed using latent content analysis. Pregnant women who received ANC from facilities that provided HIV testing on-site perceived HIV testing as compulsory without actually fully realizing the benefits of HIV testing and PMTCT. No referral for HIV testing or information about testing was given at ANC facilities that lacked HIV testing on-site. A major challenge of couple HIV testing was that pregnant women were made responsible for recruiting their spouses for testing, a precarious dilemma for many women who tried to fulfil health workers' requests without having the power to do so. In order to increase uptake of PMTCT services, the pre-test counselling in groups that precedes the provider-initiated HIV testing should be adjusted to inform women about the benefits of PMTCT. Further, if testing is perceived as compulsory it could potentially deter some women from seeking ANC services. In order to increase HIV testing of male partners new strategies are needed, for example peer-sensitization and male clinics. Moreover, to achieve the desired outcomes of the PMTCT programme, monitoring and evaluation should be built into the programme.
Business · Developing country · Economic growth · Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Opt-out · Population · Prenatal care · Referral · Rural area · Test (biology) · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing
Prevention of mother-to-child transmission of HIV in rural Uganda
Assessment of strategies for male involvement in the prevention of mother-to-child transmission of HIV services in Blantyre, Malawi
Mistrust in marriage-Reasons why men do not accept couple HIV testing during antenatal care- a qualitative study in eastern Uganda
A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa
Spatial variation of HIV testing and associated factors among pregnant women
Stakeholders’ perceptions on factors influencing male involvement in prevention of mother to child transmission of HIV services in Blantyre, Malawi
Prevalence and correlates of non-disclosure of maternal HIV status to male partners
Barriers and facilitators to HIV and syphilis rapid diagnostic testing in antenatal care settings in low-income and middle-income countries
Intimate partner violence and HIV treatment adherence in urban South Africa
Effects of a Home-Based Intervention on HIV Prevention Health Behaviors in Pregnant/Postpartum Kenyan Women
How Do We Get Partners to Test for HIV
HIV testing and care in Burkina Faso, Kenya, Malawi and Uganda
Antenatal Care Services in Rural Uganda
The seven Cs of the high acceptability of home-based VCT
Antenatal Couple Counseling Increases Uptake of Interventions to Prevent HIV-1 Transmission
Routine HIV Testing in Botswana
Qualitative content analysis in nursing research
Antenatal HIV testing in rural eastern Uganda in 2003
Potential Initiators of Hiv‐related Stigmatization
Provider‐initiated Hiv Testing and Counseling in Health Facilities – What Does This Mean for the Health and Human Rights of Pregnant Women
An assessment of the understanding of the offer of routine HIV testing among pregnant women in rural Zimbabwe
Acceptance of HIV testing among women attending antenatal care in south-western Uganda
Low male partner participation in antenatal HIV counselling and testing in northern Tanzania
Mistrust in marriage-Reasons why men do not accept couple HIV testing during antenatal care- a qualitative study in eastern Uganda
Engendering the bureaucracy? Challenges and opportunities for mainstreaming gender in Ministries of Health under sector-wide approaches
Placing gender at the centre of health programming
| Unique citing works | 14 |
|---|---|
| Citations per year | 0,88 |
| Citation span | 2010 - 2025 (16) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 11 |