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Understanding Barriers to Scaling Up HIV-Assisted Partner Services in Kenya.
Goyette, Marielle; Wamuti, Beatrice Muthoni; Owuor, Mercy; Bukusi, David; Maingi, Peter Mutiti; Otieno, Felix Abuna; Cherutich, Peter; Ng'ang'a, Anne; Farquhar, Carey.
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  • Goyette M; 1 Department of Epidemiology, University of Washington , Seattle, Washington.
  • Wamuti BM; 2 Department of Research and Programs, Kenyatta National Hospital , Nairobi, Kenya .
  • Owuor M; 2 Department of Research and Programs, Kenyatta National Hospital , Nairobi, Kenya .
  • Bukusi D; 3 Department of Voluntary Counseling and Testing (VCT) and HIV Prevention Unit, Kenyatta National Hospital , Nairobi, Kenya .
  • Maingi PM; 3 Department of Voluntary Counseling and Testing (VCT) and HIV Prevention Unit, Kenyatta National Hospital , Nairobi, Kenya .
  • Otieno FA; 2 Department of Research and Programs, Kenyatta National Hospital , Nairobi, Kenya .
  • Cherutich P; 4 National AIDS & STI Control Program (NASCOP), Kenya Ministry of Health , Nairobi, Kenya .
  • Ng'ang'a A; 4 National AIDS & STI Control Program (NASCOP), Kenya Ministry of Health , Nairobi, Kenya .
  • Farquhar C; 1 Department of Epidemiology, University of Washington , Seattle, Washington.
AIDS Patient Care STDS ; 30(11): 506-511, 2016 11.
Article en En | MEDLINE | ID: mdl-27849369
Assisted partner services (APS) are more effective than passive referral in identifying new cases of HIV in many settings. Understanding the barriers to the uptake of APS in sub-Saharan Africa is important before its scale up. In this qualitative study, we explored client, community, and healthcare worker barriers to APS within a cluster randomized trial of APS in Kenya. We conducted 20 in-depth interviews with clients who declined enrollment in the APS study and 9 focus group discussions with health advisors, HIV testing and counseling (HTC) counselors, and the general HTC client population. Two analysts coded the data using an open coding approach and identified major themes and subthemes. Many participants reported needing more time to process an HIV-positive result before providing partner information. Lack of trust in the HTC counselor led many to fear a breach of confidentiality, which exacerbated the fears of stigma in the community and relationship conflicts. The type of relationship affected the decision to provide partner information, and the lack of understanding of APS at the community level contributed to the discomfort in enrolling in the study. Establishing trust between the client and HTC counselor may increase uptake of APS in Kenya. A client's decision to provide partner information may depend on the type of relationship he or she is in, and alternative methods of disclosure may need to be offered to accommodate different contexts. Spreading awareness about APS in the community may make clients more comfortable providing partner information.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parejas Sexuales / Actitud del Personal de Salud / Aceptación de la Atención de Salud / Infecciones por VIH / Conocimientos, Actitudes y Práctica en Salud / Personal de Salud / Estigma Social Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research / Screening_studies Aspecto: Implementation_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: AIDS Patient Care STDS Asunto de la revista: DOENCAS SEXUALMENTE TRANSMISSIVEIS / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parejas Sexuales / Actitud del Personal de Salud / Aceptación de la Atención de Salud / Infecciones por VIH / Conocimientos, Actitudes y Práctica en Salud / Personal de Salud / Estigma Social Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research / Screening_studies Aspecto: Implementation_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: AIDS Patient Care STDS Asunto de la revista: DOENCAS SEXUALMENTE TRANSMISSIVEIS / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos