Use of a counsellor supported disclosure model to improve the uptake of couple HIV testing and counselling in Kenya: a quasi-experimental study

BMC Public Health
Margaret KababuWanjiru Mukoma

Abstract

Heterosexual couples account for 44% of new HIV infections in Kenya and there's low awareness of self and partner HIV status. Different strategies have been employed to promote couple HIV testing and counselling (CHTC). Despite this, HIV incidence among couples continues to rise. This study sought to assess the use of a counsellor-supported disclosure (CSD) model in enhancing the uptake of CHTC and the factors that were associated with it. A pre-post quasi experimental study design with an intervention and a comparison arm was utilized. The study was conducted in Nairobi, Nakuru, Kisumu, and Homa Bay counties in Kenya. A total of 276 participants were recruited; 149 and 127 in the comparison and intervention arms, respectively. Standard HIV testing & counselling (HTC) was offered in the comparison arm whereas the counsellor-supported disclosure model was administered in the intervention arm. The model empowered index clients to invite their sexual partner for CHTC. Telephone follow-up and subsequent community health volunteer (CHV) follow-up for non-responders were embedded in the model. Semi-structured questionnaires were used to collect data at baseline and 3 months into the study. In-depth interviews were conducted with 15 p...Continue Reading

References

Dec 4, 2004·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Carey FarquharGrace C John-Stewart
Mar 17, 2009·Lancet·Brian Gerard WilliamsAlex Welte
Dec 4, 2009·Sexually Transmitted Diseases·Victoria HernandoJesús Castilla
Oct 15, 2010·AIDS·Sheena G SullivanRoger Detels
Jul 3, 2013·BMC Public Health·Joseph K B MatovuDavid Serwadda

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