Barriers to and acceptability of provider-initiated HIV testing and counselling and adopting HIV-prevention behaviours in rural Uganda: a qualitative study.
In Uganda, a nationwide scale-up of provider-initiated HIV testing and counselling presents an opportunity to deliver HIV-prevention services to large numbers of people. In a rural Ugandan hospital, focus group discussions and key informant interviews were conducted with outpatients receiving provider-initiated HIV testing and counselling and staff to explore the HIV-prevention information, motivation and behavioural skills strengths and weaknesses, and community-level and structural barriers to provider-initiated HIV testing and counselling acceptability and HIV prevention among this population. Strengths and weakness occurred at all levels, and results suggest brief client-centred interventions during provider-initiated HIV testing and counselling may be an effective approach to increase prevention behaviours in outpatient settings.
University of Connecticut School of Medicine, USA kiene@uchc.edu.
Susan M
SM
Kiene
University of Connecticut School of Medicine, USA.
Katelyn
K
Sileo
Makerere University School of Public Health, Uganda.
Rhoda K
RK
Wanyenze
Gombe Hospital, Uganda.
Haruna
H
Lule
University of Washington, USA.
Moses H
MH
Bateganya
University of Michigan, USA.
Joseph
J
Jasperse
Gombe Hospital, Uganda.
Harriet
H
Nantaba
University of Connecticut School of Medicine, USA.
Kia
K
Jayaratne
D000293:Adolescent; D000328:Adult; D000368:Aged; D003376:Counseling / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology*; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D036301:Qualitative Research; D012424:Rural Population / Q000706:statistics & numerical data; D014454:Uganda; D055815:Young Adult
AIDS; HIV; health behaviour; prevention; screening