title: Antenatal Care and Couples' HIV Testing in Rural Northern Uganda: A Gender Relations Analysis.
abstract: HIV rates continue to increase among heterosexual couples in many countries including Uganda. This article examines approaches to antenatal care and heterosexual partners' HIV testing in Amuru subcounty, northern Uganda, drawing on findings derived from fieldwork and interviews. The study findings reveal how institutional structures influence the uptake of HIV testing amid power dynamics, wherein many male partners refuse to be tested. Discussed are the coercive approaches to HIV testing in which couples' participation in HIV testing is leveraged by connecting testing to future maternity care. This article advances understandings about how heterosexual gender relations at the local, regional, and global levels affect the health of women, men, and families in Amuru subcounty.
authors.affiliation: University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Sarah
authors.initials: S
authors.lastname: Rudrum
authors.affiliation: University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: John L
authors.initials: JL
authors.lastname: Oliffe
authors.affiliation: University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Helen
authors.initials: H
authors.lastname: Brown
mesh_terms: D001294:Attitude to Health; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis / Q000523:psychology*; D020010:Heterosexuality / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control* / Q000523:psychology; D011295:Prenatal Care / Q000523:psychology*; D012424:Rural Population / Q000706:statistics & numerical data; D012747:Sexual Partners; D014454:Uganda
keywords: Amuru; HIV testing; antenatal care; gender relations; institutional ethnography; postconflict; sub-Saharan Africa