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social context of disclosing hiv test results: hiv testing in tanzania

social context of disclosing hiv test results: hiv testing in tanzania

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There is no doubt that such a person decided to take an HIV <strong>test</strong> only to confirm<br />

that her sickness was HIV/AIDS related. Another 25-year-old female respondent who<br />

became frightened after learn<strong>in</strong>g that she had been <strong>in</strong>fected with HIV expla<strong>in</strong>ed her<br />

ordeal as follows:<br />

First <strong>of</strong> all I did not believe when the counsellor told me that my <strong>results</strong><br />

were positive. I became very fearful and so worried. I knew I was go<strong>in</strong>g to<br />

die soon. Most people have been say<strong>in</strong>g that once <strong>in</strong>fected, the chances for<br />

one to survive are small and that most people die early. As a result, I<br />

feared that I was go<strong>in</strong>g to die soon.<br />

The above experience is also shared by a 40-year-old female respondent:<br />

I really felt shocked and very disturbed when the counsellor disclosed the<br />

HIV-positive <strong>results</strong> to me. I thought about my family. I thought seriously<br />

that tak<strong>in</strong>g <strong>in</strong>to consideration that my husband died a while ago, and now<br />

I am HIV positive, who will take care <strong>of</strong> my family/children when I die.<br />

Whom do I leave my family with?<br />

For those who showed their sense <strong>of</strong> denial, their feel<strong>in</strong>gs are represented by a 37year-old<br />

man <strong>in</strong> the follow<strong>in</strong>g way:<br />

When I learned that I was HIV positive, I simply did not believe what the<br />

counsellor was tell<strong>in</strong>g me. I thought my relatives might have bewitched<br />

me. It is not easy for me to get this <strong>in</strong>fection. This cannot be true.<br />

6.5.2 Implication <strong>of</strong> Test Results and Future Health<br />

A 38-year-old married man liv<strong>in</strong>g with AIDS had this to say as far as the question<br />

<strong>of</strong> future health is concerned:<br />

The counsellor advised me to live with great care. I was told to absta<strong>in</strong> or<br />

avoid unsafe sex. When abst<strong>in</strong>ence is not possible, I was advised to use<br />

condoms. I was told that s<strong>in</strong>ce I was <strong>in</strong>fected with HIV, now I had to<br />

abandon certa<strong>in</strong> activities, and follow A, B, C regime. I then asked my<br />

counsellor what A, B, C meant? I was told A meant total abst<strong>in</strong>ence from<br />

sex, to which I responded that I was already absta<strong>in</strong><strong>in</strong>g. B stood for be<strong>in</strong>g<br />

faithful (stick<strong>in</strong>g to one sexual partner), which means avoid<strong>in</strong>g multiple<br />

partners, and C meant if I could not manage to handle the first two then I<br />

was supposed to apply the C which meant us<strong>in</strong>g condoms. The counsellor<br />

also advised me to eat good nutritious food. He suggested that for my<br />

health condition I was supposed to have six meals a day.<br />

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