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

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National AIDS Control Programme (NACP). 2005. HIV/AIDS/STI Surveillance Report, no. 19, January–December 2004. The United Republic of Tanzania, Ministry of Health and Social Welfare. Niccolai, L.M., E. King, D. D’Entremont and E.N. Pritchett. 2006. Disclosure of HIV serostatus to sex partners: A new approach to measurement. Sexually Transmitted Diseases 33(2):102-105. Nsabagasani, X. and P.S. Yoder. 2006. Social dynamics of VCT and disclosure in Uganda. DHS Qualitative Research Studies no. 13. Calverton, Maryland, U.S.A. Macro International Inc. Nyblade, L., R. Pande, S. Matur, K. MacQuarrie, R. Kidd, H. Banteyerga, A. Kidanu, G. Kilonzo, J. Mbwambo and V. Bond. Disentangling HIV and AIDS Stigma Overview of Findings from a Two Year Study in Ethiopia, Tanzania and Zambia, Washington, D.C, International Centre for Research on Women (ICRW) 2003. See also in: www.icrw.org/docs/stigmaintro.pdf Parsons, J.T., E.W. Schrimshaw, D.S. Bimbi, R.J. Wolitski, C.A. Gómez and P.N. Halkitis. 2003. Consistent, inconsistent, and non-disclosure to casual sex partners among HIV-seropositive gay and bisexual men. AIDS 19:S87-S97. Parsons, J.T., J. Van Ora, W. Missildine, D.W. Purcell and C.A. Gómez. 2004. Positive and negative consequences of HIV disclosure among seropositive injection drug users. AIDS Education and Prevention 16(5):459-475. Paxton, S. 2002. The paradox of public HIV disclosure. AIDS Care 14(4):559-567. Peltzer, K., E. Nzewi and K. Mohan. 2004. Attitudes towards HIV-antibody testing and people with AIDS among university students in India, South Africa, and United States. Indian Journal of Medical Sciences 58(3):95-108. Ransom, J.E., B. Siler, R. Peters and M.J. Maurer. 2005. Worry: women’s experience of HIV testing. Qualitative Health Research 15(3):382-394. Rothenberg, K.H. and S.J. Paskey. 1995. The risk of domestic violence and women with HIV infection: implications for partner notification, public policy, and the law. American Journal of Public Health 85(11):1569-1576. Serovich, J.M. 2001. A test of two HIV disclosure theories. AIDS Education and Prevention 13:355-364. Silberschmidt, M. 2004. Masculinities, sexuality and socio-economic change in rural and urban East Africa. In Signe, A. (ed.), Rethinking Sexualities in Africa. Uppsala: Nordiska Afrikainstitutet. 80
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SOCIAL CONTEXT OF DISCLOSING HIV TE
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Cover photo: Iringa bus station (Jo
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5.4 Benefits of VCT ...............
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ACKNOWLEDGEMENTS Many institutions
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Study Objectives EXECUTIVE SUMMARY
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HIV Counselling The respondents wer
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discrimination than are women. In a
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1.2 Statement of the Problem It is
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1.5 Significance of the Study The s
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Major Lakes HIV prevalance (THIS 20
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Stigma tends to affect men and wome
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The other challenge that VCT facili
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to their sexual partner or did not
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Disclosure to significant others ca
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and that encouraging disclosure onl
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4. STUDY DESIGN AND METHODS OF DATA
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testing to side-step the stigma ass
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(b) Alamano Health Centre Alamano H
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Twenty-five of the respondents (44
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4.6.1 Conversation Guide for Respon
Page 47: showing such information in confide
Page 50 and 51: 5.2 Conditions under Which People S
Page 52 and 53: Researcher: Where did you take your
Page 54 and 55: 5.2.2 Respondents’ Other Reasons
Page 56 and 57: She, however, went to get tested as
Page 58 and 59: 5.3 Social Relations and HIV Testin
Page 61 and 62: 6.1 Introduction 6. COUNSELLING AND
Page 63 and 64: Many clients come to us with many r
Page 65 and 66: usually insisted on getting the tes
Page 67 and 68: There is no doubt that such a perso
Page 69 and 70: some respondents told us that those
Page 71 and 72: To understand the effects of ARVs o
Page 73 and 74: 7.1 Introduction 7. DISCLOSURE AND
Page 75 and 76: Respondent: People differ. Research
Page 77 and 78: Researcher: Do you have other reaso
Page 79 and 80: …eeh since I became sick, I had t
Page 81 and 82: Female respondents were often afrai
Page 83 and 84: lose the job as well as be chased a
Page 85 and 86: 7.6 Disclosure and HIV Prevention R
Page 87: however, that disclosure is limited
Page 90 and 91: 8.2 Respondents’ Views of Counsel
Page 92 and 93: Patients now wait for equipment or
Page 95 and 96: REFERENCES AMREF. 2008. Angaza HIV
Page 97: Klitzman, R.L., S.B. Kirshenbaum, B
Page 102 and 103: Questions: What kind of work do you
Page 104 and 105: Questions: What thoughts have you h
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