"There's No Place Like Home": Perceptions of Home-Based HIV Testing in Lesotho

Autor/inn/en	Mantell, J. E.; DiCarlo, A. L.; Remien, R. H.; Zerbe, A.; Morris, D.; Pitt, B.; Nkonyana, J. P.; Abrams, E. J.; El-Sadr, W.
Titel	"There's No Place Like Home": Perceptions of Home-Based HIV Testing in Lesotho
Quelle	In: Health Education Research, 29 (2014) 3, S.456-469 (14 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyu004
Schlagwörter	Foreign Countries; Screening Tests; Public Health; Acquired Immunodeficiency Syndrome (AIDS); Prevention; Pregnancy; Females; Surveys; Interviews; Focus Groups; Attitude Measures; Health Behavior; Family Environment; Counseling; Barriers; Confidentiality; Privacy; Health Education; Educational Methods; Lesotho + Suchen Sie Ihr Suchwort? Ausland; Screening-Verfahren; Gesundheitswesen; Prävention; Vorbeugung; Schwangerschaft; Weibliches Geschlecht; Survey; Umfrage; Befragung; Interviewing; Interviewtechnik; Health behaviour; Gesundheitsverhalten; Familienmilieu; Counselling; Beratung; Privatsphäre; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Educational method; Erziehungsmethode
Abstract	HIV testing has the potential to reduce HIV transmission by identifying and counseling individuals with HIV, reducing risk behaviors, linking persons with HIV to care and earlier treatment, and reducing perinatal transmission. In Lesotho, a high HIV prevalence country in which a large proportion of the population has never tested for HIV, home-based testing (HBT) may be an important strategy to increase HIV testing. We identified factors influencing acceptability of HIV prevention strategies among a convenience sample of 200 pregnant or post-partum Basotho women and 30 Basotho men. We first conducted cross-sectional surveys, followed by key informant interviews with all 30 men and focus group discussions with a sub-set of 62 women. In total, 82% of women reported positive perceptions of HBT; women and men viewed HBT as a potential way to increase testing among men and saw the home as a comfortable, supportive environment for testing and counseling couples and families together. Potential barriers to HBT uptake included concerns about confidentiality, privacy, coercion to test, conflict within the family and fear of HIV/AIDS-associated stigma. Participants emphasized community mobilization and education as important elements of HBT. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10