Pregnant women's experiences of routine counselling and testing for HIV in Eastern Uganda: A qualitative study

BMC Health Services Research

Volumn 13, Issue 1, 2013, Pages

  Rujumba, Joseph ^a,b   Neema, Stella ^a   Tumwine, James K ^a   Tylleskär, Thorkild ^b   Heggenhougen, Harald K ^b  

^a MAKERERE UNIVERSITY   (Uganda)

^b UNIVERSITY OF BERGEN   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; ATTITUDE TO HEALTH; COUNSELING; DISEASE TRANSMISSION; FEMALE; HEALTH CARE PLANNING; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INTERVIEW; PATIENT ATTITUDE; PREGNANCY; PREGNANCY COMPLICATION; PREGNANT WOMAN; PRENATAL CARE; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; RESIDENTIAL CARE; RURAL POPULATION; SOCIAL CLASS; UGANDA;

ADOLESCENT; ADULT; CATCHMENT AREA (HEALTH); COUNSELING; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HIV INFECTIONS; HIV SEROPOSITIVITY; HUMANS; INTERVIEWS AS TOPIC; PATIENT ACCEPTANCE OF HEALTH CARE; PREGNANCY; PREGNANCY COMPLICATIONS, INFECTIOUS; PREGNANT WOMEN; PRENATAL CARE; QUALITATIVE RESEARCH; REGIONAL MEDICAL PROGRAMS; RURAL POPULATION; SOCIAL CLASS; UGANDA; YOUNG ADULT;

EID: 84878007932     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-13-189     Document Type: Article

References (50)

1. MOH, Uganda National policy guidelines for HIV counseling and testing Kampala: Ministry of Health Uganda 2005 1 41
2. WHO/UNAIDS, Guidance on Provider initiated HIV Testing and Counselling in Health Facilities Geneva: WHO/UNAIDS 2007 1 60
3. UAC, Government of Uganda-UNGASS Country progress report January 2008-December 2009 Kampala: Uganda AIDS Commission 2010 1 103
4. Impact of antenatal HIV screening to prevent HIV infection in children in Norway 1987-99. Aavitsland P, Nilsen O, Lystad A, Bjorndal A, J Med Screen 2002 9 2 57 59 10.1136/jms.9.2.57 12133922 (Pubitemid 34816254)
5. Screening for HIV-1 antibodies in pregnancy: results from the Swedish national programme. Lindgren S, Bohlin AB, Forsgren M, Arneborn M, Ottenblad C, Lidman K, Anzen B, von Sydow M, Bottiger M, BMJ (Clin Res ed) 1993 307 6917 1447 1451 10.1136/bmj.307.6917.1447 (Pubitemid 23351430)
6. Mandatory prenatal screening for the human immunodeficiency virus: the experience in south-eastern France of a national policy, 1992-1994. Rey D, Carrieri M-P, Obadia Y, Pradier C, Moatti J-P, BJOG 1998 105 3 269 274 10.1111/j.1471-0528.1998.tb10085.x (Pubitemid 28123574)
7. HIV screening for pregnant women in South Eastern France: evolution 1992-1994-1996. Rey D, Obadia Y, Carrieri M-P, Jean-Paul M, Eur J Obstet Gynecol Reprod Biol 1998 76 1 5 9 10.1016/S0301-2115(97)00136-X 9481538 (Pubitemid 28031974)
8. Greeson D, Preble E, Jimenez MS, Blazer C, Increasing Access to Prevention of Mother-to-Child Transmission Services Arlington, Va: USAID's AIDS Support and Technical Assistance Resources, AIDSTAR-One, Task Order 1 2011
9. UNAIDS/WHO, Policy statement on HIV testing Geneva: UNAIDS/WHO 2004 1 3
10. Successful introduction of routine Opt-out HIV testing in antenatal care in botswana. Creek TL, Ntumy R, Seipone K, Smith M, Mogodi M, Smit M, Legwaila K, Molokwane I, Tebele G, Mazhani L, J Acquir Immune Defic Syndr 2007 45 1 102 107 110.1097/QAI.1090b1013e318047df318088 10.1097/QAI.0b013e318047df88 17460473 (Pubitemid 46684449)
11. Routine offer of antenatal HIV testing ("opt-out" approach) to prevent mother-to-child transmission of HIV in urban Zimbabwe. Chandisarewa W, Stranix-Chibanda L, Chirapa E, Miller A, Simoyi M, Mahomva A, Maldonado Y, Shetty AK, Bull World Health Organ 2007 85 11 843 850 18038074 (Pubitemid 350086456)
12. Unfinished business-expanding HIV testing in developing countries. De Cock KM, Bunnell R, Mermin J, N Eng J Med 2006 354 5 440 442 10.1056/NEJMp058327 (Pubitemid 43200293)
13. An assessment of the understanding of the offer of routine HIV testing among pregnant women in rural Zimbabwe. Mugore L, Engelsmann B, Ndoro T, Dabis F, Perez F, Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv 2008 20 6 660 666 (Pubitemid 351913391)
14. Dramatic and sustained increase in HIV-testing rates among antenatal attendees in Eastern Uganda after a policy change from voluntary counselling and testing to routine counselling and testing for HIV: a retrospective analysis of hospital records, 2002-2009. Byamugisha R, Tylleskar T, Kagawa MN, Onyango S, Karamagi CA, Tumwine JK, BMC Health Serv Res 2010 10 290 10.1186/1472-6963-10- 290 20946632
15. Promising outcomes of a national programme for the prevention of mother-to-child HIV transmission in Addis Ababa: a retrospective study. Mirkuzie A, Hinderaker S, Morkve O, BMC Health Serv Res 2010 10 1 267 10.1186/1472-6963-10-267 20828384
16. WHO, UNAIDS, UNICEF, Global HIV/AIDS Response: Epidemic update and health sector progress towards Universal Access Geneva: Progress Report 2011
17. Ministry of Health (MOH), Uganda AIDS Indicatotor Survey (AIS) 2011 Kampala: The Republic of Uganda, Ministry of Health 2012 252
18. MOH, Annual Health Sector Perfomance Report Kampala: Ministry of Health Uganda 2011
19. Ministry of Health (MOH) (Uganda) and ORC Macro, Uganda HIV/AIDS Sero-behavioural Survey 2004-2005 Calverton, Maryland,USA: Ministry of Health and ORC Macro 2006 1 201
20. An offer you can't refuse? Provider-initiated HIV testing in antenatal clinics in rural Malawi. Angotti N, Dionne KY, Gaydosh L, Health Pol Plan 2011 26 4 307 315 10.1093/heapol/czq066
21. Opt-out HIV testing during antenatal care: experiences of pregnant women in rural Uganda. Larsson EC, Thorson A, Pariyo G, Conrad P, Arinaitwe M, Kemigisa M, Eriksen J, Tomson G, Ekstrom AM, Health Policy Plan 2011 27 1 69 75 21292708
22. Is 'Opt-Out HIV Testing' a real option among pregnant women in rural districts in kenya? Ujiji O, Rubenson B, Ilako F, Marrone G, Wamalwa D, Wangalwa G, Ekstrom A, BMC Publ Health 2011 11 1 151 10.1186/1471-2458-11-151
23. Critical Medical Anthropology. Singer M, Encyclopedia of Medical Anthropology: Health and Illness in the world's of Cultures New York: Kluwer Academic/Plenum Publishers, Ember CR EM, 2004 23 30
24. Brown P, Understanding and Applying Medical Anthropology London: Mayfield Publishing Company 1998
25. UBOS, Statistical Abstract Kampala: Uganda Bureau of Statistics 2010
26. UBOS, 2002 Uganda Population and Housing Census Kampala: Uganda Bureau of Statistics Analytical Report, Population Size and Distribution. 2006
27. Attitudes to routine HIV counselling and testing, and knowledge about prevention of mother to child transmission of HIV in eastern Uganda: a cross-sectional survey among antenatal attendees. Byamugisha R, Tumwine J, Ndeezi G, Karamagi C, Tylleskär T, J Int AIDS Soc 2010 13 1 1 11 10.1186/1758-2652-13-1 20205768
28. Qualitative research: reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. Pope C, Mays N, BMJ (Clin Res ed) 1995 311 6996 42 45 10.1136/bmj.311.6996.42
29. Pope C, Mays N, Qualitative research in health care Malden, Massachusetts: Blackwell Publishing Ltd 3 2006
30. Methodology in health services research. Popay J, Williams G, BMJ (Clin Res ed) 1993 306 6884 1069
31. Hardon AP, Boonmongkon P, Streefland P, Tan ML, Applied Health Research Mannual- Anthropology of Health and Health Care Amsterdam, Netherlands: The Nethernalnds Royal Tropical Institute, University of Amsterdam, Medical Anthropology Unit 1995 1 213
32. Hudelson PM, Qualitative Research for Health Programmes Geneva: Division of Mental Health, World Health Organization 1994
33. Kvale S, Interviews: An Introduction to Qualitative Research Interviewing Thousand Oaks, California: Sage 1996
34. QSR, International, NVivo9, Software package Manningham,Victoria: QSR International 2010
35. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Graneheim UH, Lundman B, Nurse Educ Today 2004 24 2 105 112 10.1016/j.nedt.2003.10.001 14769454 (Pubitemid 38232767)
36. Changes in HIV testing policies and the implications for women. Maman S, King E, J Midwifery Womens Health 2008 53 3 195 201 10.1016/j.jmwh.2007.11.001 18455093 (Pubitemid 351597907)
37. Telling my husband I have HIV is too heavy to come out of my mouth": pregnant women's disclosure experiences and support needs following antenatal HIV testing in eastern Uganda. Rujumba J, Neema S, Byamugisha R, Tylleskar T, Tumwine JK, Heggenhougen HK, J Int AIDS Soc 2012 15 2 1 10 22905346
38. Technologies of hope? Motherhood, HIV and infant feeding in eastern Africa. Blystad A, Moland KM, Anthropol Med 2009 16 2 105 118 10.1080/13648470902940655
39. UBOS, Uganda National Household Survey 2009/10 Kampala: Uganda Bureau of Statistics 2010
40. Provider challenges in implementing antenatal provider-initiated HIV testing and counseling programs in Uganda. Medley AM, Kennedy CE, AIDS Educ Prev 2010 22 2 87 99 10.1521/aeap.2010.22.2.87 20387980
41. The dilemma of safe sex and having children: challenges facing HIV sero-discordant couples in Uganda. Beyeza-Kashesya J, Kaharuza F, Mirembe F, Neema S, Ekstrom A, Kulane A, Afr Health Sci 2009 9 1 2 12 20842236
42. WHO, Global health sector strategy on HIV/AIDS 2011-2015 Geneva: World Health Organisation 2011 1 40 20675024
43. National mother, global whore, and transnational femocrats:the politics of AIDS and the construction of women at the world health organisation. Booth KM, Fem Stud 1998 24 1 115 139 10.2307/3178621 (Pubitemid 128186553)
44. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Kleinman A, Eisenberg L, Good B, Ann Intern Med 1978 88 2 251 258 10.7326/0003-4819-88-2-251 626456 (Pubitemid 8282164)
45. Overestimating HIV infection: the construction and accuracy of subjective probabilities of HIV infection in rural malawi. Anglewicz P, Kohler HP, Demogr Res 2009 20 6 65 96 19672478
46. Asking God about the date you will die: HIV testing as a zone of uncertainty in rural Malawi. Kaler A, Watkins S, Demogr Res 2010 23 32 905 932 21562614
47. Antiretroviral treatment outcomes from a nurse-driven, community-supported HIV/AIDS treatment programme in rural Lesotho: observational cohort assessment at two years. Cohen R, Lynch S, Bygrave H, Eggers E, Vlahakis N, Hilderbrand K, Knight L, Pillay P, Saranchuk P, Goemaere E, J Int AIDS Soc 2009 12 1 23 10.1186/1758-2652-12-23 19814814
48. Mothers' knowledge and utilization of prevention of mother to child transmission services in northern Tanzania. Falnes EF, Tylleskar T, de Paoli MM, Manongi R, Engebretsen IM, J Int AIDS Soc 2010 13 36 10.1186/1758-2652-13-36 20840784
49. Undiagnosed HIV infection and couple HIV discordance among household members of HIV-infected people receiving antiretroviral therapy in Uganda. Were WA, Mermin JH, Wamai N, Awor AC, Bechange S, Moss S, Solberg P, Downing RG, Coutinho A, Bunnell RE, J Acquir Immune Defic Syndr 2006 43 1 91 95 10.1097/01.qai.0000225021.81384.28 16885775 (Pubitemid 44306494)
50. UAC, Uganda HIV modes of transmission and prevention response analysis Kampala: Uganda National AIDS Commission 2009