Understanding the relationship between couple dynamics and engagement with HIV care services: Insights from a qualitative study in Eastern and Southern Africa

Sexually Transmitted Infections

Volumn 93, Issue , 2017, Pages

  Wamoyi, Joyce ^a   Renju, Jenny ^b,c   Moshabela, Mosa ^d,e   McLean, Estelle ^b,c   Nyato, Daniel ^a   Mbata, Doris ^a   Bonnington, Oliver ^b   Seeley, Janet ^b,d   Church, Kathryn ^b   Zaba, Basia ^b   Wringe, Alison ^b  

^a NATIONAL INSTITUTE FOR MEDICAL RESEARCH   (Tanzania)

^b LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^c KARONGA PREVENTION STUDY   (Malawi)

^d AFRICA HEALTH RESEARCH INSTITUTE   (South Africa)

^e UNIVERSITY OF KWAZULU NATAL   (South Africa)

Author keywords

Couples; HIV; Malawi; Relationships; South Africa; Tanzania

Indexed keywords

ANTI HUMAN IMMUNODEFICIENCY VIRUS AGENT;

ANTIRETROVIRAL THERAPY; ARTICLE; BABY; CONFLICT; EMOTION; EXPECTATION; FEAR; FEMALE; FINANCIAL MANAGEMENT; FOLLOW UP; HEALTH CARE UTILIZATION; HEALTH SERVICE; HELP SEEKING BEHAVIOR; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; HUMAN RELATION; INTERVIEW; MAJOR CLINICAL STUDY; MALAWI; MALE; PARTNER VIOLENCE; PERSONAL EXPERIENCE; PRIORITY JOURNAL; QUALITATIVE RESEARCH; SELF DISCLOSURE; SOCIAL SUPPORT; SOUTH AFRICA; TANZANIA; ADULT; AFRICA; CLINICAL TRIAL; EPIDEMIOLOGY; FAMILY PLANNING; FAMILY SIZE; HIV INFECTIONS; INTERPERSONAL COMMUNICATION; MEDICATION COMPLIANCE; MULTICENTER STUDY; PATIENT ATTITUDE; PREGNANCY; PSYCHOLOGY; SEXUALITY; SOCIAL STIGMA; STATISTICS AND NUMERICAL DATA;

ADULT; AFRICA, EASTERN; FAMILY CHARACTERISTICS; FAMILY PLANNING SERVICES; FEMALE; HIV INFECTIONS; HUMANS; INTERPERSONAL RELATIONS; INTERVIEWS AS TOPIC; MALE; MEDICATION ADHERENCE; PATIENT ACCEPTANCE OF HEALTH CARE; PREGNANCY; QUALITATIVE RESEARCH; SEXUAL PARTNERS; SOCIAL STIGMA; SOUTH AFRICA; TRUTH DISCLOSURE;

EID: 85025609479     PISSN: 13684973     EISSN: 14723263     Source Type: Journal    
DOI: 10.1136/sextrans-2016-052976     Document Type: Article

References (25)

1. UNAIDS. UNAIDS report on the global AIDS epidemic. Geneva: UNAIDS, 2016.
2. Dunkle KL, Stephenson R, Karita E, et al. New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: An analysis of survey and clinical data. Lancet 2008;371:2183-91.
3. United Nations. Sustainable development goals, Report. United Nations, 2016.
4. Maman D, Chilima B, Masiku C, et al. Closer to 90-90-90.The cascade of care after 10 years of ART scale-up in Rural Malawi: A population study. J Int AIDS Soc 2016;19:20673.
5. Peltzer K, Matseke G, Mzolo T, et al. Determinants of knowledge of HIV status in South Africa: results from a population-based HIV survey. BMC Public Health 2009;9:174.
6. Skovdal M, Campbell C, Madanhire C, et al. Masculinity as a barrier to men's use of HIV services in Zimbabwe. Global Health 2011;7:13.
7. Skovdal M, Campbell C, Nyamukapa C, et al. When masculinity interferes with women's treatment of HIV infection: A qualitative study about adherence to antiretroviral therapy in Zimbabwe. J Int AIDS Soc 2011;14:29.
8. Ferradini L, Jeannin A, Pinoges L, et al. Scaling up of highly active antiretroviral therapy in a rural district of Malawi: An effectiveness assessment. Lancet 2006;367:1335-42.
9. McGuire M, Ben Farhat J, Pedrono G, et al. Task-sharing of HIV care and ART initiation: evaluation of a mixed-care non-physician provider model for ART delivery in Rural Malawi. PLoS One 2013;8:e74090.
10. DeMatteo D, Wells LM, Salter Goldie R, et al. The 'family' context of HIV: A need for comprehensive health and social policies. AIDS Care 2002;14:261-78.
11. Desgrées-du-Lo A, Orne-Gliemann J. Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa. Reprod Health Matters 2008;16:151-61.
12. R uark A, Shelton JD, Halperin DT, et al. Universal voluntary HIV testing and immediate antiretroviral therapy. The Lancet 2009;373:1078.
13. Arnfred S. 'African Sexuality/sexuality in Africa: Tales and silences. Arnfred S, ed. Re-Thinking sexualities in Africa. Uppsala, Sweden: Nordiska Afrikainstitutet, 2004:59-76.
14. Men SM. Male sexuality and HIV/AIDS: reflections from studies in rural and urban East Africa. Transformation 2004;54.
15. Cawley C, Wringe A, Wamoyi J, et al. 'It is just the way it was in the past before I went to test': A qualitative study to explore responses to HIV prevention counselling in rural Tanzania. BMC Public Health 2016;16:489.
16. Burton J, Darbes LA, Operario D. Couples-focused behavioral interventions for prevention of HIV: systematic review of the state of evidence. AIDS Behav 2010;14:1-10.
17. Larsson EC, Thorson A, Nsabagasani X, et al. Mistrust in marriage-reasons why men do not accept couple HIV testing during antenatal care-A qualitative study in eastern Uganda. BMC Public Health 2010;10:769.
18. Mindry D, Maman S, Chirowodza A, et al. Looking to the future: south African men and women negotiating HIV risk and relationship intimacy. Cult Health Sex 2011;13:589-602.
19. Siu GE, Wight D, Seeley J. 'Dented' and 'resuscitated' masculinities: The impact of HIV diagnosis and/or enrolment on antiretroviral treatment on masculine identities in rural eastern Uganda. Sahara J 2014;11:211-21.
20. Skovdal M, Robertson L, Mushati P, et al. Acceptability of conditions in a communityled cash transfer programme for orphaned and vulnerable children in Zimbabwe. Health Policy Plan 2014;29:809-17.
21. Kilewo C, Massawe A, Lyamuya E, et al. HIV counseling and testing of pregnant women in sub-Saharan Africa: experiences from a study on prevention of motherto-child HIV-1 transmission in Dar es Salaam, Tanzania. J Acquir Immune Defic Syndr 2001;28:458-62.
22. Maman S, Mbwambo JK, Hogan NM, et al. High rates and positive outcomes of HIV-serostatus disclosure to sexual partners: reasons for cautious optimism from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. AIDS Behav 2003;7:373-82.
23. Bwambale FM, Ssali SN, Byaruhanga S, et al. Voluntary HIV counselling and testing among men in rural western Uganda: implications for HIV prevention. BMC Public Health 2008;8:263.
24. Nash D, Tymejczyk O, Gadisa T, et al. Factors associated with initiation of antiretroviral therapy in the advanced stages of HIV infection in six Ethiopian HIV clinics, 2012 to 2013. J Int AIDS Soc 2016;19:20637.
25. G reig A, Peacock D, Jewkes R, et al. Gender and AIDS: Time to act. AIDS 2008;22(Suppl 2):S27-34.