scholarly journals The Drive to Take an HIV Test in Rural Uganda: A Risk to Prevention for Young People?

Author(s):  
Sarah Bernays ◽  
Allen Asiimwe ◽  
Edward Tumwesige ◽  
Janet Seeley

AbstractA key component of current global HIV prevention efforts is widespread HIV testing. This strategy in part reflects the focus on the broader global targets to eliminate AIDS by achieving high rates of viral suppression. In this chapter we look at young people’s engagement with HIV prevention options in South-West Uganda. Taking a qualitative approach, using repeat in-depth interviews and participatory workshops with 50 young people aged 16–24 years old, we reflect on their accounts of how they navigate risks and opportunities within their daily lives. These risks include HIV-acquisition, but also the harms of economic precarity. Within a context in which using HIV prevention methods, such as condoms or abstinence, were for various reasons severely compromised by their contextual realities, some young people reported relying on irregular HIV testing as their singular method. The young people’s accounts demonstrate that an unintended consequence of the ‘push’ for HIV testing may be the justification of its replacement of other behavioural prevention strategies. This case study illustrates what impact such biomedical interventions may have if implemented as a priority and in isolation from the structural drivers of vulnerability: the social context of young people’s lives.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rohan D. Jeremiah ◽  
Dhruvi R. Patel ◽  
Ellen Chirwa ◽  
Esnath Kapito ◽  
Xiaohan Mei ◽  
...  

Abstract Background HIV testing at antenatal care (ANC) is critical to achieving zero new infections in sub-Saharan Africa. Although most women are tested at ANC, they remain at risk for HIV exposure and transmission to their infant when their partners are not tested. This study evaluates how an HIV-enhanced and Centering-based group ANC model-Group ANC+ that uses interactive learning to practice partner communication is associated with improvements in partner HIV testing during pregnancy. Methods A randomized pilot study conducted in Malawi and Tanzania found multiple positive outcomes for pregnant women (n = 218) assigned to Group ANC+ versus individual ANC. This analysis adds previously unpublished results for two late pregnancy outcomes: communication with partner about three reproductive health topics (safer sex, HIV testing, and family planning) and partner HIV testing since the first antenatal care visit. Multivariate logistic regression models were used to assess the effect of type of ANC on partner communication and partner testing. We also conducted a mediation analysis to assess whether partner communication mediated the effect of type of care on partner HIV testing. Results Nearly 70% of women in Group ANC+ reported communicating about reproductive health with their partner, compared to 45% of women in individual ANC. After controlling for significant covariates, women in group ANC were twice as likely as those in individual ANC to report that their partner got an HIV test (OR 1.99; 95% CI: 1.08, 3.66). The positive effect of the Group ANC + model on partner HIV testing was fully mediated by increased partner communication. Conclusions HIV prevention was included in group ANC health promotion without compromising services and coverage of standard ANC topics, demonstrating that local high-priority health promotion needs can be integrated into ANC using a Group ANC+. These findings provide evidence that greater partner communication can promote healthy reproductive behaviors, including HIV prevention. Additional research is needed to understand the processes by which group ANC allowed women to discuss sensitive topics with partners and how these communications led to partner HIV testing.


2020 ◽  
Vol 7 (11) ◽  
pp. 187-194
Author(s):  
Anagonou L ◽  
Saria B ◽  
Klikpo E ◽  
Salifou S ◽  
Houinou Ebo B ◽  
...  

Social and familial maladjustment is the inability to conform to a group's habits and norms and to participate in its activities and productions. The purpose of this study is to study the social representations of the social and familial maladjustment of adolescents and young people. This is a case study, using a mixed method essentially qualitative, set in a closed educational center in the Department of Littoral in Benin. The study concerned adolescents and young people admitted to the center and their referents. The respondents in the target population were all male and aged 10 to 23 with an average age of 18 years. The social representations of maladjustment, according to young people and their referents are similar. They concern social disqualification, inadequate educational attitudes, the absence of familial model, educational failure linked to adolescents or young people and mystical-religious representations. Adolescents and young people define themselves as deviants while their referents define them as delinquents. This create an insecurity feeling and a need to protect society. Adults have to integrate themselves earlier in the prevention of this phenomenon with the help and /or child psychiatrist lead.


2019 ◽  
Author(s):  
Ucheoma Nwaozuru ◽  
iwelunmor juliet ◽  
Jason J. Ong ◽  
Sawsan Salah ◽  
Chisom Obiezu-Umeh ◽  
...  

Abstract Background Despite high HIV incidence rates among young people in Nigeria, less than 24% of this population have ever tested for HIV. These low HIV testing rates suggest that current testing services may not align with their testing preferences. To address this gap, the objective of this study was to assess preferences for HIV testing options among young people in Nigeria.Methods We conducted a cross-sectional study using survey to assess preferences for HIV testing options among 113 youth aged 14-24 years residing in Nigeria. The survey included a series of hypothetical HIV testing options, comprised of six characteristics centered around HIV testing service (i.e. location of testing, test administrator, mode of pre-test, mode of post-test counseling, type of HIV test, and cost of HIV test). For each characteristic, participants were asked to select one of the options that they prefer or indicate none of the above. A descriptive analysis of the preferences made by participants was conducted, summarizing proportions of participants who selected different options for HIV testing.Results The mean age of study participants was 19.5 years old (SD=2.7). Most youth (73, 64.6%) had at least a secondary school degree. There was pronounced heterogeneity in HIV testing preferences among young people. Although most youth preferred free HIV testing, 14 (16.7%) reported preferring paying a small amount compared to free testing. More youth preferred blood-based HIV self-testing 39(48.8%) compared to facility-based HIV testing and oral HIV self-testing.Conclusions Our finding suggest that young people have a range of HIV testing preferences in Nigeria. This suggests that a “one-size-fits-all” approach to delivering services to youth may be challenging in this context. HIV testing services can be optimized to reach young people if a variety options are provided to meet their unique preferences.


2019 ◽  
Author(s):  
Ucheoma Nwaozuru ◽  
iwelunmor juliet ◽  
Jason J. Ong ◽  
Sawsan Salah ◽  
Chisom Obiezu-Umeh ◽  
...  

Abstract Background Despite high HIV incidence rates among young people in Nigeria, less than 24% of this population have ever tested for HIV. These low HIV testing rates suggest that current testing services may not align with their testing preferences. To address this gap, the objective of this study was to assess preferences for HIV testing options among young people in Nigeria.Methods We conducted a cross-sectional study using survey to assess preferences for HIV testing options among 113 youth aged 14-24 years residing in Nigeria. The survey included a series of hypothetical HIV testing options, comprised of six characteristics centered around HIV testing service (i.e. location of testing, test administrator, mode of pre-test, mode of post-test counseling, type of HIV test, and cost of HIV test). For each characteristic, participants were asked to select one of the options that they prefer or indicate none of the above. A descriptive analysis of the preferences made by participants was conducted, summarizing proportions of participants who selected different options for HIV testing.Results The mean age of study participants was 19.5 years old (SD=2.7). Most youth (73, 64.6%) had at least a secondary school degree. There was pronounced heterogeneity in HIV testing preferences among young people. Although most youth preferred free HIV testing, 14 (16.7%) reported preferring paying a small amount compared to free testing. More youth preferred blood-based HIV self-testing 39(48.8%) compared to facility-based HIV testing and oral HIV self-testing.Conclusions Our finding suggest that young people have a range of HIV testing preferences in Nigeria. This suggests that a “one-size-fits-all” approach to delivering services to youth may be challenging in this context. HIV testing services can be optimized to reach young people if a variety options are provided to meet their unique preferences.


2021 ◽  
Vol 7 (20) ◽  
pp. 202127
Author(s):  
Chirles da Silva Monteiro ◽  
Gutemberg Armando Diniz Guerra

EDUCATION AND PEASANT RESISTANCE IN THE PARAENSE AMAZONIAEDUCACIÓN Y RESISTENCIA CAMPESINA EN LA AMAZONIA PARAENSERESUMOEste artigo é fruto dos apontamentos da pesquisa de mestrado desenvolvida no Programa de Pós-Graduação em Agriculturas Amazônicas (PPGAA) da Universidade Federal do Pará – UFPA. Aborda os desafios da luta pela terra no Sudeste Paraense, refletindo sobre o papel da educação nesse processo. Ele aponta a educação que permeia o cotidiano das pessoas, como elemento que fortalece a resistência política dos camponeses, por isso, não está apenas relacionada à conquista da terra, mas também, à permanência na mesma e à mudança da qualidade de vida nos acampamentos e assentamentos. O artigo é resultado de um estudo de caso, desenvolvido no Acampamento Sem Terra, denominado de Dalcídio Jurandir, localizado no Sudeste Paraense e encaminhado por uma abordagem qualitativa. Entende-se que o movimento social busca uma educação que dê conta de compreender as circunstâncias vividas a partir de suas contradições sociais, tendo a mesma lógica de resistência do campesinato, porque é nele que ela tem sua raiz histórica. Trata-se de uma educação que antecede à escola e vai muito além dela.Palavras-chave: Educação; Luta pela Terra; Resistência Camponesa.ABSTRACTThis article is the result of the master's research notes developed in the Postgraduate Program in Amazon Agriculture (PPGAA) of the Federal University of Pará – UFPA. It addresses the challenges of the struggle for land in Southeast Pará, reflecting on the role of education in this process. This paper points out the education that permeates people's daily lives, as an element that strengthens the political resistance of the peasants, therefore, it is not only related to the conquest of the land, but also to the permanence in it and to the change in the quality of life in the encampments and settlements. The article is the result of a case study, developed at the agrarian reform camp, called Dalcídio Jurandir, located in Southeast Pará and guided by a qualitative approach. It is understood that the social movement seeks an education that is able to understand the circumstances experienced from its social contradictions, having the same logic of resistance as the peasantry, because it has its historical roots in it. It is an education that precedes school and goes far beyond it.Keywords: Education; Struggle for Land; Peasant Resistance.RESUMENEste artículo es el resultado de las notas de investigación de maestría desarrolladas en el Programa de Posgrado en Agricultura Amazónica (PPGAA) de la Universidad Federal de Pará – UFPA. Aborda los desafíos de la lucha por la tierra en el sureste de Pará, reflexionando sobre el papel de la educación en este proceso. Señala la educación que permea la vida cotidiana de las personas, como un elemento que fortalece la resistencia política de los campesinos, por lo tanto, no solo se relaciona con la conquista de la tierra, sino también con la permanencia en ella y con el cambio de la tierra. Calidad de vida en los campamentos y asentamientos. El artículo es el resultado de un estudio de caso, desarrollado en el Campamento Sem Terra, llamado Dalcídio Jurandir, ubicado en el sureste de Pará y guiado por un enfoque cualitativo. Se entiende que el movimiento social busca una educación que sea capaz de comprender las circunstancias vividas desde sus contradicciones sociales, teniendo la misma lógica de resistencia que el campesinado, porque tiene en ella sus raíces históricas. Es una educación que precede a la escuela y la va mucho más allá.Palabras clave: Educación; Lucha por la Tierra; Resistencia Campesina.


2019 ◽  
Vol 11 (7) ◽  
pp. 69 ◽  
Author(s):  
Frans Koketso Matlakala ◽  
Jabulani Calvin Makhubele ◽  
Prudence Mafa

The risk factors that compound alcohol abuse by young people have significant effects of individuals. The sole purpose of social work is to enhance the social functioning of clients and in most cases, clients have impairments as the result of high density of alcohol outlets, affordability of alcohol, which later give birth to psychosocial challenges. The aim of this study is to describe psychosocial and demographic factors compounding alcohol abuse amongst youth. The study employed quantitative approach and descriptive case study design. Data was collected at Musina High School and 96 learners were sampled using stratified sampling to complete the questionnaire. Data was analysed descriptively with the aid of Statistical Package for the Social Science. The study revealed that psychosocial and environmental factors compound to alcohol abuse amongst youth in Musina High School. The study concludes that the context determines the excessive use of alcohol abuse by youth. Young people especially those who reside in rural areas are exposed to high density of alcohol outlets and they are left without guardianship. Due to lack of guardian or parental involvement they end up indulging in excessive use of alcohol.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Weiming Tang ◽  
Wenting Huang ◽  
Haidong Lu ◽  
Bolin Cao ◽  
Dan Wu ◽  
...  

Abstract Background HIV self-testing (HIVST) is a promising approach to expand HIV testing. HIVST is a process in which a person performs an HIV test and interprets the result. Negative HIVST results may encourage men who have sex with men (MSM) to use HIV prevention services. The objective of this study was to examine behaviors (e.g., facility-based HIV testing, condom use) after a negative HIVST test result among Chinese MSM. Methods We collected data from MSM in eight Chinese cities over a 12-month period. This is a secondary analysis of longitudinal cohort data collected as part of an intervention trial to increase HIV testing. Men completed a survey that described sociodemographic information, sexual behaviors, HIV self-testing, and facility-based HIV testing. Men who completed at least one follow-up survey were included in this analysis. Generalized linear mixed models were used to evaluate whether HIVST increased subsequent facility-based HIV testing and consistent condom use. Results We included 1219 men. Most men (78.7%) were under 30 years old and had never been married (87.0%). 755 (61.9%) men tested for HIV and 593 (49.3%) men self-tested during the study period. At baseline, among men who had never been tested for HIV, 44.9% (314/699) initiated HIVST during the study period. HIVST was associated with subsequent facility-based testing (aOR of 1.87, 95% CI: 1.47–2.37). HIVST was also associated with subsequent consistent condom use (aOR = 1.53, 95% CI: 1.13–2.06). Conclusion HIVST was associated with subsequent facility-based HIV testing and consistent condom use. HIVST may enhance uptake of related HIV prevention services at facilities, suggesting the need for more implementation research.


BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e032459
Author(s):  
Kathrin Frey ◽  
Stéphanie Lociciro ◽  
Patricia Blank ◽  
Matthias Schwenkglenks ◽  
Françoise Dubois-Arber ◽  
...  

ObjectivesTo study the implementation, effects and costs of Break the Chains, a community-based HIV prevention campaign for men who have sex with men (MSM) in Switzerland, from March to May 2015, which aimed to reduce early HIV transmission by promoting the campaign message to adopt short-term risk reduction followed by HIV testing.DesignNon-randomised evaluation and cost analysis.SettingGay venues in 11 of 26 cantons in Switzerland and national online media campaign.ParticipantsMSM in online surveys (precampaign n=834, postcampaign n=688) or attending HIV testing centres (n=885); campaign managers (n=9); and campaign staff (n=38) or further intermediaries (n=80) in an online survey.Primary and secondary outcome measuresThe primary outcome measure was the proportion of MSM at risk of HIV acquisition or transmission who adhered to the campaign message. Secondary outcomes were postcampaign test uptake, knowledge about HIV primary infection and sense of belonging to the gay community.ResultsCampaign staff estimated that they contacted 17 145 MSM in 11 cantons. Among 688 respondents to the postcampaign survey, 311 (45.2%) were categorised as MSM at risk. Of 402/688 (58.5%) MSM who had heard about Break the Chains 2015, MSM categorised as being at risk were less likely to report adherence to the campaign message than MSM not at risk (adjusted OR 0.24; 95% CI 0.14 to 0.42). Twenty per cent of MSM with a defined risk of HIV acquisition or transmission who adopted risk reduction declared having done so because of the campaign. Costs for one MSM at risk to adhere to the campaign message were estimated at USD purchasing power parity 36–55. The number of HIV tests in the month after the campaign was twice the monthly average.ConclusionBreak the Chains increased HIV testing, implying that community-based campaigns are useful HIV prevention strategies for MSM. Additional interventions are needed to reach MSM at the highest risk of infection more effectively.


ILUMINURAS ◽  
2017 ◽  
Vol 18 (44) ◽  
Author(s):  
Bruna Rossi Koerich ◽  
Fernanda Bittencourt Ribeiro

O Brasil está entre os países com a maior taxa de homicídios entre jovens, e uma das mais crescentes taxas de participação de jovens na população carcerária. Esses dados fortalecem a associação entre juventudes e violências e um imaginário social de jovem violento. Esse artigo se propõe a discutir quais as imagens que os jovens envolvidos em trajetórias infracionais fazem acerca de si mesmos e quais as principais imagens produzidas sobre eles pelos principais atores sociais envolvidos no seu cotidiano. Para tanto, partiu-se da apresentação de fragmentos biográficos de três jovens em cumprimento de medidas socioeducativas de meio aberto, apreendidas durante campo para dissertação de mestrado, desenvolvido mediante uma abordagem qualitativa de inspiração etnográfica. Foram encontrados aproximações e distanciamentos nas imagens mobilizadas em cada uma das narrativas recontadas, apontando para o fato de que o imaginário social acerca da intersecção entre juventude e violência é menos homogênea do que faz parecer o senso comum sobre a temática. Palavras-chave: Imaginários. Juventude. Narrativas.Imaginaries of juvenile infraction: an analysis of three trajectories of the socioeducation of the open meansAbstractBrazil is among the countries with the highest homicide rate among young people, and one of the highest rates of youth participation in the prison population. These data strengthen the association between youths and violence and a social imaginary of violent youth. This article proposes to discuss which images the young people involved in infractional trajectories do about themselves and which are the main images produced on them by the main social actors involved in their daily lives. For that, we started with the presentation of biographical fragments of three young people in compliance with socioeducative measures of open means, seized during field for dissertation of master, developed through a qualitative approach of ethnographic inspiration. We have found approximations and distances in the images mobilized in each of the narratives recounted, pointing to the fact that the social imaginary about the intersection between youth and violence is less homogeneous than does common sense on the subject.Key words: Imaginaries. Youth. Narratives.  


Sexual Health ◽  
2011 ◽  
Vol 8 (1) ◽  
pp. 110 ◽  
Author(s):  
Emmanuel F. Koku

Background: Although various HIV prevention and treatment programs have been implemented in Ghana since 2003, desire for and uptake of HIV testing is still low, owing largely to HIV-related stigma. This study examined the effect of stigma on desire for HIV testing, while controlling for socio-demographic and other influences. Method: The study used data from the 2003 Ghana Demographic and Health Survey to regress desire for an HIV test on levels of stigma while controlling for selected socio-demographic, socio-cognitive and socio-behavioural covariates. Results: The study revealed significant associations between several socio-demographic and socio-cognitive variables and the desire for an HIV test. For example, both male (adjusted odds ratio (AOR) = 0.41; 95% confidence interval (CI) = 0.24–0.72) and female (AOR = 0.62; 95% CI = 0.41–0.93) respondents in the wealthiest households, and those who know someone infected with HIV (AOR = 0.65; 95% CI = 0.43–1.00) have lower odds of desiring an HIV test. The study showed a significant but negative interaction between risky sexual behaviours and community stigma (AOR = 0.44; 95% CI = 0.19–0.67), indicating that the positive effect of risky sex on HIV testing is attenuated among females who live in communities with high levels of stigma. Conclusion: Since community-level education and risk reduction programs have demonstrable influences on reducing HIV stigma, it is imperative that the Ghana government’s ongoing anti-stigma campaigns and other HIV prevention programs recognise the role of community stigma in influencing HIV testing decisions, especially in the context of risky sexual behaviours.


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