scholarly journals Community Based Risk Behaviour Study on HIV/AIDS Targeting Women in Nepal - 2007

1970 ◽  
Vol 6 (2) ◽  
pp. 1-10
Author(s):  
KK Jha ◽  
VS Salhotra ◽  
AP Weerakoon ◽  
L Shrestha ◽  
P Malla
Keyword(s):  
High Risk ◽  
Risk Behaviour ◽  
Married Women ◽  
Age Group ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
High Risk Sexual Behaviour ◽  
Risk Sexual Behaviour ◽  
Hiv Aids

Nepal has progressed from a HIV low prevalence country to one with a concentrated epidemic in certain subgroups of population. It has been documented that girls and women are more vulnerable to HIV infection. However there is little documented evidence on the risk behaviour among women in Nepal. This study was conducted to assess the pattern of risk behaviour for HIV among women in Nepal. Methodology : The main component of the study comprised a community based cross-sectional study, using a multi stage random sampling technique. Data was collected by trained field health workers using an interviewer administered questionnaire. Eight focus group discussions were also conducted to supplement the findings. Statistical analysis was carried out using SPSS version 13. Results : A significant number of un married (13.7%) women and 2.2% of married women indulged in high risk sexual behaviour. A significant positive association was observed between sexual risk behaviour of married women and monthly family income less than 5000 Nepali Rs ,age group 25-34y and young age group (15- 34) in unmarried women. Nearly 70% of participatory women have heard about AIDS and have satisfactory level of knowledge about HIV/AIDS. However, significant number of respondents had misconceptions that one could contract HIV through hand shaking, mosquito bites and hugging. Using Condoms during unprotected sexual intercourse in both married and unmarried women were low (19.4% and 6.2% respectively). Findings of Focus Group Discussions revealed there is a strong stigma associated with HIV/AIDS in this rural community in Nepal. Conclusions : One in every seven unmarried woman in Nepal indulged in high risk sexual behaviour, which is much more compared to married women. There is an urgent need for reproductive health education especially among teenagers and for the National HIV/AIDS Control Programme to expand its awareness generation activities. Keywords : HIV/AIDS, women, risk behaviour, Nepal DOI: 10.3126/saarctb.v6i2.3051 SAARC J. Tuber. Lung Dis. HIV/AIDS 2009 VI (2) 1-10

USING LAY COUNSELLORS TO PROMOTE COMMUNITY-BASED VOLUNTARY COUNSELLING AND HIV TESTING IN RURAL NORTHERN GHANA: A BASELINE SURVEY ON COMMUNITY ACCEPTANCE AND STIGMA

2007 ◽  
Vol 39 (5) ◽  
pp. 721-733 ◽  
Author(s):  
F. BAIDEN ◽  
G. AKANLU ◽  
A. HODGSON ◽  
P. AKWEONGO ◽  
C. DEBPUUR ◽  
...  
Keyword(s):  
Focus Group ◽  
Hiv Testing ◽  
Northern Ghana ◽  
Baseline Survey ◽  
People Living With Hiv ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Voluntary Counselling ◽  
Hiv Aids

SummaryAccess to voluntary counselling and HIV testing (VCT) remains limited in most parts of Ghana with rural populations being the least served. Services remain facility-based and employ the use of an ever-dwindling number of health workers as counsellors. This study assessed approval for the use of lay counsellors to promote community-based voluntary counselling and testing for HIV and the extent of HIV/AIDS-related stigma in the Kassena-Nankana district of rural northern Ghana. A cross-sectional questionnaire survey was conducted. Logistic regression was used to identify predictors of the tendency to stigmatize people living with HIV/AIDS (PLWHAs). Focus group discussions were held and analytical coding of the data performed. The majority (91·1%) of the 403 respondents indicated a desire to know their HIV status. Most (88·1%) respondents considered locations outside of the health facility as preferred places for VCT. The majority (98·7%) of respondents approved the use of lay counsellors. About a quarter (24%) of respondents believed that it was possible to acquire HIV through sharing a drinking cup with a PLWHA. About half (52·1%) of the respondents considered that a teacher with HIV/AIDS should not be allowed to teach, while 77·2% would not buy vegetables from a PLWHA. Respondents who believed that sharing a drinking cup with a PLWHA could transmit HIV infection (OR 2·50, 95%CI 1·52–4·11) and respondents without formal education (OR 2·94, 95%CI 1·38–6·27) were more likely to stigmatize PLWHAs. In contrast, respondents with knowledge of the availability of antiretroviral (ARV) drugs were less likely to do so (OR 0·40, 95%CI 0·22–0·73). Findings from the thirteen focus group discussions reinforced approval for community-based VCT and lay counsellors but revealed concerns about stigma and confidentiality. In conclusion, community-based VCT and the use of lay counsellors may be acceptable options for promoting access. Interventional studies are required to assess feasibility and cost-effectiveness.

Perceptions of HIV/AIDS on a Johannesburg Gold Mine

1998 ◽  
Vol 28 (3) ◽  
pp. 146-153 ◽  
Author(s):  
Cecil Macheke ◽  
Catherine Campbell
Keyword(s):  
High Risk ◽  
Sexual Behaviour ◽  
Traditional Healers ◽  
Sexual Relationships ◽  
Gold Mine ◽  
Hiv Education ◽  
High Risk Sexual Behaviour ◽  
Risk Sexual Behaviour ◽  
Hiv Aids ◽  
Mine Workers

Semi-structured interviews were conducted with 40 mine workers on a Johannesburg gold mine, focusing on workers' perceptions of health, HIV/AIDS and sexuality. The paper seeks to highlight a range of factors which might predispose mine workers to high-risk sexual behaviour, despite the fact that they had all attended HIV-education programmes. These factors are presented within a framework that views the process of sexual decision making as a debating process - in which competing facts and beliefs are weighed up against one another - within the context of a range of normative and social parameters. Firstly, attention is given to a number of pre-existing perceptions and doubts which may blunt the force of the facts that HIV educational messages seek to impart to this particular group of people. These include a lack of perceived urgency regarding the treatment of sexually transmitted diseases (STD's), a commitment to ‘flesh-to-flesh’ sex, a dislike of condoms, and faith in the ability of traditional healers to cure a range of STD's and possibly also HIV/AIDS. Secondly, attention is given to the normative context of sexuality, and in particular the way in which norms of masculinity predispose people to high-risk sexual behaviour. Finally, the paper focuses on some aspects of social and occupational life on the mines as the context within which sexual relationships are conducted. These include the phenomenon of single sex hostels, an acceptance of high levels of disease and accidents as the norm, and the use of alcohol. The paper concludes with a discussion of the challenges these findngs pose for a peer education programme which is shortly to be implemented in the mining context.

Brief manual-based single-session Motivational Interviewing for reducing high-risk sexual behaviour in women – an evaluation

2017 ◽  
Vol 29 (4) ◽  
pp. 396-403 ◽  
Author(s):  
Jens Boman ◽  
Helena Lindqvist ◽  
Lars Forsberg ◽  
Urban Janlert ◽  
Gabriel Granåsen ◽  
...  
Keyword(s):  
High Risk ◽  
Motivational Interviewing ◽  
Sexual Behaviour ◽  
Intervention Group ◽  
Risk Behaviour ◽  
Control Group ◽  
Coding System ◽  
Single Session ◽  
High Risk Sexual Behaviour ◽  
Risk Sexual Behaviour

The objective of this study was to develop and evaluate brief Motivational Interviewing (MI) to facilitate behaviour change in women at high risk of contracting sexually transmitted infections (STIs). One hundred and seventy-three women (mean age 24.7) at high risk of contracting STIs were randomized to a brief risk-reducing MI counselling intervention (n = 74) or assigned to the control group (n = 99). MI skill was assessed using the Motivational Interviewing Treatment Integrity (MITI) Coding System. Seventeen of 74 (23%) women tested for Chlamydia trachomatis (CT) in the MI intervention group and 22 of 99 (22%) in the control group had a genital CT infection 0–24 months before baseline. All additional CT testing was monitored up to 24 months for all 173 women in the study. None of the 49 CT-retested women in the MI group was CT infected, as compared to 3 of 72 (4%) women in the control group. A generalized estimating equations model with sexual high-risk behaviour measured at baseline and at six-month follow-up produced an adjusted estimated odds ratio of 0.38 (95% confidence interval = 0.158, 0.909), indicating efficacy. Brief manual-based single-session MI counselling seems to be effective in reducing high-risk sexual behaviour in women at high risk of acquiring STIs.

scholarly journals Nepali Migrant Labourers are Highly Exposed to Unsafe Sexual Behaviour

2013 ◽  
Vol 1 (2) ◽  
pp. 20-23
Author(s):  
Madhusudan Ghimire ◽  
Anand Pratap Singh ◽  
Moushami Ghimire
Keyword(s):  
High Risk ◽  
Sexual Behaviour ◽  
Migrant Workers ◽  
Formal Education ◽  
Risk Behaviour ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Physical Relation ◽  
High Risk Sexual Behaviour ◽  
Risk Sexual Behaviour

INTRODUCTION: Unsafe sexual behavior between two partners may lead to incidence of STDs/HIV/ AIDS and can create serious problems in society. Both biological and behavioural variables are playing significant role to determine sexual activities of humans and result may end the probability that infection will occur after unsafe sexual contact between a susceptible and infected partner. OBJECTIVES : To study high risk sexual behaviour among the Nepali migrant labourers in India. METHODS: A cross-sectional survey of 240 Nepali migrant labourers temporarily residing in India was carried out. A brief interview schedule was used tocollect information. RESULTS : Most of the Nepali migrant workers (below 30 years) were involved in high risk sexual behaviour. 74.58 percent were exposure to unsafe physical relation. CONCLUSION: Migrants labourers below 30 years with no formal education were involved in high risk behaviour and they could be exposed to STDs/HIV/AIDS.DOI: http://dx.doi.org/10.3126/jucms.v1i2.8405 Journal of Universal College of Medical Sciences Vol.1(2) 2013: 20-23

ВІД ЮНОСТІ ДО МОЛОДОСТІ: МОЖЛИВОСТІ ЕПІГЕНЕТИЧНОЇ МОДЕЛІ В СОЦІОКУЛЬТУРНОМУ АНАЛІЗІ

1970 ◽  
Vol 8 (1) ◽  
pp. 90-97
Author(s):  
Олена Злобіна
Keyword(s):  
Identity Development ◽  
Theoretical Basis ◽  
Interdisciplinary Approach ◽  
Transition Process ◽  
Age Group ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Identity Statuses ◽  
The Status ◽  
Empirical Material

Статтю    присвячено    аналізу    можливостей    застосування    міждисциплінарного    підходу    в  дослідженнях трансформацій конструкту ідентичності. Виокремлено обмеженості дослідження стадій  циплінарних  підходах.  Запропоновано  застосувати  стадійний  підхід  в  аналізі  вікової  групи  «молодь»  з  метою верифікації положення про її диференціацію на різні вікові підгрупи, які відрізняються статусами  ідентичності. Теоретичним підґрунтям дослідження є теорія психогенетичного розвитку особистості Е.  Еріксона та статусна динамічна модель розвитку ідентичності Дж. Марсіа. Емпіричну основу склали  матеріали аналізу 14 фокус-групових дискусій, проведених у молодіжних аудиторіях: 7 груп з молоддю у віці  18-21  рік  і  7  з  молоддю  у  віці  26-30  років.  Підтверджено  внутрішню  диференціацію    вікової  стадії  «молодість». Показано, що динаміка психогенезу на цій стадії характеризується домінуванням дифузного  статусу у молодшої групи та статусу досягненості у старшої.  Інші статуси зустрічаються значно  рідше.   Наявний   емпіричний   матеріал   не   дає   можливості   простежити   чинники,   які   зумовлюють  зафіксовані відмінності, проте отримані в ході дослідження типові портрети зазначених груп  дозволяють   розвинути міждисциплінарний підхід до проблеми персоногенезу та застосувати його можливості для  вироблення стратегії дослідження «процесу переходу» від стадії до стадії The article is devoted to the analysis of the possibilities of using the interdisciplinary approach in studies of transformations of the construct of identity. The limitations of studies of stages of development in monodisciplinary approaches are singled out. It is suggested to apply the step-by-step approach in the analysis of the age group "youth" in order to verify the position on its differentiation into different age subgroups that differ in identity statuses. The theoretical basis of the study is the theory of psychogenetic development of the personality of E. Erickson and the status dynamic model of identity development of J. Marcia. Empirical basis was made by the analysis materials 14 focus group discussions held in youth audiences: 7 groups with youth aged 18-21 and 7 with young people aged 26-30. The internal differentiation of the age stage "youth" has been confirmed. It is shown that the dynamics of psychogenesis at this stage is characterized by the dominance of diffuse status in the younger group and the status of attainment in the older group. Other statuses are much less common. The existing empirical material does not provide an opportunity to trace the factors that cause the observed differences, but the typical portraits of these groups obtained in the course of the research allow developing an interdisciplinary approach to the problem of personogenesis and applying its possibilities for developing a strategy for studying the "transition process" from stage to stage.

scholarly journals Setting the global research agenda for community-based HIV service delivery through the faith sector

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Martha T. Ndlovu-Teijema ◽  
Maarten O. Kok ◽  
Sabine L. van Elsland ◽  
Hilleen Smeets ◽  
David Barstow ◽  
...  
Keyword(s):  
South Africa ◽  
Focus Group ◽  
Research Agenda ◽  
Primary Research ◽  
Focus Group Discussions ◽  
Online Questionnaire ◽  
Group Discussions ◽  
Community Based ◽  
Faith Leaders ◽  
Global Research

Abstract Background While leading AIDS organizations expect faith and health collaborations to play a crucial role in organizing and scaling up community-based HIV services, it is unclear how this can be realized. Little primary research has been conducted into which strategies for collaboration and service provision are most effective, efficient, scalable and sustainable. Seeking to align research with urgent needs, enhance coordination and increase the likelihood that results are used, this study aimed to set an inclusive global research agenda that reflects priority research questions from key stakeholders at the intersection of HIV healthcare and faith. Methods In order to develop this global research agenda, we drew from document analyses, focus group discussions, interviews with purposively selected key informants from all continents (policy-makers, healthcare providers, faith leaders, academics and HIV activists), an online questionnaire, and expert meetings at several global conferences. We carried out focus group discussions and interviews with faith leaders in South Africa. Other stakeholder focus groups and interviews were carried out online or in person in France, Switzerland, the Netherlands and South Africa, and virtual questionnaires were distributed to stakeholders worldwide. Respondents were purposively sampled. Results We interviewed 53 participants, and 110 stakeholders responded to the online questionnaire. The participants worked in 54 countries, with the majority having research experience (84%), experience with policy processes (73%) and/or experience as a healthcare provider (60%) and identifying as religious (79%). From interviews (N = 53) and questionnaires (N = 110), we identified 10 research themes: addressing sexuality, stigma, supporting specific populations, counselling and disclosure, agenda-setting, mobilizing and organizing funding, evaluating faith-health collaborations, advantage of faith initiatives, gender roles, and education. Respondents emphasized the need for more primary research and prioritized two themes: improving the engagement of faith communities in addressing sexuality and tackling stigma. Conclusions A wide range of respondents participated in developing the research agenda. To align research to the prioritized themes and ensure that results are used, it is essential to further engage key users, funders, researchers and other stakeholders, strengthen the capacity for locally embedded research and research uptake and contextualize priorities to diverse religious traditions, key populations and local circumstances.

scholarly journals Analysis of herpes simplex virus 1 and 2 infection in women with high risk sexual behaviour in Mexico

1999 ◽  
Vol 28 (3) ◽  
pp. 571-576 ◽  
Author(s):  
C. J. Conde-Glez ◽  
L. Juarez-Figueroa ◽  
F. Uribe-Salas ◽  
P. Hernandez-Nevarez ◽  
D. S. Schmid ◽  
...  
Keyword(s):  
Herpes Simplex Virus ◽  
Herpes Simplex ◽  
High Risk ◽  
Sexual Behaviour ◽  
Herpes Simplex Virus 1 ◽  
High Risk Sexual Behaviour ◽  
Risk Sexual Behaviour ◽  
Simplex Virus

scholarly journals Addressing the challenges and relational aspects of index-linked HIV testing for children and adolescents: insights from the B-GAP study in Zimbabwe

2020 ◽  
Author(s):  
Chido Dziva Chikwari ◽  
Sarah Bernays ◽  
Stefanie Dringus ◽  
Victoria Simms ◽  
Helen A Weiss ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Children And Adolescents ◽  
Negative Impact ◽  
Discrete Event ◽  
Routine Care ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Testing Uptake ◽  
Sexual Contacts

Abstract Introduction Index-linked HIV testing, targeted at sexual contacts or children of individuals with HIV, may improve yield and efficiency. The B-GAP study evaluated index-linked testing approaches in health facility and community-based settings. This paper reports on a qualitative study to understand factors that affect uptake of index-linked HIV testing for children and adolescents. Methods We conducted four focus group discussions (FGDs) with caregivers who had their children tested through B-GAP and one FGD with providers who offered index-linked HIV testing to indexes. We aimed to understand enabling and inhibiting factors in the decision-making process. Translated and transcribed transcripts were read for familiarisation. Following initial coding, analytical memos were written to identify emerging key themes across the data. Results Our findings showed there was inadequate emphasis on paediatric HIV in routine care which had a negative impact on subsequent uptake of testing for children. Once the decision to test had been made, access to facilities was sometimes challenging, and alleviated by community-based testing. A key finding was that HIV testing is not a discrete event but a process that was influenced by relationships with other family members and children themselves. These relationships raised complex issues that could prevent or delay the testing process. Conclusion There is a need to improve messaging on the importance of HIV testing for children and adolescents and to provide support to caregivers and their families in order to improve testing uptake. Addressing access barriers through the provision of community-based testing and implementing a family centred approach can optimize index-linked testing.

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