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Factors shaping initial decision-making to self-test amongst cohabiting couples in urban Blantyre, Malawi


Author
Kumwenda et al.

Publication year
2014

Country

Type of approach
Dual

Type of assistance
Directly assisted

Specimen
Oral-fluid

Study population
Vulnerable population: Heterosexual couples

Study design
Values and preferences

Sample size
34

UNAIDS HIV prevalence (2017)
9.1 [8.4 - 9.9]

Methodology
Explored factors shaping the decision-making of cohabiting couples who opted to self-test in Blantyre, Malawi

Summary of findings
Motivators for HIVST emerged at three main levels. Individual motivations included perceived benefits of access to treatment, and self-checking of serostatus in the hope of having been cured by prolonged treatment or faith-healing. HIVST was considered convenient, confidential, reassuring, and an enabling new way to test with one's partner. Partnership motivations included both positive (mutual encouragement) and negative (suspected infidelity) aspects. For women, long-term health and togetherness were important goals that reinforced motivations for couples testing, whereas men often needed persuasion despite finding HIVST more flexible and less onerous than facility-based testing. Internal conflict prompted some partners to use HIVST as a way of disclosing their previously concealed HIV-positive serostatus.

Acceptability
n/a

Acceptability details
n/a

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
29.4% (10/34)

Accuracy details
n/a

Social harm
Whilst HIVST often encouraged communication between partners, there were examples where couples were unable to initiate a discussion about HIVST

Linkage to prevention, care and treatment
n/a


Study status
Completed

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