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Negotiating multiple barriers: health workers' access to counseling, testing and treatment in Malawi


Author
Namakhoma et al.

Publication year
2010

Country

Type of approach
n/a

Type of assistance
n/a

Specimen
n/a

Study population
Other: Health-care workers

Study design
Values and preferences

Sample size
906

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

Methodology
Mixed method, cross-sectional survey and interview. After qualitative data were collected through in-depth interviews with health workers in two districts, a questionnaire was constructed and administered to 906 health workers in eight districts in Malawi.

Summary of findings
6% of health workers surveyed reported having undergone HIV testing and counseling, of whom 74% reported repeat testing. 22% of health workers reported testing after occupational exposure to HIV. In-depth interviews and the survey revealed multiple challenges that health workers face to accessing HIV testing, counseling, and treatment, including fear of a positive result, fear of stigma, and lack of confidentiality. Additional barriers included health workers' personal acquaintance with those conducting testing, along with their perception of being 'role models', which could exacerbate their fears about confidentiality.

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
4.1% (37/906)

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
n/a

Source

Study status
Completed