@article{fdi:010060460,
  title = {{D}o support groups members disclose less to their partners ? {T}he dynamics of {HIV} disclosure in four {A}frican countries},
  author = {{H}ardon, {A}. and {G}omez, {G}. {B}. and {V}ernooij, {E}. and {D}esclaux, {A}lice and {W}anyenze, {R}. {K}. and {K}y-{Z}erbo, {O}. and {K}ageha, {E}. and {N}amakhoma, {I}. and {K}insman, {J}. and {S}pronk, {C}. and {M}eij, {E}. and {N}euman, {M}. and {O}bermeyer, {C}. {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {R}ecent efforts to curtail the {HIV} epidemic in {A}frica have emphasised preventing sexual transmission to partners through antiretroviral therapy. {A} component of current strategies is disclosure to partners, thus understanding its motivations will help maximise results. {T}his study examines the rates, dynamics and consequences of partner disclosure in {B}urkina {F}aso, {K}enya, {M}alawi and {U}ganda, with special attention to the role of support groups and stigma in disclosure. {M}ethods: {T}he study employs mixed methods, including a cross-sectional client survey of counselling and testing services, focus groups, and in-depth interviews with {HIV}-positive individuals in stable partnerships in {B}urkina {F}aso, {K}enya, {M}alawi and {U}ganda, recruited at healthcare facilities offering {HIV} testing. {R}esults: {R}ates of disclosure to partners varied between countries (32.7% - 92.7%). {T}he lowest rate was reported in {M}alawi. {R}easons for disclosure included preventing the transmission of {HIV}, the need for care, and upholding the integrity of the relationship. {F}ear of stigma was an important reason for non-disclosure. {W}omen reported experiencing more negative reactions when disclosing to partners. {D}isclosure was positively associated with living in urban areas, higher education levels, and being male, while being negatively associated with membership to support groups. {C}onclusions: {U}nderstanding of reasons for disclosure and recognition of the role of support groups in the process can help improve current prevention efforts, that increasingly focus on treatment as prevention as a way to halt new infections. {S}upport groups can help spread secondary prevention messages, by explaining to their members that antiretroviral treatment has benefits for {HIV} positive individuals and their partners. {H}ome-based testing can further facilitate partner disclosure, as couples can test together and be counselled jointly.},
  keywords = {{D}isclosure ; {HIV} counselling and testing ; {S}upport groups ; {S}tigma ; {HIV}/{AIDS} ; {M}ixed methods ; {BURKINA} {FASO} ; {KENYA} ; {MALAWI} ; {OUGANDA}},
  booktitle = {},
  journal = {{B}mc {P}ublic {H}ealth},
  volume = {13},
  numero = {},
  pages = {589},
  ISSN = {1471-2458},
  year = {2013},
  DOI = {10.1186/1471-2458-13-589},
  URL = {https://www.documentation.ird.fr/hor/fdi:010060460},
}