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Determinants in HIV counselling and testing in couples in North Rift Kenya
P O Ayuo1, E Were, K Wools-Kaloustian
1Department of Medicine, School of Medicine, Moi University, P. O. Box 4606 -30100, Eldoret, Kenya.
East African Medical Journal
|November 10, 2009
Summary
Couple HIV Counselling and Testing (CHCT) is feasible in Kenya, as cultural barriers and fear can be overcome. Enhancing awareness and accessibility can improve CHCT utilization for HIV prevention.
Area of Science:
- Public Health
- Epidemiology
- Social Science
Background:
- Voluntary HIV Counselling and Testing (VCT) is established, but Couple HIV Counselling and Testing (CHCT) is a newer intervention.
- Understanding factors influencing CHCT adoption is crucial for its effective implementation in HIV/AIDS prevention strategies.
Purpose of the Study:
- To identify factors motivating couples to participate in Couple HIV Counselling and Testing (CHCT).
- To explore barriers and facilitators for CHCT uptake in Eldoret, Kenya.
Main Methods:
- A cross-sectional qualitative study design was employed.
- Data were collected through Key Informant Interviews (KIIs), dyad interviews with couples, and Focus Group Discussions (FGDs).
- Seventy-one individuals participated in KIIs and dyad interviews, with 109 individuals in ten FGDs.
Main Results:
- Key barriers to CHCT utilization include cultural practices, limited awareness, stigma, and fear of test results.
- Factors enhancing CHCT uptake include accessible locations, professional staff, and reduced waiting times.
Conclusions:
- Couple HIV Counselling and Testing (CHCT) is a viable strategy for HIV/AIDS prevention in this region of Kenya.
- Identified barriers to CHCT are surmountable, suggesting potential for increased utilization with targeted interventions.
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