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Knowledge, Perception, and Attitude Toward Voluntary Counseling and Testing for HIV Among Secondary School Students
Maiko Charles Mkwambe1, Shakilu Jumanne Kayungo2, Youping Deng1
1Department of Pediatrics, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan, Hubei, 430071, China, 86 27-67811887.
Secondary school students in Tanzania show high awareness of voluntary counseling and testing (VCT) for HIV/AIDS, but fear of stigma and confidentiality concerns hinder uptake. Improving school-based programs and addressing barriers are crucial for effective HIV prevention.
Area of Science:
- Public Health
- Adolescent Health
- HIV/AIDS Prevention
Background:
- Adolescents are a vulnerable population for HIV infection due to biological, psychological, and social factors.
- Voluntary Counseling and Testing (VCT) for HIV/AIDS includes pre-test/post-test counseling and risk reduction plans.
- Understanding VCT knowledge, perceptions, and barriers among secondary school students is vital for targeted interventions.
Purpose of the Study:
- To assess knowledge, perceptions, attitudes, and barriers toward VCT for HIV/AIDS among secondary school students.
- To identify key factors influencing VCT uptake in this demographic.
- To inform the development of effective HIV/AIDS prevention strategies in schools.
Main Methods:
- A descriptive cross-sectional study was conducted in Iringa Rural District, Tanzania.
- 127 secondary school students (aged 15-25) were recruited using random sampling.
- Data were collected via self-administered questionnaires and analyzed using Epi Info™ 7.2.
Main Results:
- High awareness of VCT services was reported, primarily from school-based education and media.
- Knowledge of VCT increased with education level; however, fear of stigma and confidentiality concerns were significant barriers.
- While students generally supported HIV testing and behavioral change, willingness to disclose results was low.
Conclusions:
- Secondary school students exhibit positive attitudes towards VCT, but practical barriers impede service utilization.
- Enhanced school-based VCT programs, community education, and stigma-reduction strategies are recommended.
- Addressing infrastructural and personnel limitations is essential for improving VCT accessibility and effectiveness.
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