Factors Influencing Women to Disclose Their HIV Status to Their Sexual Partners at the Regional Hospital Ngaoundere

Download Article

DOI: 10.21522/TIJAR.2014.12.02.Art016

Authors : Relindis Berry Mborong, Aloysius Mom Njong, Emmanuel Mbebeb Fomba

Abstract:

Introduction: Only 48% of women living with HIV are receiving ART, leaving a gap of 10,591 women yet to be initiated to ART (Spectrum, 2022). The gap between women yet to be initiated to ART treatment is twice that of men. Assisting women to disclose their HIV status will contribute positively to bridging this gap, as some women refuse to take treatment because they are not willing to disclose their status for reasons like fear of isolation, stigmatization, separation, and intimate partner violence. Objective: The main aim of this study is to determine the patterns and predictors of HIV status disclosure by women to their sexual partners. Method: This study employed a mixed approach. A total of 248 women who began ART treatment between June 2020 and May 2023 were randomly selected. Face-to-face interviews utilized a questionnaire comprising 7 closed-ended questions and 3 open-ended questions. The collected data was organized in a designated spreadsheet, where it was cleaned, cross-verified, and coded before being transferred to the Statistical Package for Social Science (SPSS) version 29 for storage and descriptive analysis. Conclusion: The prevalence of HIV disclosure to partners was 48.8%. Disclosure was higher among older respondents and in the educated than among those who could not read or write. HIV disclosure was also higher in the illiterate respondents involved in polygamous relationships. Women who were diagnosed at the PMTCT services disclosed more (60%) than those tested during sickness (53%) and those who tested through VCT (42%).

References:

[1].   UNAIDS Fact Sheet on Cameroon 2022, available at https://www.unaids.org/en/topic/gender.

[2].   Cameroon Demographic Health Survey, 2018, available at https://dhsprogram.com/pubs/pdf/OF44/OF44.HIV.E.pdf.

[3].   WHO; Gender Dimensions of HIV Status Disclosure to Sexual Partners: Rates, Barriers and Outcomes, 2004.

[4].   WHO, Cameroon making progress in the fight against HIV, Dec 2023. Available at https://www.afro.who.int/countries/cameroon/news/cameroon-making-progress-fight-against-hiv

[5].   Cameroon Population-Based HIV Impact Assessment, CAMPHIA 2017, Available at https://phia.icap.columbia.edu/wp-content/uploads /2020/02/3471CAMPHIA_Cameroon-SS_A4_v13_requests_7.25.18.pdf

[6].   Winchester, M. S., McGrath, J. W., Kaawa-Mafigiri, D., Namutiibwa, F., Ssendegye, G., Nalwoga, A., 2013, Early HIV disclosure and nondisclosure among men and women on antiretroviral treatment in Uganda, AIDS Care., PMCID: PMC3657329. https://pubmed.ncbi.nlm.nih.gov/23356654/

[7].   Alemayehu, M., Aregay, A., Kalayu, A., Yebyo, H., 2014, HIV disclosure to sexual partner and associated factors among women attending ART clinic at Mekelle hospital, Northern Ethiopia., BMC Public Health. Retrieved from https://pubmed.ncbi.nlm.nih.gov/25056689/

[8].   Erku, T. A., Megabiaw, B., Wubshet, M., 2012, Predictors of HIV status disclosure to sexual partners among people living with HIV/AIDS in Ethiopia, Pan Afr Med J. PMID: 23396625; PMCID: PMC3567411.

[9].   Genet, M., Sebsibie, G., Gultie, T., 2015, Disclosure of HIV seropositive status to sexual partners and its associated factors among patients attending antiretroviral treatment clinic follow up at Mekelle Hospital, Ethiopia; a cross-sectional study, BMC Res Notes.;8:109. Doi: 10.1186/s13104-015-1056-5. PMID: 25889779; PMCID: PMC4379749.

[10].  Osinde, M. O., Kakaire, O., Kaye, D. K.; 2012, Factors associated with disclosure of HIV serostatus to sexual partners of patients receiving HIV care in Kabale, Uganda. Int J Gynaecol Obstet. 118(1):61-4. Doi: 10.1016/j.ijgo.2012.02.008. PMID: 22507263.

[11].  Batte, A., Katahoire, A. R., Chimoyi, A., Ajambo, S., Tibingana, B., Banura, C., 2015, Disclosure of HIV test results by women to their partners following antenatal HIV testing: a population-based cross-sectional survey among slum dwellers in Kampala Uganda., BMC Public Health. Doi: 10.1186/s12889-015-1420-3. PMID: 25637031; PMCID: PMC4314734.

[12].  Bulterys, M. A., Sharma, M., Mugwanya, K., Stein, G., Mujugira, A., Nakyanzi, A, et al., 2021, Correlates of HIV Status Nondisclosure by Pregnant Women Living With HIV to Their Male Partners in Uganda: A Cross-Sectional Study, Retrieved from https://pubmed.ncbi.nlm.nih.gov/33148995/.

[13].  Ramlagan, S., Matseke, G., Rodriguez, V. J., Jones, D. L., Peltzer, K., Ruiter, R. A. C., et al., 2018, Determinants of disclosure and non-disclosure of HIV-positive status, by pregnant women in rural South Africa, SAHARA J. 155-163. PMCID: PMC6197005. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30324859/

[14].  Diemer, S. H., Longo, J. D., Tekpa, G., Gaunefet, C. E., Ngbale, R. N., 2018, Factors associated with non-disclosure of HIV status among women attending prenatal clinics in Bangui.Sante Publique, PMID: 30541269 Retrieved from https://pubmed.ncbi.nlm.nih.gov/30541269/

[15].  van Lettow, M., Cataldo, F., Landes, M., Kasende, F., Nkhoma, P., van Oosterhout, J. J., 2019, July 26; Impact of inter-partner HIV disclosure patterns in Malawi's PMTCT program: A mixed-method study; PLoS One.1 PMC6660128. Retrieved from https://pubmed.ncbi.nlm.nih.gov/31348782/

[16].  Anglewicz, P., Chintsanya, J., 2011, Disclosure of HIV status between spouses in rural Malawi. AIDS Care. PMCID: PMC3371657. Retrieved from https://pubmed.ncbi.nlm.nih.gov/21390889/

[17].  Taylor, K., Lamb, M., Lahuerta, M., Ahoua, L., Abacassamo, F., Elul, B., 2020, Patterns and Predictors of HIV Status Disclosure in the 12 Months after Diagnosis in Mozambique, PMID: 32084049. Retrieved from https://pubmed.ncbi.nlm.nih.gov/32084049/.

[18].  Naigino, Rose, et al., 2017, HIV status disclosure and associated outcomes among pregnant women enrolled in antiretroviral therapy in Uganda: a mixed methods study, Reproductive health vol. 14,1 107. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5577683/

[19].  Nordberg, B., Gabriel, E. E., Were, E., Kaguiri, E., Ekström, A. M., Kågesten, A., et al., 2020, Social concerns related to HIV status disclosure and participation in the prevention of mother-to-child transmission of HIV care among pregnant women in Kenya, BMC Pregnancy Childbirth. 16; PMID: 32299386; PMCID: PMC7164265. Retrieved from https://pubmed.ncbi.nlm.nih.gov/32299386/

[20].  Aloyce, Z., Larson, E., Komba, A., Mwimba, A., Kaale, A., Minja, A., et al., 2020, Prevalence and factors associated with intimate partner violence after HIV status disclosure among pregnant women with depression in Tanzania, AIDS Care, PMID: 32741204; PMCID: PMC7855519. Retrieved from https://pubmed.ncbi.nlm.nih.gov/32741204/

[21].  Ramlagan, S., Matseke, G., Rodriguez, V. J., Jones, D. L., Peltzer, K., Ruiter, R. A. C., et al., 2018, Determinants of disclosure and non-disclosure of HIV-positive status, by pregnant women in rural South Africa,155-163 PMID: 30324859; PMCID: PMC6197005. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30324859/

[22].  Geubbels, E., Williams, A., Ramaiya, A., Tancredi, D., Young, S., Chantry, C., 2018, HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention, AIDS Care, 417-425. Doi: PMID: 29363340; PMCID: PMC6250839. Retrieved from https://pubmed.ncbi.nlm.nih.gov/29363340/

[23].  Tibebu, N. S., Rade, B. K., Kebede, A. A., Kassie, B. A., 2023, Disclosure of HIV status to sexual partner and its associated factors among pregnant women living with HIV attending prenatal care in Amhara Regional State Referral Hospitals, Ethiopia, PLoS One, Doi: 10.1371/journal.pone.0280045. PMID: 36649277; PMCID: PMC9844863.

[24].  Chaudoir, S. R., Fisher, J. D., Simoni, J. M., 2011, Understanding HIV disclosure: a review and application of the Disclosure Processes Model., 1618-29. doi: 10.1016/j.socscime PMID: 21514708; PMCID: PMC4059828.

[25].  Kinuthia, J., Singa, B., McGrath, C. J., Odeny, B., Langat, A., Katana, A., Ng'ang'a, L., Pintye, J., John-Stewart, G., 2018, Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in Kenya. BMC Public Health, doi: 10.1186/s12889-018-5567-6. PMID: 29848345; PMCID: PMC5975408.

[26].  Tam, M., Amzel, A., Phelps, B. R., 2015, Disclosure of HIV serostatus among pregnant and postpartum women in sub-Saharan Africa: a systematic review. AIDS Care. 2015;27(4):436-50. doi: 10.1080/09540121.2014.997662. PMID: 25636060.

[27].  Abuogi, L., Hampanda, K., Odwar, T., Helova, A., Odeny, T., Onono, M. Turan, J., 2019, HIV status disclosure patterns and male partner reactions among pregnant women with HIV on lifelong ART in Western Kenya., AIDS Care32(7), 858–868. https://doi.org/10.1080/09540121.2019.1659915

[28].  Ssali, S. N., Atuyambe, L., Tumwine, C., Segujja, E., Nekesa, N., Nannungi, A., Ryan, G., Wagner, G., 2010, Reasons for disclosure of HIV status by people living with HIV/AIDS and in HIV care in Uganda: an exploratory study; Doi: 10.1089/apc.2010.0062. PMID: 20863244; PMCID: PMC3826576.

[29].  Godfrey, M., 2023, Factors Contributing To Non-Disclosure Of HIV Positive Status Among Sexual Partners Attending Art Clinic At Kyanamukaaka Health Centre Iv, Masaka District-Uganda: A Cross-Sectional Study. Student’s Journal of Health Research Africa4(6), 13. https://sjhresearchafrica.org/index.php/public-html/article/view/463

[30].  Subulade, A. A., Salami, T. A., & Adewuyi, G. M., 2018, Factors that promote HIV disclosure among women attending prevention of mother-to-child transmission in a state in South Nigeria, HIV & AIDS Review. International Journal of HIV-Related Problems, 17, 283-287.

[31].  Mitra, S., Gogolishvili, D., Globerman, J., 2013, Rapid Response Service. Rapid Response: Disclosure of HIV-Positive Status. Toronto, ON: Ontario HIV Treatment Network

[32].  Kiula, et al., 2013, Predictors of HIV serostatus disclosure to partners among HIV-positive pregnant women in Morogoro, Tanzania. BMC Public Health

[33].  Loubiere, S., Peretti, P., Boyer, S., Blanche, J., Cécile, S., Abega, Spire, B., 2009, HIV disclosure and unsafe sex among HIV-infected women in Cameroon; available at https://www.sciencedirect.com/science/article/abs/pii/S0277953609003414

[34].  Cameroon Country Operational Plan, COP 2020, Strategic Direction Summary, 2020.