To halt HIV new infections, it is important
to also understand the gender differences related to disclosure of sero-status among
people living with HIV/AIDS. The objective of this study was to understand the trends in disclosure
rates of at-risk partners focusing much attention on sexual partners among men and
women living with HIV/AIDS. This was in an effort to forge workable strategies towards
partner notification bearing in mind the disclosure disparities, if any, inherent
in them. Secondary/Archival data analysis
of gender variations of 3,990 above 14 years old of People Living with HIV (PLHIV),
entered in Facility Information Management System (FIMS), from October 2018 to September
2019 was done. Findings were that from a total of 3,990 PLHIV 23% were males, while 74% were females indicating
a higher prevalence of HIV among females than males. Overall acceptance rate of
92% (3,683) PLHIV willing to disclose who their at-risk (sexual) partners to HIV
were, with a 7% gender difference (87% of males accepted while 94% females) and
only 8% declining to disclose (13% males and 6% females). Further analysis of at-risk
partners aged 15 years and above, indicated that more males were at-risk of contracting
HIV (63% males vs 37% females), and that they may be the most unaware of their sero-status.
This prompts for new strategies aimed at reaching out to
and promoting more men to know their sero-status as they are both riskier and unaware
of their HIV status, unlike females.
Andrews J, et al. (2013) GRADE guidelines: 15. Going from evidence to recommendation
- determinants of a recommendation’s direction and strength. J Clin Epi.
Bangsberg DR, et al. (2013) Impact of HIV-related stigma on treatment adherence:
systematic review and meta-synthesis. Journal of the International AIDS Society.
Brown LB, et al. (2011) HIV partner notification is effective and feasible
in sub-Saharan Africa: opportunities for HIV treatment and prevention. Journal of
acquired immune deficiency syndromes.
Carpenter L, et al. (1999) Rates of HIV-1 transmission within marriage in
rural Uganda in relation to the HIV sero-status of the partners. Aids.
Farquhar C, et al. (2001) Partner notification by HIV-1 seropositive pregnant
women: association with infant feeding decisions. AIDS, London, England.
Farquhar C, et al. (2004) Antenatal couple counseling increases uptake of
interventions to prevent HIV-1 transmission. Journal of acquired immune deficiency
Gari, S. et al. (2012) The critical role of social cohesion on uptake of
HIV testing and ART in Zambia' 19th International AIDS Conference, abstract TUAC0105.
HIVST.org ‘Acceptability and preferences for HIVST in Zambia: A population-based
formative study using a discrete choice experiment’ (accessed October 2018).
Joint United Nations Program on HIV/AIDS (2014) Fast-Track - Ending the
AIDS epidemic by 2030, Geneva.
Joint United Nations Program on HIV/AIDS (2016) the gap report. Geneva:
Marnan S, et al. (2003) High rates and positive outcomes of HIV sero-status
disclosure to sexual partners: reasons for cautious optimism from a voluntary counseling
and testing clinic in Dar es Salaam, Tanzania. AIDS and Behavior.
Malamba SS, et al. (2005) Couples at risk: HIV-1 concordance and discordance
among sexual partners receiving voluntary counseling and testing in Uganda. JAIDS
Journal of Acquired Immune Deficiency Syndromes.
Sigxashe T, et al. (2001) Attitudes to disclosure of HIV status to sexual
partners. South African Medical Journal. (Accessed 15 January 2020).
Smith R, et al (2008) A meta-analysis of disclosure of one's HIV-positive
status, stigma and social support. AIDS care.
UNAIDS 'AIDSinfo' (Accessed 17 January 2020).
World Health Organization (WHO) (2016) Supplement Guidelines on HIV Self-Testing
and Partner Notification to Consolidated Guidelines on HIV Testing Services.
. USAID (2018) Partner Notification: A Handbook for Designing and Implementing
Programs and Services, JSI Research & Training Institute, Inc. USA.