Family-Based Index testing for HIV; a qualitative study of acceptance, barriers/challenges and facilitators among clients in Cape Coast, Ghana
| Autor: | Nancy Innocentia Ebu Enyan, Isaac Commey Tetteh, Dorcas Obiri-Yeboah, Raphael Adu-Gyamfi, Stephen Ayisi Addo, Evelyn Asamoah Ampofo, Elizabeth Agyare |
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| Rok vydání: | 2021 |
| Předmět: |
Counseling
Health (social science) Index (economics) Social Psychology business.industry Social Stigma Public Health Environmental and Occupational Health Human immunodeficiency virus (HIV) Stakeholder engagement Stigma (botany) HIV Infections Hiv testing medicine.disease_cause Ghana Nursing Humans Medicine Confidentiality Thematic analysis business Qualitative Research Qualitative research |
| Zdroj: | AIDS Care. 34:856-861 |
| ISSN: | 1360-0451 0954-0121 |
| Popis: | Family-based Index HIV Testing, (FBIT) approach is known to be associated with a relatively higher testing yield compared to Provider-Initiated Testing and Counselling. The implementation of this strategy in several countries has exposed some barriers to optimal FBIT outcomes. With the scale up of FBIT in Ghana, stakeholder engagement is key in identifying and addressing barriers to implementation. This study explored acceptance, barriers/challenges and facilitators of FBIT. Seventeen in-depth qualitative interviews were conducted among clients who had been offered FBIT at the Cape Coast Teaching Hospital using a semi-structured interview guide. Data were analysed using Braun and Clarke's [(2006)] thematic analysis framework and found that (1) participants accepted the strategy and were willing to use it; (2) lack of awareness of the strategy among the general public, fear of disclosure/stigmatization, issues with confidentiality and privacy are barriers/challenges associated with the FBIT approach, and (3) increasing public education on HIV in general and FBIT in particular, ensuring confidentiality and privacy regarding testing are facilitators for increasing uptake of FBIT. It is concluded that despite acceptance of FBIT as a good strategy among index clients, general HIV education to reduce stigma and addressing confidentiality can optimize uptake. |
| Databáze: | OpenAIRE |
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