Voluntary HIV counselling and testing among men in rural western Uganda: implications for HIV prevention

Bwambale, Francis M.; Ssali, Sarah N.; Byaruhanga, Simon; Kalyango, Joan N.; Karamagi, Charles A. S.
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p263
Academic Journal
Background: Voluntary HIV counselling and testing (VCT) is one of the key strategies in the prevention and control of HIV/AIDS in Uganda. However, the utilization of VCT services particularly among men is low in Kasese district. We therefore conducted a study to determine the prevalence and factors associated with VCT use among men in Bukonzo West health sub-district, Kasese district. Methods: A population-based cross-sectional study employing both quantitative and qualitative techniques of data collection was conducted between January and April 2005. Using cluster sampling, 780 men aged 18 years and above, residing in Bukonzo West health sub-district, were sampled from 38 randomly selected clusters. Data was collected on VCT use and independent variables. Focus group discussions (4) and key informant interviews (10) were also conducted. Binary logistic regression was performed to determine the predictors of VCT use among men. Results: Overall VCT use among men was 23.3% (95% CI 17.2-29.4). Forty six percent (95% CI 40.8-51.2) had pre-test counselling and 25.9% (95%CI 19.9-31.9) had HIV testing. Of those who tested, 96% returned for post-test counselling and received HIV results. VCT use was higher among men aged 35 years and below (OR = 2.69, 95%CI 1.77-4.07), the non-subsistence farmers (OR = 2.37, 95%CI 2.37), the couple testing (OR = 2.37, 95%CI 1.02-8.83) and men with intention to disclose HIV test results to sexual partners (OR = 1.64, 95%CI 1.04-2.60). The major barriers to VCT use among men were poor utilization of VCT services due to poor access, stigma and confidentiality of services. Conclusion: VCT use among men in Bukonzo West, Kasese district was low. In order to increase VCT use among men, the VCT programme needs to address HIV stigma and improve access and confidentiality of VCT services. Among the more promising interventions are the use of routine counselling and testing for HIV of patients seeking health care in health units, home based VCT programmes, and mainstreaming of HIV counselling and testing services in community development programmes. Published: 30 July 2008


Related Articles

  • Editorial. Fülöp, Tamàs // Gerontology;Jan2020, Vol. 66 Issue 1, p1 

    No abstract available.

  • Prevention Education. Meyer, Marsha // Pharmaceutical Executive;May2005, Vol. 25 Issue 5, p176 

    The article informs that pharmacy can play an important role in treating tomorrow's senior in the United States. The Baby Boomers--the largest segment of the US population--are approaching their golden years. The U.S. Census Bureau predicts 71 million Americans will be over age 65 just two...

  • Frailty in primary care: a review of its conceptualization and implications for practice.  // BMC Medicine;2012, Vol. 10 Issue 1, p4 

    The article offers information on a study conducted on the weaknesses of primary care, and the tools to identify them are in the preliminary stages of development. It states that frailty is seen as an attribute which can change for some individuals, and more outcomes can be considered than...

  • REHABILITACJA SENIORÓW -- ASPEKTY KLINICZNE I PLANOWANIE TERAPII. Wolska, Olga; Zaborowska-Sapeta, Katarzyna; Kiebzak, Wojciech; Kowalski, Ireneusz M.; Torres, Miguel A. T. // Polish Annals of Medicine / Rocznik Medyczny;2009, Vol. 16 Issue 1, p148 

    Introduction. Aging is a natural and prevalent process. It concerns all organs and systems, even if there are no signs of pathology. At present there is no age limit which indicates specifically the beginning of senility. The border between physiology and pathology is blurred; consequently, the...

  • Nursing home funding is failing older people. Agnew, Thelma // Nursing Standard;3/16/2005, Vol. 19 Issue 27, p9 

    Reports on the failure of nursing home funding in the current systems to cover the cost of long term nursing care for older people to assess their needs. Recommendation of nurses to local funding panels, which decide older people's eligibility for continuing care; Concern of the high level of...

  • Pattern and determinants of hospitalization during heat waves: an ecologic study. Mastrangelo, Giuseppe; Fedeli, Ugo; Visentin, Cristiana; Milan, Giovanni; Fadda, Emanuela; Spolaore, Paolo // BMC Public Health;2007, Vol. 7 Issue 1, p200 

    Background: Numerous studies have investigated mortality during a heatwave, while few have quantified heat associated morbidity. Our aim was to investigate the relationship between hospital admissions and intensity, duration and timing of heatwave across the summer months. Methods: The study...

  • IPG volume 26 issue 3 Cover and Front matter.  // International Psychogeriatrics;Mar2014, Vol. 26 Issue 3, pf1 

    The front cover page of the journal "International Psychogeriatrics" is presented.

  • IPG volume 26 issue 3 Cover and Back matter.  // International Psychogeriatrics;Mar2014, Vol. 26 Issue 3, pb1 

    The back cover page of the journal "International Psychogeriatrics" is presented.

  • Bringing a Generalist Approach to the Problems of Older Patients. Kovinsky, Kenneth E. // JGIM: Journal of General Internal Medicine;Sep2000, Vol. 15 Issue 9, p673 

    This issue of JGIM has three articles dealing with issues principally affecting the care of older patients: functional decline after hospitalization, end-of-life decision making, and reporting of impaired drivers.1-3 It may seem unusual that a journal for general internists would have so much...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics