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

  • Frailty progression reversed.  // Geriatrics;May2006, Vol. 61 Issue 5, p8 

    Discusses research being done on addressing the first signs of frailty progression among the elderly. Reference to a study by Thomas Gill et al in the February 2006 issue of "Archives of Internal Medicine" Criteria used to stratify patients to non-frail, pre-frail and frail condition; Decrease...

  • Reviews. The Encyclopedia of Elder Care: The Comprehensive Resource on Geriatric Health and Social Care--Third edition. Arthur, Margaret // Nursing Standard;5/28/2014, Vol. 28 Issue 39, p32 

    No abstract available.

  • Therapeutic challenges in the management of gout in the elderly.  // Geriatrics;Jul2008, Vol. 63 Issue 7, p13 

    Gout is the most common inflammatory arthritis in the elderly population. Management in the elderly requires special consideration. Physiologic changes associated with aging and co-morbidities make the elderly prone to adverse effects of drugs otherwise successfully used in younger counterparts....

  • Beneficiary profile: Yesterday, today, and tomorrow. Rice, Sc.D. (Hon.), Dorothy P. // Health Care Financing Review;Winter96, Vol. 18 Issue 2, p23 

    Discusses that the older Americans generally enjoy better health, longer lives and improved quality of life, in part, because of Medicare. Changing demographic structure of the population; Socioeconomic characteristics of the elderly population; Health status of the elderly; Use of medical care...

  • Next step: Concentrate on pricing, staffing, strategy. Calvin, Robert // Crain's Small Business -- Chicago Edition;Jul/Aug97, Vol. 5 Issue 6, p7 

    Opinion. Debates some of the methods needed for a success business, focusing on Robert Ebersole's company, Elder Care Information Network Incorporated as an example. Details on a strategy for running health care business; Suggestion on how Elder care could budget and control sales; Perception...

  • Book reviews. Schroll, M. // Age & Ageing;Nov90, Vol. 19 Issue 6, p429 

    Reviews the book `Improving the Health of Older People: A World View,' edited by R.L. Kane, J. Grimley Evans and D. Macfadyen.

  • As America ages, physicians specialize in care of elderly. Larson, Ruth // Insight on the News;04/20/98, Vol. 14 Issue 14, p40 

    Presents information on the practice of geriatrics in the United States. Details on a medical examination carried out by second-year resident intern at the John Hopkins Bayview Medical Center, David Naiman on a 92-year-old woman; Comments made by Daniel Perry, executive director of the Alliance...

  • Geriatrics quiz.  // Geriatrics;Jul93, Vol. 48 Issue 7, p12 

    Presents a quiz about geriatrics. Diagnosis of alcoholism in older individuals; Treatment of myocardial infarctions; Frequency of benzodiazepine-induced drug dependence in panic disorder patients; More.

  • Geriatrics quiz.  // Geriatrics;Nov93, Vol. 48 Issue 11, p13 

    Answers several questions on geriatrics. Effectiveness of captopril and enalapril in reducing mortality in patients with congestive heart failure; Greater functional disabilities for patients with vascular dementia; Avoidance of neuroleptic agents and tricyclic antidepressants by patients with...

  • What's geriatrics? Six secrets this pediatrician already knows. Anderson, Eric G. // Geriatrics;Apr95, Vol. 50 Issue 4, p54 

    Presents the basic principles of geriatrics practice. Listening to patients; Accepting the fact that older patients must make their decisions; Knowing the situation at the elder's home; Thorough and conscientious documentation of data; Importance of kindness and sensitivity.


Read the Article


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

Try another library?
Sign out of this library

Other Topics