Testing experiences of HIV positive refugees in Nakivale Refugee Settlement in Uganda: informing interventions to encourage priority shifting

O'Laughlin, Kelli N.; Rouhani, Shada A.; Faustin, Zikama M.; Ware, Norma C.
June 2013
Conflict & Health;2013, Vol. 7 Issue 1, p1
Academic Journal
Background: Recent initiatives by international health and humanitarian aid organizations have focused increased attention on making HIV testing services more widely available to vulnerable populations. To realize potential health benefits from new services, they must be utilized. This research addresses the question of how utilization of testing services might be encouraged and increased for refugees displaced by conflict, to make better use of existing resources. Methods: Open-ended interviews were conducted with HIV-infected refugees (N=73) who had tested for HIV and with HIV clinic staff (N=4) in Nakivale Refugee Settlement in southwest Uganda. Interviews focused on accessibility of HIV/AIDS-related testing and care and perspectives on how to improve utilization of testing services. Data collection took place at the Nakivale HIV/AIDS Clinic from March to July of 2011. An inductive approach to data analysis was used to identify factors related to utilization. Results: In general, interviewees report focusing daily effort on tasks aimed at meeting survival needs. HIV testing is not prioritized over these responsibilities. Under some circumstances, however, HIV testing occurs. This happens when: (a) circumstances realign to trigger a temporary shift in priorities away from daily survival-related tasks; (b) survival needs are temporarily met; and/or (c) conditions shift to alleviate barriers to HIV testing. Conclusion: HIV testing services provided for refugees must be not just available, but also utilized. Understanding what makes HIV testing possible for refugees who have tested can inform interventions to increase testing in this population. Intervening by encouraging priority shifts toward HIV testing, by helping ensure survival needs are met, and by eliminating barriers to testing, may result in refugees making better use of existing testing services.


Related Articles

  • Fifty years of research in African demography: progresses and challenges. Garenne, Michel // African Population Studies;Dec2011, Vol. 25 Issue 2, p151 

    The paper presents and discusses the progress in knowledge of African populations and their dynamics over the past 50 years. It takes as a starting point the landmark series of studies published in The Demography of Tropical Africa. Since then major progresses in data collection and data...

  • Harnessing Big Data: How to Achieve Value.  // H&HN: Hospitals & Health Networks;Feb2014, Vol. 88 Issue 2, p62 

    The article discusses the highlights of the Health Forum held in Phoenix, Arizona on October 9, 2013 where a panel of industry experts discussed ways organizations can use data more effectively. Participants included Matthey Weinstock, moderator, Pat Skarulis and Stephen Stewart. Topics...

  • ERRATUM.  // AMA Winter Educators' Conference Proceedings;2013, Vol. 24, p523 

    A correction is presented to the extended abstract of the article "Comparing Data Collection Alternatives: Amazon MTurk, College Students, and Secondary Data Analysis," by Elizabeth Minton, Eda Gurel-Atay, Lynn Kahle, and Karen Ring, published in the "2013 AMA Winter Educators' Proceedings."

  • comment. Prime, Phil // Laboratory News;Jun2013, p2 

    The article presents the author's views on the need to improve data analysis ability to take advantage of increasing data collection ability.

  • The Topographic Data Deluge - Collecting and Maintaining Data in a 21st Century Mapping Agency. Holland, D. A.; Pook, C.; Capstick, D.; Hemmings, A. // International Archives of the Photogrammetry, Remote Sensing & S;2016, Vol. 41 Issue B4, p727 

    In the last few years, the number of sensors and data collection systems available to a mapping agency has grown considerably. In the field, in addition to total stations measuring position, angles and distances, the surveyor can choose from hand-held GPS devices, multi-lens imaging systems or...

  • 'Health is wealth and wealth is health'--perceptions of health and ill-health among female sex workers in Savannakhet, Laos. Phrasisombath, Ketkesone; Thomsen, Sarah; Sychareun, Vanphanom; Faxelid, Elisabeth // Global Health Action;2013, Vol. 6 Issue 1, p1 

    Background: Female sex workers (FSWs) are vulnerable to sexually transmitted infections (STIs) and other types of health problems and they also encounter socio-economic difficulties. Efforts to develop effective health intervention programs for FSWs have been hampered by a lack of information on...

  • Geographically linking population and facility surveys: methodological considerations. Priedeman Skiles, Martha; Burgert, Clara R.; Curtis, Si├ón L.; Spencer, John // Population Health Metrics;2013, Vol. 11, p14 

    Background: The relationship between health services and population outcomes is an important area of public health research that requires bringing together data on outcomes and the relevant service environment. Linking independent, existing datasets geographically is potentially an efficient...

  • Letters. Hegarty, Colm; Meissner, Loren // Bay Area Reporter;7/28/2011, Vol. 41 Issue 30, p5 

    Several letters to the editor are presented in response to the articles in previous issues including "Tenderloin Health works to fix problems," in the July 21, 2011 issue, and "New ballot battle coming to CA," in the July 21, 2011 issue.

  • Provider-initiated HIV testing and counseling in Mbeya City, south-western Tanzania: knowledge and practice of health care providers. KAPOLOGWE, NTULI; MAHANDE, MICHAEL; MSUYA, SIA E. // Tanzania Journal of Health Research;Oct2011, Vol. 13 Issue 4, p1 

    Provider-initiated testing and counseling (PITC) is a routine HIV counseling and testing offered to adult clients attending at health care facilities. In Tanzania PITC started in 2007, with the aim of increasing early HIV diagnosis and timely access to care, treatment and support services. The...


Read the Article


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

Try another library?
Sign out of this library

Other Topics