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HIV SEROSTATUS DISCLOSURE PATTERN AMONG PREGNANT WOMEN IN ENUGU, NIGERIA

Published online by Cambridge University Press:  25 June 2009

H. U. EZEGWUI
Affiliation:
Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria
E. E. NWOGU-IKOJO
Affiliation:
Maternity Unit, Annunciation Specialist Hospital, Emene, Enugu, Nigeria
J. O. ENWEREJI
Affiliation:
Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria
C. C. DIM
Affiliation:
Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria

Summary

This study was carried out in two medical facilities in Enugu, Nigeria, from September to November 2007. An interviewer-administered questionnaire was used to collect data from HIV-positive pregnant women accessing PMTCT (prevention of maternal-to-child transmission) services at the two centres. Ninety-two women were interviewed: 89 (96.7%) had disclosed their status, while 3 (3.3%) had not. Of the 89 women who had disclosed, 84 (94.4%) had disclosed to partners, 82 (92.1%) to husbands, 2 (2.2%) to fiancés, 18 (20.2%) to sisters, 13 (14.6%) to mothers, 10 (11.2%) to brothers, 10 (11.2%) to fathers and 10 (11.2%) to priests. Fifty-two (58.4%) gave emotional support as the reason for disclosure and 46 (51.7%) gave economic and financial support as reasons. Fifty-six (62.9%) reported understanding from partner as a positive outcome and 44 (49.4%) reported financial support. Forty-six (51.7%) reported no negative outcome. Serostatus disclosure rate in this study was high with most women disclosing to their partners.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2009

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References

Antelman, G., Smith Fawzi, M. C., Kaaya, S., Mbwambo, J., Msamanga, G. I., Hunter, D. J. et al. (2001) Predictors of HIV-1 serostatus disclosure: a prospective study among HIV-infected pregnant women in Dar es Salaam, Tanzania. AIDS 15, 18651874.CrossRefGoogle ScholarPubMed
Ateka, G. K. (2006) HIV status disclosure and partner discordance: a public health dilemma. Public Health 120, 493496.CrossRefGoogle ScholarPubMed
Creek, T. L., Ntumy, R., Seipone, K., Smith, M., Mogodi, M., Smit, M. et al. (2007) Successful introduction of routine opt-out HIV testing in antenatal care in Botswana. Journal of Acquired Immune Deficiency Syndrome 45, 102107.CrossRefGoogle ScholarPubMed
Daftary, A., Padayatchi, N. & Padilla, M. (2007) HIV testing and disclosure: a qualitative analysis of TB patients in South Africa. AIDS Care 19, 572577.CrossRefGoogle ScholarPubMed
Ezegwui, H. U., Ikeme, A. C. & Onwasigwe, C. N. (2003) Domestic violence against pregnant Nigerian women. Tropical Journal of Obstetrics and Gynaecology 20, 118118.Google Scholar
Ford, K., Wirawan, D. N., Sumantera, G. M., Sawitri, A. A. S. & Stahre, M. (2004) Voluntary HIV testing, disclosure, and stigma among injection drug users in Bali, Indonesia. AIDS Education and Prevention 16, 487498.CrossRefGoogle ScholarPubMed
Gielen, A. C., O'Campo, P., Faden, R. & Eke, A. (1997) Women's disclosure of HIV status: experience of mistreatment and violence in an urban setting. Women's Health 25, 1931.CrossRefGoogle Scholar
Heyward, W. L., Batter, V. L., Mbuyi, M. N., Mbu, L., St Louis, M. E. & Munkolenkole, K. et al. (1993) Impact of HIV counselling and testing among child-bearing women in Kinshasa, Zaire. AIDS 7, 16331637.CrossRefGoogle ScholarPubMed
Koegh, P., Allen, S., Almedal, C. & Temahagali, B. (1994) The social impact of HIV infection on women in Kigali, Rwanda: a prospective study. Social Science and Medicine 38, 10471053.CrossRefGoogle Scholar
Koenig, L. J., Whitaker, D. J., Royce, R. A., Wilson, T. E., Callahan, M. R. & Fernandez, M. I. (2002) Violence during pregnancy among women with or at risk for HIV infection. American Journal of Public Health 92, 367370.CrossRefGoogle ScholarPubMed
Kumar, A., Waterman, I., Kumari, G. & Carter, A. O. (2006) Prevalence and correlates of HIV serostatus disclosure: A prospective study among HIV-infected postparturient women in Barbados. AIDS Patient Care and STDs 20, 724730.CrossRefGoogle ScholarPubMed
Maman, S., Mbwambo, J., Hogan, N. M., Kilonzo, G. P. & Sweat, M. (2001) Women's barrier to HIV-1 testing and disclosure: challenges for HIV-1 voluntary counseling and testing. AIDS Care 13, 595603.CrossRefGoogle Scholar
Maman, S., Mbwambo, J. K., Hogan, N. M., Weiss, E., Kilonzo, G. P. & Sweat, M. D. (2003) High rates and positive outcomes of HIV-serostatus disclosure to sexual partners: reason for cautious optimism from voluntary counselling and testing clinics in Dar es Salaam, Tanzania. AIDS and Behaviour 7, 373381.CrossRefGoogle ScholarPubMed
Medley, A., Garcia-Moreno, C., McGill, S. & Maman, S. (2004) Rates, barriers, and outcomes of HIV serostatus disclosure among women in developing countries: implications for prevention of mother-to-child transmission programmes. Bulletin of the World Health Organization 82, 299307.Google ScholarPubMed
Semrau, K., Kuhn, L., Vwalika, C., Kasonde, P., Sinkala, M., Kankasa, C. et al. (2005) Women in couple antenatal HIV counselling testing are not more likely to report adverse social events. AIDS 19, 603609.CrossRefGoogle Scholar
Temmerman, M., Ndinya-Achola, J., Ambani, J. & Piot, P. (1995) The right not to know HIV test results. Lancet 345, 969970.Google Scholar
Varga, C. A., Sherman, G. G. & Jones, S. A. (2005) HIV transmission in the context of vertical transmission: HIV-positive mothers in Johannesburg, South Africa. AIDS Care 18, 952960.CrossRefGoogle Scholar