Poor-quality health services and lack of programme support leads to low uptake of HIV testing in rural Mozambique

  • Carolyn M Audet
  • Kate Groh
  • Troy D Moon
  • Sten H Vermund
  • Mohsin Sidat

Abstract

Mozambique has one of the world’s highest burdens of HIV infection. Despite the increase in HIV-testing services throughout the country, the uptake has been low. To identify barriers to HIV testing we conducted a study in six rural districts in Zambézia Province. We recruited a total of 124 men and women from the community through purposeful sampling to participate in gender-specific focus group discussions about barriers to HIV testing. The participants noted three main barriers to HIV testing: 1) poor conduct by clinicians, including intentional disclosure of patients’ HIV status to other community members; 2) unintentional disclosure of patients’ HIV status through clinical practices; and, 3) a widespread fatalistic belief that HIV infection will result in death, particularly given poor access to adequate food. Improving quality and confidentiality within clinical service delivery, coupled with the introduction of food-supplement programmes should increase people’s willingness to test and remain in care for HIV disease.

Keywords: confidentiality, health behaviour, health personnel, HIV/AIDS, provider-initiated counselling and testing, psychosocial aspects, southern Africa, stigma

African Journal of AIDS Research 2012, 11(4): 327–335

Author Biographies

Carolyn M Audet
Vanderbilt University, Department of Preventive Medicine, Village at Vanderbilt, 1500 21st Avenue South, Suite 2100, Nashville, Tennessee 37212, United States; Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, Nashville, Tennessee 37203, United States
Kate Groh
Vanderbilt University, Department of Medicine, D-3100, Medical Center North, Nashville, Tennessee 37232, United States
Troy D Moon
Vanderbilt University, Department of Pediatrics, 2200 Children’s Way, Nashville, Tennessee 37232, United States; Friends in Global Health, Avenida dos Trabalhadores Nº424, Quelimane, Mozambique
Sten H Vermund
Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, Nashville, Tennessee 37203, United States; Vanderbilt University, Department of Medicine, D-3100, Medical Center North, Nashville, Tennessee 37232, United States; Vanderbilt University, Department of Pediatrics, 2200 Children’s Way, Nashville, Tennessee 37232, United States; Friends in Global Health, Avenida dos Trabalhadores Nº424, Quelimane, Mozambique; University Eduardo Mondlane, Faculty of Medicine, PO Box 257, Maputo, Mozambique
Mohsin Sidat
Friends in Global Health, Avenida dos Trabalhadores Nº424, Quelimane, Mozambique; University Eduardo Mondlane, Faculty of Medicine, PO Box 257, Maputo, Mozambique
Published
2013-01-11
Section
Articles

Journal Identifiers


eISSN: 1608-5906
print ISSN: 1727-9445