Frequency of HIV status disclosure, associated factors and outcomes among HIV positive pregnant women at Mbarara Regional Referral Hospital, southwestern Uganda

  • Joseph Ngonzi Mbarara University of Science and Technology, Department of Obstetrics and Gynecology, Mbarara, Uganda
  • Godfrey Mugyenyi Mbarara University of Science and Technology, Department of Obstetrics and Gynecology, Mbarara, Uganda
  • Mukasa Kivunike Mbarara University of Science and Technology, Department of Obstetrics and Gynecology, Mbarara, Uganda
  • Julius Mugisha Mbarara University of Science and Technology, Department of Obstetrics and Gynecology, Mbarara, Uganda
  • Wasswa Salongo
  • Sezalio Masembe Mbarara University of Science and Technology, Department of Obstetrics and Gynecology, Mbarara, Uganda
  • Ronald Mayanja Mbarara University of Science and Technology, Department of Obstetrics and Gynecology, Mbarara, Uganda
  • Francis Bajunirwe Mbarara University of Science and Technology, Department of Community Health, Uganda
Keywords: Disclosure; HIV/AIDS; Mbarara University; Mbarara hospital; Uganda; factors associated

Abstract

Introduction: positive HIV results disclosure plays a significant role in the successful prevention and care of HIV infected patients. It provides significant social and health benefits to the individual and the community. Non-disclosure is one of the contextual factors driving the HIV epidemic in Uganda. Study objectives: to determine the frequency of HIV disclosure, associated factors and disclosure outcomes among HIV positive pregnant women at Mbarara Hospital, southwestern Uganda.

Methods: a cross-sectional study using quantitative and qualitative methods among a group of HIV positive pregnant women attending antenatal clinic was done and consecutive sampling conducted.

Results: the total participant recruitment was 103, of which 88 (85.4%) had disclosed their serostatus with 57% disclosure to their partners. About 80% had disclosed within less than 2 months of testing HIV positive. Reasons for disclosure included their partners having disclosed to them (27.3%), caring partners (27.3%) and encouragement by health workers (25.0%). Following disclosure, 74%) were comforted and 6.8% were verbally abused. Reasons for non-disclosure were fear of abandonment (33.3%), being beaten (33.3%) and loss of financial and emotional support (13.3%). The factors associated with disclosure were age 26-35 years (OR 3.9, 95% CI 1.03-15.16), primary education (OR 3.53, 95%CI 1.10-11.307) and urban dwelling (OR 4.22, 95% CI 1.27-14.01).

Conclusion: participants disclosed mainly to their partners and were comforted and many of them were encouraged by the health workers. There is need to optimize disclosure merits to enable increased participation in treatment and support programs.

Published
2019-04-24
Section
Articles

Journal Identifiers


eISSN: 1937-8688