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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Community impact of HIV status disclosure through an integrated community home-based care programme
Authors:Ncama, BusisiweISNI
Uys, Leana
Periodical:African Journal of AIDS Research
Geographic term:South Africa
Subjects:health education
health care
External link:https://www.tandfonline.com/doi/abs/10.2989/16085900609490388
Abstract:The integration of HIV-prevention activities into care has received little attention within or outside formal health care settings. The contribution of community home-based care services in facilitating disclosure of HIV status and reducing stigma have also not been described. This study examines the community impact of an integrated community home-based care (ICHC) programme on HIV-prevention efforts and disclosure of status. The study was conducted in the Port Shepstone area of Kwazulu-Natal Province and in Zululand, South Africa. Quantitative data were collected from 363 people living with HIV (PLHIV) and 1028 members of their micro-communities; of these, 211 and 586, respectively, were in the ICHC programme (thus representing the ICHC-served group) and 152 and 442, respectively, were not in the programme (representing the non-served or control group). The micro-community group served by the ICHC programme reported significantly more positive attitudes towards HIV, better knowledge of HIV, fewer instances of sexually-transmitted infections, a tendency for fewer sexual partners, and less perceived risk of acquiring HIV than the non-served micro-community group. Also, the micro-community served by the programme did not show significantly better uptake of voluntary counselling and testing than did the non-served micro-community. There was no difference in condom-use between the two groups. Bibliogr., sum. [Journal abstract]