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Health Educ Res. 2014 Jun;29(3):456-69. doi: 10.1093/her/cyu004. Epub 2014 Mar 5.

'There's no place like home': perceptions of home-based HIV testing in Lesotho.

Author information

  • 1Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032, USA, Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, New York, NY 10032, USA, ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA and Department of Disease Control, Lesotho Ministry of Health, Maseru, Lesotho 100. jem57@columbia.edu.
  • 2Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032, USA, Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, New York, NY 10032, USA, ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA and Department of Disease Control, Lesotho Ministry of Health, Maseru, Lesotho 100.Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032, USA, Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, New York, NY 10032, USA, ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA and Department of Disease Control, Lesotho Ministry of Health, Maseru, Lesotho 100.
  • 3Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032, USA, Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, New York, NY 10032, USA, ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA and Department of Disease Control, Lesotho Ministry of Health, Maseru, Lesotho 100.

Abstract

HIV testing has the potential to reduce HIV transmission by identifying and counseling individuals with HIV, reducing risk behaviors, linking persons with HIV to care and earlier treatment, and reducing perinatal transmission. In Lesotho, a high HIV prevalence country in which a large proportion of the population has never tested for HIV, home-based testing (HBT) may be an important strategy to increase HIV testing. We identified factors influencing acceptability of HIV prevention strategies among a convenience sample of 200 pregnant or post-partum Basotho women and 30 Basotho men. We first conducted cross-sectional surveys, followed by key informant interviews with all 30 men and focus group discussions with a sub-set of 62 women. In total, 82% of women reported positive perceptions of HBT; women and men viewed HBT as a potential way to increase testing among men and saw the home as a comfortable, supportive environment for testing and counseling couples and families together. Potential barriers to HBT uptake included concerns about confidentiality, privacy, coercion to test, conflict within the family and fear of HIV/AIDS-associated stigma. Participants emphasized community mobilization and education as important elements of HBT.

© The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

PMID:
24599266
[PubMed - in process]
PMCID:
PMC4021194
[Available on 2015/6/1]
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