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Discordance, disclosure and normative gender roles: barriers to couple testing within a community-level HIV self-testing intervention in urban Blantyre, Malawi

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dc.date.accessioned 2018-03-20 en
dc.date.accessioned 2020-11-13T16:18:30Z
dc.date.available 2020-11-13T16:18:30Z
dc.date.issued 2018-03-20 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/11830
dc.description.abstract A community-based HIV self-testing study in Blantyre, Malawi demonstrated that not all individuals living in couples tested with their partner. We describe factors dissuading individuals in couples from self-testing with their partner. Data were drawn from qualitative study exploring consequences of HIV self-testing within couples. In-depth interviews were conducted with 33 individuals living in couples who tested alone. Participants expressed fear of dealing with HIV-discordant relationships. Failure to self-test with a partner was correlated with gender, with more men than women overtly declining or unconsciously unable to have joint HIV self-test. Men feared exposure of infidelity and were often not available at home for economic reasons. Barriers to uptake of couple HIV self-testing seemed to be shaped by gendered dichotomies of social-relationships. To help achieve the first 90% of the UNAIDS 90:90:90 goals, it is important to overcome structural barriers to realise the full potential of HIV self-testing. en
dc.format.medium Print en
dc.subject MALAWI en
dc.subject HIV/AIDS en
dc.subject SELF-TESTING en
dc.title Discordance, disclosure and normative gender roles: barriers to couple testing within a community-level HIV self-testing intervention in urban Blantyre, Malawi en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 22(8) en
dc.BudgetYear 2017/18 en
dc.ResearchGroup HIV/AIDS, STIs and TB en
dc.SourceTitle AIDS and Behavior en
dc.ArchiveNumber 10263 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=19744 en
dc.PageNumber 2491-2499 en
dc.outputnumber 9217 en
dc.bibliographictitle Kumwenda, M.K., Corbett, E.L., Chikovore, J., Phiri, M., Mwale, D., Choko, A.T., Nliwasa, M., Sambakunsi, R., Taegtmeyer, M., Gutteberg, T.J., Munthali, A. & Desmond, N. (2018) Discordance, disclosure and normative gender roles: barriers to couple testing within a community-level HIV self-testing intervention in urban Blantyre, Malawi. <i>AIDS and Behavior</i>. February:Online. en
dc.publicationyear 2018 en
dc.contributor.author1 Kumwenda, M.K. en
dc.contributor.author2 Corbett, E.L. en
dc.contributor.author3 Chikovore, J. en
dc.contributor.author4 Phiri, M. en
dc.contributor.author5 Mwale, D. en
dc.contributor.author6 Choko, A.T. en
dc.contributor.author7 Nliwasa, M. en
dc.contributor.author8 Sambakunsi, R. en
dc.contributor.author9 Taegtmeyer, M. en
dc.contributor.author10 Gutteberg, T.J. en
dc.contributor.author11 Munthali, A. en
dc.contributor.author12 Desmond, N. en


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