Publications Summary

Document Type
Qualitative Research Studies
Publication Topic(s)
Recommended Citation
Nsabagasani, Xavier and P. Stanley Yoder. 2006. Social Dynamics of VCT and Disclosure in Uganda. DHS Qualitative Research Studies No. 13. Calverton, Maryland, USA: Macro International
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Publication Date
December 2006
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This study, conducted in two districts in Uganda, sought to examine the process whereby individuals seek HIV testing, how they are counseled, and the patterns of disclosure of test results to family and friends. The research focused on the experience of respondents, all clients at VCT sites, to understand their concerns about testing, counseling, and disclosure. The overall purpose of the study was to provide information useful to the Uganda Programme for Human and Holistic Development (UPHOLD) for designing interventions to make HIV/AIDS prevention programmes more effective. HIV prevention programmes promote HIV testing and counseling so that individuals learn their sero-status and can change their behaviour to protect themselves against HIV infection. Disclosure to others is essential in order to garner support for reducing the risk of HIV infection and for accessing social and medical services. Although most programmes focus on individual behaviour and ways to change it, this study used a different strategy. By focusing on the social context of the experiences of VCT clients, the research shows how social interactions affected both the process of coming for an HIV test and the process of disclosing test results to others. With this approach it was possible to identify the kinds of counseling and social support most needed by VCT clients to share their test results with others and access social and medical services.


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