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dc.contributor.authorKumwenda, Moses
dc.contributor.authorMunthali, Alister
dc.contributor.authorPhiri, Mackwellings
dc.contributor.authorMwale, Daniel
dc.contributor.authorGutteberg, Tore Jarl
dc.contributor.authorMacPherson, Eleanor
dc.contributor.authorTheobald, Sally J.
dc.contributor.authorCorbett, Liz
dc.contributor.authorDesmond, Nicola
dc.date.accessioned2022-09-20T11:32:56Z
dc.date.available2022-09-20T11:32:56Z
dc.date.issued2014-06-15
dc.description.abstractIn sub-Saharan Africa, most new HIV infections occur in stable relationships, making couples testing an important intervention for HIV prevention. We explored factors shaping the decision-making of cohabiting couples who opted to self-test in Blantyre, Malawi. Thirty-four self-tested participants (17 couples) were interviewed. Motivators for HIV self-testing (HIVST) emerged at three main levels. Individual motivations included perceived benefits of access to treatment, and self-checking of serostatus in the hope of having been cured by prolonged treatment or faith-healing. HIVST was considered convenient, confidential, reassuring and an enabling new way to test with one’s partner. Partnership motivations included both positive (mutual encouragement) and negative (suspected infidelity) aspects. For women, long-term health and togetherness were important goals that reinforced motivations for couples testing, whereas men often needed persuasion despite finding HIVST more flexible and less onerous than facility-based testing. Internal conflict prompted some partners to use HIVST as a way of disclosing their previously concealed HIV positive serostatus. Thus, the implementation of community-based HIVST should acknowledge and appropriately respond to decisionmaking processes within couples, which are shaped by gender roles and relationship dynamics.en_US
dc.identifier.citationKumwenda, M., Munthali, A., Phiri, M. et al. Factors Shaping Initial Decision-Making to Self-test Amongst Cohabiting Couples in Urban Blantyre, Malawi. AIDS Behav 18, 396–404 (2014)en_US
dc.identifier.cristinIDFRIDAID 1180285
dc.identifier.doi10.1007/s10461-014-0817-9
dc.identifier.issn1090-7165
dc.identifier.issn1573-3254
dc.identifier.urihttps://hdl.handle.net/10037/26870
dc.language.isoengen_US
dc.publisherSpringer Natureen_US
dc.relation.journalAids and Behavior
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2014 The Author(s)en_US
dc.titleFactors shaping initial decision-making to self-test amongst cohabiting couples in urban Blantyre, Malawien_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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