Table 2 Experience of HBHCT clients: mobilization, consent, confidentiality and counseling
From: Home-based HIV counseling and testing: Client experiences and perceptions in Eastern Uganda
Experience | Result total | Results by gender | |
|---|---|---|---|
| Â | N=281 (%) | Female N=182 (%) | Male N=99 (%) |
Mobilization | |||
Informed about the visit of the HBHCT team | 218(77.6) | 147(80.8) | 71(71.7) |
HBHCT providers: | |||
1. Came alone | 209 (74,4) | 136 (74.7) | 73 (73.7) |
2. Came with local council leaders | 57 (20.2) | 40(21.9) | 17 (17.2) |
3. Came with others | 15(5.5) | 6(3.3) | 9(9.1) |
Consent process | |||
Provider asked if client agreed to testing | 271 (96.4) | 176 (96.7) | 95 (96.0) |
Respondent considers it important to be asked if he/she agrees | |||
1. Very important | 245(87.2) | 156(85.7) | 89(89.9) |
2. Somewhat important | 16(5.7) | 14(7.7) | 2(2.0) |
3. Not important | 20(7.1) | 12(6.6) | 8(8.1) |
Provider explained option to decline | 264 (94.0) | 170 (93.4) | 941 (94.9) |
Other in the household also offered a test | 171 (60,9) | 109 (59,9) | 62 (62.6) |
Response of other household members offered a test | |||
1. All accepted | 116 (67.8) | 73 (67.0) | 43 (69.4) |
2. Some accepted, some refused | 45 (26.3) | 28 (25.7) | 17 (27.4) |
3. All refused | 8 (4.7) | 7 (6.4) | 1 (1.6) |
4. Don’t know | 2 (1.2) | 1 (0.9) | 1 (1.6) |
Discussed test with other household members before consenting | 90 (52,9) | 57 (52,8) | 33 (53,2) |
Influenced by what other household members said or did | 36 (40.0) | 24 (42.1) | 122(36.4) |
Counseling | |||
Received counseling before the test | 254 (90.4) | 163 (89.6) | 91 (91.9) |
Tested alone/individual | 188 (74.0) | 129 (79.1) | 59 (64.8) |
Where pre-test counseling was done: | |||
1. Inside house | 120 (48.0) | 73 (45.9) | 47 (51.6) |
2. Outside | 129 (51.6) | 86 (54.1) | 43 (47.3) |
Provider explained how test works, pre-test | 207 (81.5) | 128 (78.5) | 793 (86.8) |
Provider explained meaning of positive and negative results, pre-test | 236 (84.0) | 153 (84.1) | 834 (83.8) |
Provider explained meaning of test result, post-test | 272 (98.2) | 174 (97.2) | 98 (100.0) |
Provider explained window period post-test | 221 (87.7) | 140 (86.4) | 81 (90) |
Provider gave opportunity to ask questions, post-test | 234 (93.2) | 148 (92.5) | 86 (94.5) |
Provider gave advice on prevention of HIV, post-test | 264 (95.3) | 169 (94.4) | 95 (96.9) |
Confidentiality | |||
Client told that results will remain confidential | 246 (97.6) | 159 (98.1) | 87 (96.7) |
How the client valued confidentiality | Â | Â | Â |
1. Very important | 218 (78.7) | 141 (78.8) | 77 (78.6) |
2. Somewhat important | 17 (6.1) | 13 (7.3) | 4 (4.1) |
3. Not important | 41 (14.8) | 24 (13.4) | 17 (17.3) |
Client felt results were kept confidential | |||
1. Yes | 196 (70.8) | 126 (70.4) | 70 (71.4) |
2. No | 9 (3.2) | 7 (3.9) | 2 (2.0) |
3. Don’t know | 71 (25.6) | 45 (25.1) | 26 (26.5) |
Disclosure | |||
Provider suggested sharing results with someone | 149 (53.8) | 99 (55.3) | 50 (51.0) |
Other people in the household shared results with respondent | 125 (45.1) | 765 (42.5) | 49 (50.0) |
Asked by household member to share results | 79 (28.5) | 486 (26.8) | 31 (31.6) |
Neighbors asked if respondent took an HIV test | 136 (49.1) | 867 (48.0) | 50 (51.0) |
Neighbors asked to share HIV test results | 76 (27.4) | 498 (27.4) | 27 (27.6) |
Generally keep results confidential | 186 (66.2) | 1269 (69.2) | 6010 (60.6) |
Has disclosed to someone | 219 (77.9) | 14411 (79.1) | 7512 (75.8) |
People disclosed to (multiple responses) | |||
Spouse/partner | 135 (61.6) | 90 (62.5) | 45 (60.0) |
Parents | 68 (31.1) | 46 (31.9) | 22 (29.3) |
Children | 42 (19.2) | 27 (18.8) | 15 (20.0) |
Siblings | 32 (14.6) | 22 (15.3) | 10 (13.3) |
Other relatives | 57 (26.0) | 30 (20.8) | 27 (36.0) |
Friends* | 99 (45.2) | 55 (38.2) | 44 (58.7) |
Client has discussed HIV status with someone in household* | 155 (56.0) | 9213 (51.4) | 63 (64.3) |
Satisfaction | |||
Received sufficient information | 259 (93.5) | 165 (92.2) | 94 (95.9) |
Meeting with provider was helpful | 262 (94.6) | 167 (93.3) | 95 (96.9) |
Overall treatment by provider | |||
Very well | 168 (60.6) | 106 (59.2) | 62 (63.3) |
Well | 52 (18.8) | 34 (19.0) | 18 (18.4) |
Okay | 53 (19.1) | 35 (19.6) | 18 (18.4) |
Badly | 4 (1.4) | 4 (2.2) | 0 (0.0) |