Knowledge and Perceptions of Couples' Voluntary Counseling and Testing in Urban Rwanda and Zambia
Author Information
Author(s): Kelley April L., Karita Etienne, Sullivan Patrick S., Katangulia Francois, Chomba Elwyn, Carael Michel, Telfair Joseph, Dunham Steve M., Vwalika Cheswa M., Kautzman Michele G., Wall Kristin M., Allen Susan A.
Primary Institution: Project San Francisco, Rwanda Zambia HIV Research Group, Kigali, Rwanda
Hypothesis
What are the knowledge, perceptions, and barriers to the use of couples' voluntary HIV counseling and testing (CVCT) among adults in Kigali, Rwanda and Lusaka, Zambia?
Conclusion
Most respondents had positive attitudes toward CVCT, but many were unaware of the possibility of HIV serodiscordance between cohabiting couples.
Supporting Evidence
- Respondents in Kigali were more aware of HIV testing sites compared to those in Lusaka.
- Knowledge of HIV serodiscordance was significantly higher among Kigali respondents.
- Stigma and fear of partner reaction were identified as major barriers to CVCT.
Takeaway
This study found that many people in Rwanda and Zambia think testing for HIV together is good, but they don't know enough about it or where to go for help.
Methodology
Cross-sectional household surveys were conducted in Kigali, Rwanda (n=600) and Lusaka, Zambia (n=603) to assess knowledge, perceptions, and barriers to CVCT.
Potential Biases
Potential biases due to convenience sampling and differences in population characteristics between the two cities.
Limitations
The study's findings may not be generalizable due to the non-random selection of individuals within households.
Participant Demographics
Equal proportions of men and women aged 15-60 years in Kigali and 15-49 years in Lusaka.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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