disclosure

HIV-positive Mozambican migrants in South Africa: loneliness, secrecy and disclosure

South Africa continues to bear a heavy burden of HIV and a significant proportion of the nation's population consists of immigrants from other severely afflicted African nations. Yet little is known about how migrant populations respond to HIV in shifting cultural and clinical landscapes.
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'We are the change' - An innovative community-based response to address self-stigma: A pilot study focusing on people living with HIV in Zimbabwe

Self-stigma-negative self-judgements resulting in shame, worthlessness and self-blame-may play a crucial role in emotional reactions and cause emotional distress among many people living with HIV and other chronic illnesses. Furthermore, self-stigma negatively impacts on self-agency, quality of life, adherence to treatment, and access to services. High levels of self-stigma have been reported across many countries, however few programmes or interventions exist to specifically tackle this phenomenon. This paper reports the findings of a pilot study carried out in Zimbabwe using a programme incorporating "Inquiry-Based Stress Reduction (IBSR): The Work of Byron Katie"-a guided form of self-inquiry which helps users to overcome negative thoughts and beliefs.
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Gaps in male case-finding and treatment: Insights for AIDS 2018 pre-conferences

Men are a hot topic at AIDS 2018! As part of her presentation to kick off the PEPFAR pre-conference this past weekend, Ambassador Deborah Birx shared data highlighting that while recent progress has realized a 50% decline in HIV incidence, men were not equally represented in this achievement. Sunny Sharma echoed these findings in his pre-conference talk about the unique, complex challenges and perspectives of men regarding HIV status and disclosure, which are currently being explored by Ipsos Healthcare’s qualitative and ethnographic research in southern Africa.
Author
Jon Crisp, Baylor College of Medicine Children's Foundation Malawi/SHARE staff

"My mother told me that I should not": a qualitative study exploring the restrictions placed on adolescent girls living with HIV in Zambia

Is the resource available on the Internet?
Yes
Author
Mackworth-Young CR, Bond V, Wringe A, Konayuma K, Clay S, Chiiya C, Chonta M, Sievwright K, Stangl AL

Adolescent girls in sub-Saharan Africa are disproportionately affected by HIV due to a range of social and structural factors. As they transition to adulthood, they are recipients of increasing blame for HIV infection and 'improper' sex, as well as increasing scrutiny, restrictions and surveillance. This study used a qualitative and participatory approach to explore the messaging and restrictions imposed on adolescent girls living with HIV in Zambia.

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"We Have Heard It Together": A Qualitative Analysis of Couple HIV Testing and Counselling Recruitment in Malawi's Option B+ Programme

Is the resource available on the Internet?
Yes
Author
Rosenberg, N.E., Gross, R., Mtande, T., et al.

This qualitative study described experiences of participants in a randomized controlled trial that examined male partner recruitment strategies for couples HIV testing and counseling within an antenatal unit in Malawi. Strategies included inviting the man to attend an appointment with his partner, and providing the invitation plus phone and community tracing for individuals who did not follow up at the clinic. All women disclosed their HIV status and gave the invitation to their partner.

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Positive Health, Dignity, and Prevention (PHDP): Training Modules for Promoting Leadership among Persons Living with HIV

Is the resource available on the Internet?
Yes
Author
Health Policy Plus (HP+)

Positive Health, Dignity, and Prevention (PHDP): Training Modules for Promoting Leadership among Persons Living with HIV, is now updated and expanded.

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Diagnosis disclosure to adolescents living with HIV in rural Kenya improves antiretroviral therapy adherence and immunologic outcomes: A retrospective cohort study

Is the resource available on the Internet?
Yes
Author
Montalto GJ, Sawe FK, Miruka A, Maswai J, Kiptoo I, Aoko A, Oreyo C, Obiero E, Korir S, Bii SK, Song KX, Kunz AN

Emphasis on adolescent HIV has increased worldwide as antiretroviral treatment has greatly extended life expectancies of HIV-positive children. Few evidence-based guidelines exist on the optimal time to disclose to an adolescent living with HIV (ALHIV); little is known about the medical effects of disclosure. This study looked to determine whether disclosure is associated with improved medical outcomes in ALHIV. Prior work has tended to be qualitative, cross-sectional, and with an emphasis on psychosocial outcomes.

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The Amagugu intervention for disclosure of maternal HIV to uninfected primary school-aged children in South Africa: a randomised controlled trial

Is the resource available on the Internet?
Yes
Author
Tamsen J Rochat, Alan Stein, Mario Cortina-Borja, Frank Tanser, Ruth M Bland

Increasing populations of children who are HIV-exposed but uninfected will face the challenge of disclosure of parental HIV infection status. We aimed to test the efficacy of an intervention to increase maternal HIV-disclosure to primary school-aged HIV-uninfected children.

Methods

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Webinar: How can HIV services be strengthened to improve the health and well-being of infants and children?

Venue
Webinar

Facility- and community-based HIV services face many challenges in safeguarding the health and well-being of infants and children, both those who are HIV-positive and those who are affected by the epidemic. In this webinar, Project SOAR will present evidence from studies that examine strategies for improving the organization and delivery of HIV-related health and social services from birth to early adolescence.

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Talking to children about their HIV status: a review of available resources, tools, and models for improving and promoting pediatric disclosure

Is the resource available on the Internet?
Yes
Author
S. Wright, A. Amzel, N. Ikoro, M. Srivastava, S. Leclerc-Madlala, S. Bowsky, H. Miller & B.R. Phelps

As children living with HIV (CLHIV) grow into adolescence and adulthood, caregivers and healthcare providers are faced with the sensitive challenge of when to disclose to a CLHIV his or her HIV status. Despite WHO recommendations for CLHIV to know their status, in countries most affected by HIV, effective resources are often limited, and national guidance on disclosure is often lacking. To address the need for effective resources, gray and scientific literature was searched to identify existing tools and resources that can aid in the disclosure process.

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