HIV-Related Stigma as Barrier to Voluntary Counselling and Testing among University Students in Sudan
[1]
Amar Fathi Mohamed Khalifa, Consultant of Community Medicine, World Health Organization, Khartoum, Sudan.
[2]
Elsadig Mahgoub Eltayeb, Consultant of Community Medicine, World Health Organization, Khartoum, Sudan.
[3]
Awad Ali Mohamed Ahmed Alawad, Faculty of Medicine, University of Medical Sciences and Technology, Sudan.
Background: Sudan is one of the countries with HIV/AIDS prevalence rate of over 2%. Despite this challenge, the patronage of Voluntary Counseling and Testing (VCT) is still very low. Objective: To assess the role of stigma as a barrier to HIV Voluntary Counseling and Testing (VCT) utilization, among Sudanese university students. Methods: A cross sectional institutional based study. Students from two universities, which containing Voluntary counseling and testing centers were the study population. Results: A total of 2224 students (mean age 21.7 yr, 57.7% females) had responded to all questions they were asked (response rate 73%). The study found that the levels of HIV/AIDS knowledge are good, but the acceptability of VCT among the students is very low. Although 755 participants (33.9%) expressed intent to use the VCT services, only 233 (10.5%) actually visited the VCT facilities. One of the main barriers for testing was ‘fear of being stigmatized’ in 52.7% of the participants. Conclusion: This study illustrated that stigmatization constituted a major hindrance to acceptances of HIV/AIDS VCT. This indicated that more awareness should be created among university students in Sudan in order to enhance the uptake of VCT services.
HIV/AIDS, Stigma, Voluntary Counseling and Testing
[1]
Nuwaha F, Kabatesi D, Muganwa M, Whalen CC. Factors influencing acceptability of voluntary counselling and testing for HIV in Bushenyi district of Uganda. East Afr Med J. 2002 Dec;79(12):626-32.
[2]
Denison JA, McCauley AP, Dunnett-Dagg WA, Lungu N, Sweat MD. HIV testing among adolescents in Ndola, Zambia: how individual, relational, and environmental factors relate to demand. AIDS Educ Prev. 2009 Aug;21(4):314-24.
[3]
Cavalcanti AM, Brito AM, Salustiano DM, Lima KO, Silva SP, Lacerda HR. Recent HIV infection rates among HIV positive patients seeking voluntary counseling and testing centers in the metropolitan region of Recife - PE, Brazil. Braz J Infect Dis. 2012 Apr;16(2):157-63.
[4]
Moore J, Palmer P, Anderson-Allen M, Billings C, McDonald-Kerr C. Challenges and successes of HIV voluntary counselling and testing programme in antenatal clinics in greater Kingston, Jamaica. West Indian Med J. 2008 Jun;57(3):269-73.
[5]
Dejong J, Mortagy I. The Struggle for Recognition by People Living With HIV/AIDS in Sudan. Qual Health Res. 2013;23(6):782-94. doi: 10.1177/1049732313482397. Epub 2013 Mar 20.
[6]
Nasir E, Astrom A, David J, Ali R. HIV and AIDS related knowledge, sources of information, and reported need for further education among dental students in Sudan- a cross sectional study. BMC Public Health. 2008;8(1):286.
[7]
Ma W, Detels R, Feng Y, Wu Z, Shen L, Li Y, et al. Acceptance of and barriers to voluntary HIV counselling and testing among adults in Guizhou province, China. AIDS. 2007 Dec;21 Suppl 8:S129-35.
[8]
Jurgensen M, Tuba M, Fylkesnes K, Blystad A. The burden of knowing: balancing benefits and barriers in HIV testing decisions. a qualitative study from Zambia. BMC Health Serv Res. 2012;12:2.
[9]
Matovu JK, Makumbi FE. Expanding access to voluntary HIV counselling and testing in sub-Saharan Africa: alternative approaches for improving uptake, 2001-2007. Trop Med Int Health. 2007 Nov;12(11):1315-22.
[10]
Yahaya LA, Jimoh AA, Balogun OR. Factors hindering acceptance of HIV/AIDS voluntary counseling and testing (VCT) among youth in Kwara State, Nigeria. Afr J Reprod Health. 2010 Sep;14(3):159-64.
[11]
Kalichman SC, Simbayi LC. HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa. Sex Transm Infect. 2003 Dec;79(6):442-7.
[12]
Hendriksen ES, Hlubinka D, Chariyalertsak S, Chingono A, Gray G, Mbwambo J, et al. Keep talking about it: HIV/AIDS-related communication and prior HIV testing in Tanzania, Zimbabwe, South Africa, and Thailand. AIDS Behav. 2009 Dec;13(6):1213-21.
[13]
Wang Y, Li B, Pan J, Sengupta S, Emrick CB, Cohen MS, et al. Factors associated with utilization of a free HIV VCT clinic by female sex workers in Jinan City, Northern China. AIDS Behav. 2011 May;15(4):702-10.
[14]
Hei FX, Jiang Y, Sun WD, Zhang QY, Zhang Q, Ye JR, et al. Field evaluation of alternative testing strategies for the detection of HIV infection in Beijing. Biomed Environ Sci. 2007 Aug;20(4):265-8.