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Implementing Couple's Human Immunodeficiency Virus Testing and Counseling in the Antenatal Care Setting
- Source :
- Obstetrics and gynecology. 136(3)
- Publication Year :
- 2020
-
Abstract
- Objective To describe a pilot implementation of couple's human immunodeficiency virus (HIV) testing and counseling in an antenatal care clinic in the United States. Methods We used a cross-sectional study design. Couples were recruited from an antenatal care clinic of a large, urban, tertiary medical center, and were eligible if both partners agreed to receive HIV test results together and reported no coercion to participate in testing and counseling and no intimate partner violence. We assessed relationship characteristics, HIV risk-related behaviors and concordance of couples' sexual agreement (ie, mutual agreement about sexual risk behaviors that are permissible within or outside of their relationship). Acceptability of couple's HIV testing and counseling (ie, format, quality of the sessions, ability to meet their needs) was assessed after completing the session. Barriers and facilitators to couple's HIV testing and counseling were assessed at the individual-level among decliners and participants and at the clinic-level among members of the care team. Results Dyadic data were collected from 82 individuals (41 couples). Most partners (n=56, 68%) did not have a sexual agreement or had differing expectations about their sexual agreement. Partners with a concordant sexual agreement (n=26) felt more confident working with their partners on condom use when having sex outside of their relationship (P=.008) and were more likely to agree with their partner to get tested regularly for HIV or sexually transmitted infections (P=.015). Acceptability was high, with a rating of 93 or more (out of 100) among all items. Individual-level barriers to couple's HIV testing and counseling included difficulty bringing the male partner for counseling and a perception by either member of the couple that they were at low-risk for HIV. At the clinic level, need for training, staff turnover, and integration of couple's HIV testing and counseling in the clinic flow presented as barriers, whereas commitment by the clinic leadership facilitated the couple's HIV testing and counseling program. Conclusion Despite barriers, couple's HIV testing and counseling can be implemented in antenatal clinics and is a highly acceptable method of HIV testing.
- Subjects :
- Adult
Counseling
Male
medicine.medical_specialty
Concordance
Human immunodeficiency virus (HIV)
Pilot Projects
Hiv testing
medicine.disease_cause
law.invention
Care setting
03 medical and health sciences
Young Adult
0302 clinical medicine
Hiv test
Condom
law
Pregnancy
medicine
Humans
030212 general & internal medicine
030219 obstetrics & reproductive medicine
Pilot implementation
business.industry
Obstetrics and Gynecology
AIDS Serodiagnosis
Prenatal Care
United States
Cross-Sectional Studies
Sexual Partners
Family medicine
Domestic violence
Female
business
Subjects
Details
- ISSN :
- 1873233X
- Volume :
- 136
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Obstetrics and gynecology
- Accession number :
- edsair.doi.dedup.....34f26d5f23a1ac00c79844d5bb590164