Increasing the acceptability of HIV counseling and testing with three C's: Convenience, confidentiality and credibility
AbstractAgencies engaged in humanitarian efforts to prevent the further spread of HIV have emphasized the importance of voluntary counseling and testing (VCT), and most high-prevalence countries now have facilities that offer testing free of charge. The utilization of these services is disappointingly low, however, despite high numbers reporting that they would like to be tested. Explanations of this discrepancy typically rely on responses to hypothetical questions posed in terms of psychological or social barriers; often, the explanation is that people fear learning that they are infected with a disease that they understand to be fatal and stigmatizing. Yet when we offered door-to-door rapid blood testing for HIV as part of a longitudinal study in rural Malawi, the overwhelming majority agreed to be tested and to receive their results immediately. Thus, in this paper, we ask: why are more people not getting tested? Using an explanatory research design, we find that rural Malawians are responsive to door-to-door HIV testing for the following reasons: it is convenient, confidential, and the rapid blood test is credible. Our study suggests that attention to these factors in VCT strategies may mitigate the fear of HIV testing, and ultimately increase uptake in rural African settings.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by Elsevier in its journal Social Science & Medicine.
Volume (Year): 68 (2009)
Issue (Month): 12 (June)
Contact details of provider:
Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Godlonton, Susan & Thornton, Rebecca, 2012. "Peer effects in learning HIV results," Journal of Development Economics, Elsevier, vol. 97(1), pages 118-129.
- Thornton, Rebecca L., 2012. "HIV testing, subjective beliefs and economic behavior," Journal of Development Economics, Elsevier, vol. 99(2), pages 300-313.
- Fylkesnes, Knut & Sandøy, Ingvild Fossgard & Jürgensen, Marte & Chipimo, Peter J. & Mwangala, Sheila & Michelo, Charles, 2013. "Strong effects of home-based voluntary HIV counselling and testing on acceptance and equity: A cluster randomised trial in Zambia," Social Science & Medicine, Elsevier, vol. 86(C), pages 9-16.
- Arimoto, Yutaka & Ito, Seiro & Kudo, Yuya & Tsukada, Kazunari, 2013.
"Stigma, social relationship and HIV testing in the workplace : evidence from South Africa,"
IDE Discussion Papers
386, Institute of Developing Economies, Japan External Trade Organization(JETRO).
- Arimoto, Yutaka & Ito, Seiro & Kudo, Yuya & Tsukada, Kazunari, 2013. "Stigma, Social Relationship and HIV Testing in the Workplace: Evidence from South Africa," CEI Working Paper Series 2012-06, Center for Economic Institutions, Institute of Economic Research, Hitotsubashi University.
- Olivier STERCK, 2011. "Why only one individual tests for HIV/AIDS among Sub-Saharan African Couples?," Discussion Papers (IRES - Institut de Recherches Economiques et Sociales) 2011024, Université catholique de Louvain, Institut de Recherches Economiques et Sociales (IRES).
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).
If references are entirely missing, you can add them using this form.