HIV Positive Disclosure experience for family and associated factors among adults service users in Majeng zone Gambella Regional state, 2018: facility based cross sectional study

Abstract

Background: The HIV/AIDS epidemic in the world continues to pose a threat to the lives of its people. Globally 36.7 million people were living with HIV/AIDS in 2016 in which 1.8 million people became newly infected with HIV. One million people died from AIDS-related illnesses. About 34.5 million were adults, 17.8 million women (15+ years), and 2.1 million children <15 years. Disclosure is an important public health goal for a number of different reasons. First, disclosure May motivate sexual partners to seek testing, change behavior and ultimately decrease transmission of HIV. Thus, status disclosure especially to family member is one of the major areas that should be addressed in HIV prevention & control. Therefore, the study is aimed to determine the magnitude of HIV positive status disclosure and associated factors among adult ART service users in Majeng zone Gambella regional state. Method: A facility based cross sectional study among ART service users was employed to conduct among a sample of 332 people living with Human Immunodeficiency Virus from March 1 – 26/2018 in all Majeng zone Governmental Heath Facility ART clinics center. A pre-tested structured questionnaire was employed to obtain the necessary information for this study. After collected, data was edited, coded, and entered in to Epi data software version 3.1, where it was cleaned and verified by double entry. Then it was exported and analyzed, by SPSS statistical package for social science version 23.0. After Descriptive analysis, bivariate logistic regression analysis was used. P - Value less than 0.25 were candidate variables for multiple binary logistic regression analysis. Odds ratios at 95% confidence intervals and P- value 0.05 were used to determine the degree of association between dependent and independent variables Result: - A total of 332 ART users were participated in the study with response rate of 99.99%.The majority (93.4%) disclosure their HIV positive status to family member. Those individual who were married were less likely disclose their HIV positive status to family member than those who were single (AOR=0.112(0.021-0.603). Individual who were influenced by other undergo HIV test were more likely disclose their HIV positive status than who were not influenced by others (AOR=3.28(1.119-9.620). Those who had prior discussion with anyone to undergo HIV test were more likely to disclose HIV positive status than those who did not discuss with others (AOR=3.837(1.499-9.821). Conclusion and recommendation: - High level of HIV disclosure noted in this study is encouraging. Having Prior discussion to undergo HIV test have important to disclose HIV positive status, put emphasis on increasing awareness in the community on the impact of stigma and discrimination. Existing Information Education Communication (IEC) interventions on HIV/AIDS should be strengthened at individual and community levels in order to reduce negative partner reaction following disclosure