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Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Factors affecting voluntary HIV counselling and testing among men in Ethiopia: a cross-sectional survey

Authors: Tesfaye H Leta, Ingvild F Sandøy, Knut Fylkesnes

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

Voluntary HIV counselling and testing (VCT) is one of the key strategies in the HIV/AIDS prevention and control programmes in Ethiopia. However, utilization of this service among adults is very low. The aim of the present study was to investigate factors associated with VCT utilization among adult men since men are less likely than women to be offered and accept routine HIV testing.

Methods

The study utilized data from the Ethiopian Demographic Health Survey (EDHS) 2005, which is a cross-sectional survey conducted on a nationally representative sample. Using cluster sampling, 6,778 men aged 15–59 years were selected from all the eleven administrative regions in Ethiopia. Logistic regression was used to analyze potential factors associated with VCT utilization.

Results

Overall, 21.9% of urban men and 2.6% of rural men had ever tested for HIV through VCT and most of them had learned their HIV test result. Having no stigmatizing attitudes toward people living with HIV/AIDS was found to be strongly and positively associated with VCT utilization in both urban and rural strata. In rural areas HIV test rates were higher among younger men (aged ≤44 years) and those of higher socio-economic position (SEP). Among urban men, risky sexual behaviour was positively associated with VCT utilization whereas being Muslim was found to be inversely associated with utilization of VCT. Area of residence as well as SEP strongly affected men’s level of stigmatizing attitudes toward people living with HIV/AIDS.

Conclusions

VCT utilization among men in Ethiopia was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma. Targeting rural men with low SEP should be given first priority when designing, expanding, and implementing VCT services in the country.
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Literature
1.
go back to reference WB: HIV / AIDS in Ethiopia- An Epidemiological Synthesis. 2008, Washington, DC: World Bank Global HIV/AIDS Program WB: HIV / AIDS in Ethiopia- An Epidemiological Synthesis. 2008, Washington, DC: World Bank Global HIV/AIDS Program
2.
go back to reference MOH: Report on progress towards implementation of the UN Declaration of Commitment on HIV/AIDS 2010. 2010, Addis Ababa: Federal Democratic Republic of Ethiopia Federal HIV/AIDS Prevention and Control Office MOH: Report on progress towards implementation of the UN Declaration of Commitment on HIV/AIDS 2010. 2010, Addis Ababa: Federal Democratic Republic of Ethiopia Federal HIV/AIDS Prevention and Control Office
3.
go back to reference MOH: Ministry of Health and Federal HIV/AIDS Prevention and Control Office: Single Point HIV Prevalence Estimate. 2007, Addis Ababa, Ethiopia: Ministry of Health and Federal HIV/AIDS Prevention and Control Office MOH: Ministry of Health and Federal HIV/AIDS Prevention and Control Office: Single Point HIV Prevalence Estimate. 2007, Addis Ababa, Ethiopia: Ministry of Health and Federal HIV/AIDS Prevention and Control Office
4.
go back to reference Kloos H, Haile-Mariam D, Lindtjørn B: The AIDS Epidemic in a Low-Income Country: Ethiopia. Human Ecology Review. 2007, 14 (1): 17- Kloos H, Haile-Mariam D, Lindtjørn B: The AIDS Epidemic in a Low-Income Country: Ethiopia. Human Ecology Review. 2007, 14 (1): 17-
5.
go back to reference MOH: AIDS in Ethiopia, sixth report. 2006, Addis Ababa, Ethiopia: Federal Ministry of Health National HIV/AIDS Prevention and Control Office MOH: AIDS in Ethiopia, sixth report. 2006, Addis Ababa, Ethiopia: Federal Ministry of Health National HIV/AIDS Prevention and Control Office
6.
go back to reference Baggaley R: The impact of voluntary counselling and testing : a global review of the benefits and challenges. 2001, In UNAIDS best practice collection Geneva: UNAIDS, 94 s- Baggaley R: The impact of voluntary counselling and testing : a global review of the benefits and challenges. 2001, In UNAIDS best practice collection Geneva: UNAIDS, 94 s-
7.
go back to reference Denison JA, O’Reilly KR, Schmid GP, Kennedy CE, Sweat MD: HIV voluntary counseling and testing and behavioral risk reduction in developing countries: a meta-analysis, 1990–2005. AIDS Behav. 2008, 12 (3): 363-373. 10.1007/s10461-007-9349-x.CrossRefPubMed Denison JA, O’Reilly KR, Schmid GP, Kennedy CE, Sweat MD: HIV voluntary counseling and testing and behavioral risk reduction in developing countries: a meta-analysis, 1990–2005. AIDS Behav. 2008, 12 (3): 363-373. 10.1007/s10461-007-9349-x.CrossRefPubMed
8.
go back to reference WHO: Increasing access to HIV testing and counselling : report of a WHO consultation, 19–21 November 2002. 2003, Geneva: Switzerland WHO: Increasing access to HIV testing and counselling : report of a WHO consultation, 19–21 November 2002. 2003, Geneva: Switzerland
9.
go back to reference UNAIDS: Voluntary counselling and testing(VCT). 2000, Geneva: UNAIDS Technical Update UNAIDS: Voluntary counselling and testing(VCT). 2000, Geneva: UNAIDS Technical Update
10.
go back to reference 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, 12 (11): 1315-1322. 10.1111/j.1365-3156.2007.01923.x.CrossRefPubMed 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, 12 (11): 1315-1322. 10.1111/j.1365-3156.2007.01923.x.CrossRefPubMed
11.
go back to reference Bwambale FM, Ssali SN, Byaruhanga S, Kalyango JN, Karamagi CA: Voluntary HIV counselling and testing among men in rural western Uganda: implications for HIV prevention. BMC Public Health. 2008, 8: 263-10.1186/1471-2458-8-263.CrossRefPubMedPubMedCentral Bwambale FM, Ssali SN, Byaruhanga S, Kalyango JN, Karamagi CA: Voluntary HIV counselling and testing among men in rural western Uganda: implications for HIV prevention. BMC Public Health. 2008, 8: 263-10.1186/1471-2458-8-263.CrossRefPubMedPubMedCentral
12.
go back to reference Hutchinson PL, Mahlalela X: Utilization of voluntary counseling and testing services in the Eastern Cape, South Africa. AIDS Care. 2006, 18 (5): 446-455. 10.1080/09540120500213511.CrossRefPubMed Hutchinson PL, Mahlalela X: Utilization of voluntary counseling and testing services in the Eastern Cape, South Africa. AIDS Care. 2006, 18 (5): 446-455. 10.1080/09540120500213511.CrossRefPubMed
13.
go back to reference Sherr L, Lopman B, Kakowa M, Dube S, Chawira G, Nyamukapa C, Oberzaucher N, Cremin I, Gregson S: Voluntary counselling and testing: uptake, impact on sexual behaviour, and HIV incidence in a rural Zimbabwean cohort. AIDS. 2007, 21 (7): 851-860. 10.1097/QAD.0b013e32805e8711.CrossRefPubMed Sherr L, Lopman B, Kakowa M, Dube S, Chawira G, Nyamukapa C, Oberzaucher N, Cremin I, Gregson S: Voluntary counselling and testing: uptake, impact on sexual behaviour, and HIV incidence in a rural Zimbabwean cohort. AIDS. 2007, 21 (7): 851-860. 10.1097/QAD.0b013e32805e8711.CrossRefPubMed
14.
go back to reference CSA: Ethiopia Demographic and Health Survey( EDHS) 2005. 2006, Calverton, Maryland USA: Central Statistical Authority, Addis Ababa and ORC Macro, 419- CSA: Ethiopia Demographic and Health Survey( EDHS) 2005. 2006, Calverton, Maryland USA: Central Statistical Authority, Addis Ababa and ORC Macro, 419-
15.
go back to reference Jereni BH, Muula AS: Availability of supplies and motivations for accessing voluntary HIV counseling and testing services in Blantyre, Malawi. BMC Health Serv Res. 2008, 8: 17-10.1186/1472-6963-8-17.CrossRefPubMedPubMedCentral Jereni BH, Muula AS: Availability of supplies and motivations for accessing voluntary HIV counseling and testing services in Blantyre, Malawi. BMC Health Serv Res. 2008, 8: 17-10.1186/1472-6963-8-17.CrossRefPubMedPubMedCentral
16.
go back to reference Fylkesnes K, Siziya S: A randomized trial on acceptability of voluntary HIV counselling and testing. Trop Med Int Health. 2004, 9 (5): 566-572. 10.1111/j.1365-3156.2004.01231.x.CrossRefPubMed Fylkesnes K, Siziya S: A randomized trial on acceptability of voluntary HIV counselling and testing. Trop Med Int Health. 2004, 9 (5): 566-572. 10.1111/j.1365-3156.2004.01231.x.CrossRefPubMed
17.
go back to reference Maman S, Mbwambo J, Hogan NM, Kilonzo GP, Sweat M: Women’s barriers to HIV-1 testing and disclosure: challenges for HIV-1 voluntary counselling and testing. AIDS Care. 2001, 13 (5): 595-603. 10.1080/09540120120063223.CrossRefPubMed Maman S, Mbwambo J, Hogan NM, Kilonzo GP, Sweat M: Women’s barriers to HIV-1 testing and disclosure: challenges for HIV-1 voluntary counselling and testing. AIDS Care. 2001, 13 (5): 595-603. 10.1080/09540120120063223.CrossRefPubMed
18.
go back to reference Assefa Y, Jerene D, Lulseged S, Ooms G, Van Damme W: Rapid scale-up of antiretroviral treatment in Ethiopia: successes and system-wide effects. PLoS Med. 2009, 6 (4): e1000056-10.1371/journal.pmed.1000056.CrossRefPubMedPubMedCentral Assefa Y, Jerene D, Lulseged S, Ooms G, Van Damme W: Rapid scale-up of antiretroviral treatment in Ethiopia: successes and system-wide effects. PLoS Med. 2009, 6 (4): e1000056-10.1371/journal.pmed.1000056.CrossRefPubMedPubMedCentral
19.
go back to reference Byamugisha R, Tylleskar T, Kagawa MN, Onyango S, Karamagi CA, Tumwine JK: Dramatic and sustained increase in HIV-testing rates among antenatal attendees in Eastern Uganda after a policy change from voluntary counselling and testing to routine counselling and testing for HIV: a retrospective analysis of hospital records, 2002–2009. BMC Health Serv Res. 2010, 10: 290-10.1186/1472-6963-10-290.CrossRefPubMedPubMedCentral Byamugisha R, Tylleskar T, Kagawa MN, Onyango S, Karamagi CA, Tumwine JK: Dramatic and sustained increase in HIV-testing rates among antenatal attendees in Eastern Uganda after a policy change from voluntary counselling and testing to routine counselling and testing for HIV: a retrospective analysis of hospital records, 2002–2009. BMC Health Serv Res. 2010, 10: 290-10.1186/1472-6963-10-290.CrossRefPubMedPubMedCentral
20.
go back to reference Chandisarewa W, Stranix-Chibanda L, Chirapa E, Miller A, Simoyi M, Mahomva A, Maldonado Y, Shetty AK: Routine offer of antenatal HIV testing (“opt-out” approach) to prevent mother-to-child transmission of HIV in urban Zimbabwe. Bull World Health Organ. 2007, 85 (11): 843-850.CrossRefPubMedPubMedCentral Chandisarewa W, Stranix-Chibanda L, Chirapa E, Miller A, Simoyi M, Mahomva A, Maldonado Y, Shetty AK: Routine offer of antenatal HIV testing (“opt-out” approach) to prevent mother-to-child transmission of HIV in urban Zimbabwe. Bull World Health Organ. 2007, 85 (11): 843-850.CrossRefPubMedPubMedCentral
21.
go back to reference Falnes EF, Moland KM, Tylleskar T, de Paoli MM, Msuya SE, Engebretsen IM: “It is her responsibility”: partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzania. J Int AIDS Soc. 2011, 14 (1): 21-10.1186/1758-2652-14-21.CrossRefPubMedPubMedCentral Falnes EF, Moland KM, Tylleskar T, de Paoli MM, Msuya SE, Engebretsen IM: “It is her responsibility”: partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzania. J Int AIDS Soc. 2011, 14 (1): 21-10.1186/1758-2652-14-21.CrossRefPubMedPubMedCentral
22.
go back to reference Byamugisha R, Tumwine JK, Semiyaga N, Tylleskar T: Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey. Reprod Health. 2010, 7: 12-10.1186/1742-4755-7-12.CrossRefPubMedPubMedCentral Byamugisha R, Tumwine JK, Semiyaga N, Tylleskar T: Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey. Reprod Health. 2010, 7: 12-10.1186/1742-4755-7-12.CrossRefPubMedPubMedCentral
23.
go back to reference Theuring S, Mbezi P, Luvanda H, Jordan-Harder B, Kunz A, Harms G: Male involvement in PMTCT services in Mbeya Region, Tanzania. AIDS Behav. 2009, 13 (Suppl 1): 92-102.CrossRefPubMed Theuring S, Mbezi P, Luvanda H, Jordan-Harder B, Kunz A, Harms G: Male involvement in PMTCT services in Mbeya Region, Tanzania. AIDS Behav. 2009, 13 (Suppl 1): 92-102.CrossRefPubMed
24.
go back to reference Demissie A, Deribew A, Abera M: Determinants of acceptance of voluntary HIV testing among antenatal clinic attendees at Dil Chora Hospital, Dire Dawa,East Ethiopia. Ethiop j Health Dev. 2009, 23 (2): 7- Demissie A, Deribew A, Abera M: Determinants of acceptance of voluntary HIV testing among antenatal clinic attendees at Dil Chora Hospital, Dire Dawa,East Ethiopia. Ethiop j Health Dev. 2009, 23 (2): 7-
25.
go back to reference Admassu M, Fitaw Y: Factors affecting acceptance of VCT among different professional and community groups in North and South Gondar Administrative zones, north west Ethiopia. EthiopJHealth Dev. 2006, 20 (1): 9- Admassu M, Fitaw Y: Factors affecting acceptance of VCT among different professional and community groups in North and South Gondar Administrative zones, north west Ethiopia. EthiopJHealth Dev. 2006, 20 (1): 9-
26.
go back to reference Habte D, Deyessa N, Davey G: Assessment of the utilization of pre-marital HIV testing services and determinents of VCT in Addis Ababa, 2003. Ethiop J Health Dev. 2006, 20 (1): 7-CrossRef Habte D, Deyessa N, Davey G: Assessment of the utilization of pre-marital HIV testing services and determinents of VCT in Addis Ababa, 2003. Ethiop J Health Dev. 2006, 20 (1): 7-CrossRef
27.
go back to reference Reilley B, Hiwot ZG, Mesure J: Acceptability and utilisation of services for voluntary counselling [corrected] and testing and sexually transmitted infections in Kahsey Abera Hospital, Humera, Tigray, Ethiopia. Ethiop Med J. 2004, 42 (3): 173-177.PubMed Reilley B, Hiwot ZG, Mesure J: Acceptability and utilisation of services for voluntary counselling [corrected] and testing and sexually transmitted infections in Kahsey Abera Hospital, Humera, Tigray, Ethiopia. Ethiop Med J. 2004, 42 (3): 173-177.PubMed
28.
go back to reference Worku G, Enquselassie F: Factors determining acceptance of voluntary HIV counseling and testing among pregnant women attending antenatal clinic at army hospitals in Addis Ababa. Ethiop Med J. 2007, 45 (1): 1-8.PubMed Worku G, Enquselassie F: Factors determining acceptance of voluntary HIV counseling and testing among pregnant women attending antenatal clinic at army hospitals in Addis Ababa. Ethiop Med J. 2007, 45 (1): 1-8.PubMed
29.
go back to reference Mackian S, Bedri N, Lovel H: Up the garden path and over the edge: where might health-seeking behaviour take us?. Health Policy Plan. 2004, 19 (3): 137-146. 10.1093/heapol/czh017.CrossRefPubMed Mackian S, Bedri N, Lovel H: Up the garden path and over the edge: where might health-seeking behaviour take us?. Health Policy Plan. 2004, 19 (3): 137-146. 10.1093/heapol/czh017.CrossRefPubMed
30.
go back to reference de Graft-Johnson J, Paz-Soldan V, Kasote A, Tsui A: HIV voluntary counseling and testing service preferences in a rural Malawi population. AIDS Behav. 2005, 9 (4): 475-484. 10.1007/s10461-005-9018-x.CrossRef de Graft-Johnson J, Paz-Soldan V, Kasote A, Tsui A: HIV voluntary counseling and testing service preferences in a rural Malawi population. AIDS Behav. 2005, 9 (4): 475-484. 10.1007/s10461-005-9018-x.CrossRef
31.
go back to reference Njeru MK, Blystad A, Shayo EH, Nyamongo IK, Fylkesnes K: Practicing provider-initiated HIV testing in high prevalence settings: consent concerns and missed preventive opportunities. BMC Health Serv Res. 2011, 11: 87-10.1186/1472-6963-11-87.CrossRefPubMedPubMedCentral Njeru MK, Blystad A, Shayo EH, Nyamongo IK, Fylkesnes K: Practicing provider-initiated HIV testing in high prevalence settings: consent concerns and missed preventive opportunities. BMC Health Serv Res. 2011, 11: 87-10.1186/1472-6963-11-87.CrossRefPubMedPubMedCentral
32.
go back to reference Creek TL, Ntumy R, Seipone K, Smith M, Mogodi M, Smit M, Legwaila K, Molokwane I, Tebele G, Mazhani L, et al: Successful introduction of routine opt-out HIV testing in antenatal care in Botswana. J Acquir Immune Defic Syndr. 2007, 45 (1): 102-107. 10.1097/QAI.0b013e318047df88.CrossRefPubMed Creek TL, Ntumy R, Seipone K, Smith M, Mogodi M, Smit M, Legwaila K, Molokwane I, Tebele G, Mazhani L, et al: Successful introduction of routine opt-out HIV testing in antenatal care in Botswana. J Acquir Immune Defic Syndr. 2007, 45 (1): 102-107. 10.1097/QAI.0b013e318047df88.CrossRefPubMed
33.
go back to reference Nakanjako D, Kamya M, Daniel K, Mayanja-Kizza H, Freers J, Whalen C, Katabira E: Acceptance of routine testing for HIV among adult patients at the medical emergency unit at a national referral hospital in Kampala, Uganda. AIDS Behav. 2007, 11 (5): 753-758. 10.1007/s10461-006-9180-9.CrossRefPubMed Nakanjako D, Kamya M, Daniel K, Mayanja-Kizza H, Freers J, Whalen C, Katabira E: Acceptance of routine testing for HIV among adult patients at the medical emergency unit at a national referral hospital in Kampala, Uganda. AIDS Behav. 2007, 11 (5): 753-758. 10.1007/s10461-006-9180-9.CrossRefPubMed
34.
go back to reference Perez F, Zvandaziva C, Engelsmann B, Dabis F: Acceptability of routine HIV testing (“opt-out”) in antenatal services in two rural districts of Zimbabwe. J Acquir Immune Defic Syndr. 2006, 41 (4): 514-520. 10.1097/01.qai.0000191285.70331.a0.CrossRefPubMed Perez F, Zvandaziva C, Engelsmann B, Dabis F: Acceptability of routine HIV testing (“opt-out”) in antenatal services in two rural districts of Zimbabwe. J Acquir Immune Defic Syndr. 2006, 41 (4): 514-520. 10.1097/01.qai.0000191285.70331.a0.CrossRefPubMed
35.
go back to reference Steen TW, Seipone K, Gomez Fde L, Anderson MG, Kejelepula M, Keapoletswe K, Moffat HJ: Two and a half years of routine HIV testing in Botswana. J Acquir Immune Defic Syndr. 2007, 44 (4): 484-488. 10.1097/QAI.0b013e318030ffa9.CrossRefPubMed Steen TW, Seipone K, Gomez Fde L, Anderson MG, Kejelepula M, Keapoletswe K, Moffat HJ: Two and a half years of routine HIV testing in Botswana. J Acquir Immune Defic Syndr. 2007, 44 (4): 484-488. 10.1097/QAI.0b013e318030ffa9.CrossRefPubMed
36.
go back to reference Genberg BL, Kawichai S, Chingono A, Sendah M, Chariyalertsak S, Konda KA, Celentano DD: Assessing HIV/AIDS stigma and discrimination in developing countries. AIDS Behav. 2008, 12 (5): 772-780. 10.1007/s10461-007-9340-6.CrossRefPubMed Genberg BL, Kawichai S, Chingono A, Sendah M, Chariyalertsak S, Konda KA, Celentano DD: Assessing HIV/AIDS stigma and discrimination in developing countries. AIDS Behav. 2008, 12 (5): 772-780. 10.1007/s10461-007-9340-6.CrossRefPubMed
37.
go back to reference Goffman E: Stigma: notes on the management of spoiled identity. 1963, Englewood Cliffs, NJ: Prentice-Hall Goffman E: Stigma: notes on the management of spoiled identity. 1963, Englewood Cliffs, NJ: Prentice-Hall
38.
go back to reference Herek GM: Thinking about AIDS and stigma: a psychologist’s perspective. J Law Med Ethics. 2002, 30 (4): 594-607. 10.1111/j.1748-720X.2002.tb00428.x.CrossRefPubMed Herek GM: Thinking about AIDS and stigma: a psychologist’s perspective. J Law Med Ethics. 2002, 30 (4): 594-607. 10.1111/j.1748-720X.2002.tb00428.x.CrossRefPubMed
39.
go back to reference Mason T: Stigma and social exclusion in healthcare. 2001, London: Routledge Mason T: Stigma and social exclusion in healthcare. 2001, London: Routledge
40.
go back to reference Skinner D, Mfecane S: Stigma, discrimination and the implications for people living with HIV/AIDS in South Africa. SAHARA J. 2004, 1 (3): 157-164. 10.1080/17290376.2004.9724838.CrossRefPubMed Skinner D, Mfecane S: Stigma, discrimination and the implications for people living with HIV/AIDS in South Africa. SAHARA J. 2004, 1 (3): 157-164. 10.1080/17290376.2004.9724838.CrossRefPubMed
41.
go back to reference UNAIDS: HIV - Related Stigma, Discrimination and Human Rights Violations: Case studies of successful programmes. 2005, Geneva, Switzerland: UNAIDS UNAIDS: HIV - Related Stigma, Discrimination and Human Rights Violations: Case studies of successful programmes. 2005, Geneva, Switzerland: UNAIDS
42.
go back to reference Mehret M, Khodakevich L, Zewdie D: HIV-1 Infection Among Employees of the Ethiopia FreightTransport Corporation. Ethiopian Journal of Health Development. 1990, 4 (2, Suppl): 17-82. Mehret M, Khodakevich L, Zewdie D: HIV-1 Infection Among Employees of the Ethiopia FreightTransport Corporation. Ethiopian Journal of Health Development. 1990, 4 (2, Suppl): 17-82.
43.
go back to reference Andargie G, Kassu A, Moges F, Kebede Y, Gedefaw M, Wale F, Alem A, Andualem B, Adungna S: Low prevalence of HIV infection, and knowledge, attitude and practice on HIV/AIDS among high school students in Gondar, Northwest Ethiopia. Ethiop J Health Dev. 2007, 21 (2): 4-CrossRef Andargie G, Kassu A, Moges F, Kebede Y, Gedefaw M, Wale F, Alem A, Andualem B, Adungna S: Low prevalence of HIV infection, and knowledge, attitude and practice on HIV/AIDS among high school students in Gondar, Northwest Ethiopia. Ethiop J Health Dev. 2007, 21 (2): 4-CrossRef
44.
go back to reference Kakoko DCV: Voluntary HIV counselling and testing service uptake among primary school teachers in Mwanza, Tanzania : assessment of socio-demographic, psychososial and socio-cognitive aspects. 2006, University of Bergen: Faculty of Psychology Kakoko DCV: Voluntary HIV counselling and testing service uptake among primary school teachers in Mwanza, Tanzania : assessment of socio-demographic, psychososial and socio-cognitive aspects. 2006, University of Bergen: Faculty of Psychology
45.
go back to reference Kloos H: HIV/AIDS in Ethiopia: An Overview. Northeast African Studies. 2000, 7 (1): 28-CrossRef Kloos H: HIV/AIDS in Ethiopia: An Overview. Northeast African Studies. 2000, 7 (1): 28-CrossRef
46.
go back to reference MOH: AIDS in Ethiopia, fifth report. 2004, Addis Ababa, Ethiopia: Minstry of Health Disease Prevention and Control Department MOH: AIDS in Ethiopia, fifth report. 2004, Addis Ababa, Ethiopia: Minstry of Health Disease Prevention and Control Department
47.
go back to reference VCTSG: Efficacy of voluntary HIV-1 counselling and testing in individuals and couples in Kenya, Tanzania, and Trinidad: a randomised trial. The Voluntary HIV-1 Counseling and Testing Efficacy Study Group (VCTSG). Lancet. 2000, 356 (9224): 103-112.CrossRef VCTSG: Efficacy of voluntary HIV-1 counselling and testing in individuals and couples in Kenya, Tanzania, and Trinidad: a randomised trial. The Voluntary HIV-1 Counseling and Testing Efficacy Study Group (VCTSG). Lancet. 2000, 356 (9224): 103-112.CrossRef
48.
go back to reference Bradley H, Bedada A, Tsui A, Brahmbhatt H, Gillespie D, Kidanu A: HIV and family planning service integration and voluntary HIV counselling and testing client composition in Ethiopia. AIDS Care. 2008, 20 (1): 61-71. 10.1080/09540120701449112.CrossRefPubMed Bradley H, Bedada A, Tsui A, Brahmbhatt H, Gillespie D, Kidanu A: HIV and family planning service integration and voluntary HIV counselling and testing client composition in Ethiopia. AIDS Care. 2008, 20 (1): 61-71. 10.1080/09540120701449112.CrossRefPubMed
49.
go back to reference Matovu JK, Gray RH, Makumbi F, Wawer MJ, Serwadda D, Kigozi G, Sewankambo NK, Nalugoda F: Voluntary HIV counseling and testing acceptance, sexual risk behavior and HIV incidence in Rakai, Uganda. AIDS. 2005, 19 (5): 503-511. 10.1097/01.aids.0000162339.43310.33.CrossRefPubMed Matovu JK, Gray RH, Makumbi F, Wawer MJ, Serwadda D, Kigozi G, Sewankambo NK, Nalugoda F: Voluntary HIV counseling and testing acceptance, sexual risk behavior and HIV incidence in Rakai, Uganda. AIDS. 2005, 19 (5): 503-511. 10.1097/01.aids.0000162339.43310.33.CrossRefPubMed
50.
go back to reference Fylkesnes K, Haworth A, Rosensvard C, Kwapa PM: HIV counselling and testing: overemphasizing high acceptance rates a threat to confidentiality and the right not to know. AIDS. 1999, 13 (17): 2469-2474. 10.1097/00002030-199912030-00019.CrossRefPubMed Fylkesnes K, Haworth A, Rosensvard C, Kwapa PM: HIV counselling and testing: overemphasizing high acceptance rates a threat to confidentiality and the right not to know. AIDS. 1999, 13 (17): 2469-2474. 10.1097/00002030-199912030-00019.CrossRefPubMed
51.
go back to reference Worku G: Assessment of factors determining acceptance of voluntary HIV testing among pregnant women attending antenatal care at Armed force Hospitals in Addis Ababa. 2005, Addis Ababa University: Ethiopia. MPH thesis Worku G: Assessment of factors determining acceptance of voluntary HIV testing among pregnant women attending antenatal care at Armed force Hospitals in Addis Ababa. 2005, Addis Ababa University: Ethiopia. MPH thesis
52.
go back to reference Lynch J, Kaplan G: Socio-economic position. Social epidiemiology. Edited by: Berkman L, Kawachi I. 2000, New York: Oxford University Press, 13-35. Lynch J, Kaplan G: Socio-economic position. Social epidiemiology. Edited by: Berkman L, Kawachi I. 2000, New York: Oxford University Press, 13-35.
53.
go back to reference Phillips DR: Health and health care in the Third World. 1990, Harlow: Longman Scientific & Technical Phillips DR: Health and health care in the Third World. 1990, Harlow: Longman Scientific & Technical
54.
go back to reference 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, 14 (3): 159-164.PubMed 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, 14 (3): 159-164.PubMed
55.
go back to reference Gray PB: HIV and Islam: is HIV prevalence lower among Muslims?. Soc Sci Med. 2004, 58 (9): 1751-1756. 10.1016/S0277-9536(03)00367-8.CrossRefPubMed Gray PB: HIV and Islam: is HIV prevalence lower among Muslims?. Soc Sci Med. 2004, 58 (9): 1751-1756. 10.1016/S0277-9536(03)00367-8.CrossRefPubMed
56.
go back to reference Bastani R, Erickson PA, Marcus AC, Maxwell AE, Capell FJ, Freeman H, Yan KX: AIDS-related attitudes and risk behaviors: a survey of a random sample of California heterosexuals. Prev Med. 1996, 25 (2): 105-117. 10.1006/pmed.1996.0036.CrossRefPubMed Bastani R, Erickson PA, Marcus AC, Maxwell AE, Capell FJ, Freeman H, Yan KX: AIDS-related attitudes and risk behaviors: a survey of a random sample of California heterosexuals. Prev Med. 1996, 25 (2): 105-117. 10.1006/pmed.1996.0036.CrossRefPubMed
57.
go back to reference Siegfried N, Muller M, Deeks JJ, Volmink J: Male circumcision for prevention of heterosexual acquisition of HIV in men (Review). Cochrane Database of Systematic Reviews. 2009, CD003362-10.1002/14651858.CD003362.pub2. Art. No, 2 Siegfried N, Muller M, Deeks JJ, Volmink J: Male circumcision for prevention of heterosexual acquisition of HIV in men (Review). Cochrane Database of Systematic Reviews. 2009, CD003362-10.1002/14651858.CD003362.pub2. Art. No, 2
58.
go back to reference Iliyasu Z, Abubakar IS, Kabir M, Aliyu MH: Knowledge of HIV/AIDS and attitude towards voluntary counseling and testing among adults. J Natl Med Assoc. 2006, 98 (12): 1917-1922.PubMedPubMedCentral Iliyasu Z, Abubakar IS, Kabir M, Aliyu MH: Knowledge of HIV/AIDS and attitude towards voluntary counseling and testing among adults. J Natl Med Assoc. 2006, 98 (12): 1917-1922.PubMedPubMedCentral
59.
go back to reference Alemu S, Abseno N, Degu G, Wondmikun Y, Amsalau S: Knowledge and attitude towards voluntary counseling and testing for HIV: A community based study in northwest Ethiopia. 2004, Development: Ethiopian Journal of Health, 18- Alemu S, Abseno N, Degu G, Wondmikun Y, Amsalau S: Knowledge and attitude towards voluntary counseling and testing for HIV: A community based study in northwest Ethiopia. 2004, Development: Ethiopian Journal of Health, 18-
60.
go back to reference 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, 79 (6): 442-447. 10.1136/sti.79.6.442.CrossRefPubMedPubMedCentral 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, 79 (6): 442-447. 10.1136/sti.79.6.442.CrossRefPubMedPubMedCentral
61.
go back to reference CSA: Ethiopia Demographic and Health Survey( EDHS) 2000. 2001, Ethiopia: Addis Ababa CSA: Ethiopia Demographic and Health Survey( EDHS) 2000. 2001, Ethiopia: Addis Ababa
62.
go back to reference Zachariah R, Spielmann MP, Harries AD, Buhendwa L, Chingi C: Motives, sexual behaviour, and risk factors associated with HIV in individuals seeking voluntary counselling and testing in a rural district of Malawi. Trop Doct. 2003, 33 (2): 88-91.PubMed Zachariah R, Spielmann MP, Harries AD, Buhendwa L, Chingi C: Motives, sexual behaviour, and risk factors associated with HIV in individuals seeking voluntary counselling and testing in a rural district of Malawi. Trop Doct. 2003, 33 (2): 88-91.PubMed
63.
go back to reference Wringe A, Isingo R, Urassa M, Maiseli G, Manyalla R, Changalucha J, Mngara J, Kalluvya S, Zaba B: Uptake of HIV voluntary counselling and testing services in rural Tanzania: implications for effective HIV prevention and equitable access to treatment. Trop Med Int Health. 2008, 13 (3): 319-327. 10.1111/j.1365-3156.2008.02005.x.CrossRefPubMed Wringe A, Isingo R, Urassa M, Maiseli G, Manyalla R, Changalucha J, Mngara J, Kalluvya S, Zaba B: Uptake of HIV voluntary counselling and testing services in rural Tanzania: implications for effective HIV prevention and equitable access to treatment. Trop Med Int Health. 2008, 13 (3): 319-327. 10.1111/j.1365-3156.2008.02005.x.CrossRefPubMed
64.
go back to reference Renzi C, Zantedeschi E, Signorelli C, Osborn JF: Factors associated with HIV testing: results from an Italian General Population Survey. Prev Med. 2001, 32 (1): 40-48. 10.1006/pmed.2000.0778.CrossRefPubMed Renzi C, Zantedeschi E, Signorelli C, Osborn JF: Factors associated with HIV testing: results from an Italian General Population Survey. Prev Med. 2001, 32 (1): 40-48. 10.1006/pmed.2000.0778.CrossRefPubMed
65.
go back to reference Corbett EL, Dauya E, Matambo R, Cheung YB, Makamure B, Bassett MT, Chandiwana S, Munyati S, Mason PR, Butterworth AE, et al: Uptake of workplace HIV counselling and testing: a cluster-randomised trial in Zimbabwe. PLoS Med. 2006, 3 (7): e238-10.1371/journal.pmed.0030238.CrossRefPubMedPubMedCentral Corbett EL, Dauya E, Matambo R, Cheung YB, Makamure B, Bassett MT, Chandiwana S, Munyati S, Mason PR, Butterworth AE, et al: Uptake of workplace HIV counselling and testing: a cluster-randomised trial in Zimbabwe. PLoS Med. 2006, 3 (7): e238-10.1371/journal.pmed.0030238.CrossRefPubMedPubMedCentral
66.
go back to reference Helleringer S, Kohler HP, Frimpong JA, Mkandawire J: Increasing uptake of HIV testing and counseling among the poorest in sub-Saharan countries through home-based service provision. J Acquir Immune Defic Syndr. 2009, 51 (2): 185-193. 10.1097/QAI.0b013e31819c1726.CrossRefPubMedPubMedCentral Helleringer S, Kohler HP, Frimpong JA, Mkandawire J: Increasing uptake of HIV testing and counseling among the poorest in sub-Saharan countries through home-based service provision. J Acquir Immune Defic Syndr. 2009, 51 (2): 185-193. 10.1097/QAI.0b013e31819c1726.CrossRefPubMedPubMedCentral
67.
go back to reference Menzies N, Abang B, Wanyenze R, Nuwaha F, Mugisha B, Coutinho A, Bunnell R, Mermin J, Blandford JM: The costs and effectiveness of four HIV counseling and testing strategies in Uganda. AIDS. 2009, 23 (3): 395-401. 10.1097/QAD.0b013e328321e40b.CrossRefPubMed Menzies N, Abang B, Wanyenze R, Nuwaha F, Mugisha B, Coutinho A, Bunnell R, Mermin J, Blandford JM: The costs and effectiveness of four HIV counseling and testing strategies in Uganda. AIDS. 2009, 23 (3): 395-401. 10.1097/QAD.0b013e328321e40b.CrossRefPubMed
68.
go back to reference Wolff B, Nyanzi B, Katongole G, Deo Ssesanga D, Ruberantwari A, Whitworth J: Evaluation of a home-based voluntary counselling and testing intervention in rural Uganda. Oxford Journal. 2005, 20 (2): 109-116. Wolff B, Nyanzi B, Katongole G, Deo Ssesanga D, Ruberantwari A, Whitworth J: Evaluation of a home-based voluntary counselling and testing intervention in rural Uganda. Oxford Journal. 2005, 20 (2): 109-116.
69.
go back to reference Mutale W, Michelo C, Jurgensen M, Fylkesnes K: Home-based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities. BMC Public Health. 2010, 10: 347-10.1186/1471-2458-10-347.CrossRefPubMedPubMedCentral Mutale W, Michelo C, Jurgensen M, Fylkesnes K: Home-based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities. BMC Public Health. 2010, 10: 347-10.1186/1471-2458-10-347.CrossRefPubMedPubMedCentral
Metadata
Title
Factors affecting voluntary HIV counselling and testing among men in Ethiopia: a cross-sectional survey
Authors
Tesfaye H Leta
Ingvild F Sandøy
Knut Fylkesnes
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-438

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