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Prevalence of hiv infection and factors associated with discordant couples receiving hiv test in Gasabo districtpar Désiré HABAKUBAHO DESIRE University of Rwanda - Master 2024 |
5.1 Implications of the StudyThe results of those findings are considerable for HIV control and prevention techniques. The increasing prevalence of HIV amongst discordant couples highlights the urgency of enhancing preventive measures, inclusive of enhancing get entry to to PrEP and PEP, promoting regular testing, and addressing behavioral dangers like multiple sexual partnerships. furthermore, the associations between socio-demographics and behavioral elements and HIV danger recommend the want for included care approaches that combine behavioral, and social assist to mitigate the threat of transmission and improve average health effects for discordant couples. 5.2 Strengths and Limitations31 A key energy of this study is its complete analysis of a couple of factors influencing HIV threat, presenting a holistic view of the epidemic among discordant couples. using sturdy statistical methods to perceive vast institutions adds to the reliability of the findings. but, the examine also has obstacles. The observe's observational nature restricts the ability to deduce causality, and the capacity for keep in mind bias in self-stated behavioral statistics can also have encouraged a number of the findings. moreover, the look at's consciousness on a unmarried medical institution may restrict the generalizability of the consequences to different settings. 32 CHAPTER 6. CONCLUSION AND RECOMMENDATIONS 6.1 ConclusionThis study investigated the prevalence of HIV infections among couples tested at Kibagabaga Hospital between 2020 and 2024, revealing a significant increase in HIV-positive cases over time. The rise in infections among HIV-discordant couples underscores the urgent need for improved preventive measures and ongoing monitoring. The findings in this study align with existing literature that highlights the importance of regular HIV testing, adherence to antiretroviral therapy, and consistent use of preventive strategies such as condoms and pre-exposure prophylaxis (PrEP). Socio-demographic and behavioral factors, including age, education, and sexual practices, significantly influence HIV risk, with notable implications for targeted interventions. 6.2 RecommendationsV' Develop and implement targeted education and awareness programs specifically for individuals over 45 years and drivers. V' Focus on the risks associated with multiple sexual partners and the benefits of regular HIV testing. V' Collaborate with transportation companies and unions to introduce regular HIV prevention workshops V' Provide free or subsidized HIV testing for drivers during routine health and safety training sessions. 33 REFERENCES Abbasian, L., Ashtiani, M. F., Najafi, Z., & Seyedalinaghi, S. (2019). Clinical Outcome of HIV Infected Patients Receiving Antiretroviral Therapy with Immunologic-Virologic Discordance (2012-2016). JOURNAL OF INTERNATIONAL TRANSLATIONAL MEDICINE, 7(1). Aboubacar Ahidan, M. R., Buende, S., Osei, L., Hcini, N., & Elenga, N. (2023). Sociodemographic characteristics of children born to HIV-infected mothers in Western French Guiana. Journal of Infection and Public Health, 16(6). https://doi.org/10.1016/j.jiph.2023.03.027 Aghaei, A., Mohraz, M., & Shamshirband, S. (2020). Effects of media, interpersonal communication and religious attitudes on HIV-related stigma in Tehran, Iran. Informatics in Medicine Unlocked, 18. https://doi.org/10.1016/j.imu.2020.100291 Akani, C., Erhabor, O., Opurum, H., Ejele, O., & Nwauche, C. (2006). HIV sero-discordance among Nigerian couples: challenges and controversies. Nigerian Medical Practitioner, 48(3). https://doi.org/10.4314/nmp.v48i3.28766 Alang, S., & McAlpine, D. (2020). Treatment Modalities and Perceived Effectiveness of Treatment Among Adults With Depression. Health Services Insights, 13. https://doi.org/10.1177/1178632920918288 Albarracín, D., Fishbein, M., Johnson, B. T., & Muellerleile, P. A. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127(1). https://doi.org/10.1037/0033-2909.127.1.142 Bandura, A. (1994). Social Cognitive Theory and Exercise of Control over HIV Infection. https://doi.org/10.1007/978-1-4899-1193-3_3 Bandura, A. (1998). Health promotion from the perspective of social cognitive theory. Psychology and Health, 13(4). https://doi.org/10.1080/08870449808407422 Bunnell, R. E., Nassozi, J., Marum, E., Mubangizi, J., Malamba, S., Dillon, B., Kalule, J., Bahizi, J., Musoke, N., & Mermin, J. H. (2005). Living with discordance: Knowledge, challenges, and prevention strategies of HIV-discordant couples in Uganda. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV,
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M., & Tabak, F. (2023). Factors Influencing HIV Infection in Children Born to HIV-Infected Mothers in Turkey. Balkan Medical Journal, 40(5). https://doi.org/10.4274/balkanmedj.galenos.2023.2023-3-12 39 Dunkle, K. et al. (2008). "Transmission of HIV within heterosexual relationships: a multi-level analysis of couple relationships from the Rakai, Uganda." AIDS Care. Partners in Prevention HSV/HIV Transmission Study Team. (2010). "Risk factors for HIV-1 transmission in HIV-1 discordant couples." Journal of Acquired Immune Deficiency Syndromes. Mah, T.L., Halperin, D.T. (2010). "Concurrent sexual partnerships and the HIV epidemics in Africa: evidence to move forward." AIDS and Behavior. Chai, J. et al. (2014). "Social and psychological factors affecting HIV preventive behaviors among discordant couples in Henan province, China." Culture, Health & Sexuality. 40 Allen, S., Meinzen-Derr, J. (2000). "HIV Risk Reduction for Discordant Couples." AIDS Care. 41 Appendix 1. Ethical clearance
42 Appendix 3. Research authorization letter
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