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Barriers to HIV Positive Status Disclosure among Spouses in Kibera Slum, Nairobi County; Kenya

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  • Winfred Mbula Nzioka

    (MSc Candidate, in Health Systems Management, Kenya Methodist University – Kenya, BA in Psychology, Egerton University –Kenya, Diploma in Nursing (KRCHN)-Kenya)

  • Dr. Dennis Nyongesa Wamalwa, PhD

    (Lecturer / Consultant; Ph.D., Department of Peace and Conflict Studies, Masinde Muliro University of Science and Technology, Kenya, MA Counselling Studies, University of Manchester UK.)

  • John Oduor Ondiege

    (MMSc Candidate, in Health Systems Management, Kenya Methodist University – Kenya, BSc Prosthetist and Orthotist, Tumaini University -Tanzania)

Abstract

This study aimed to explore the reasons underlying the barriers to disclosing positive status to spouses among people with HIV infection. This was a qualitative exploratory study where 12 respondents participated in the study which had one focus group discussion of 6 members who had disclosed their HIV positive status to their spouses and individual sessions for the 6 members who had not disclosed their status to spouses. They were purposively recruited from 6 deferent post- test clubs they attended within Kibera informal settlement and who were all receiving health care services at MSF Belgium based facilities in Kibera informal settlement. Both one on one and FGD sessions were audiotaped recorded with permission from participants and were verbatim transcribed. Data was analyzed qualitatively by thematic analysis technique. Five major themes emerged from the data; fear of abandonment, fear of rejection/ discrimination, fear of violence, fear of upsetting family members and fear of accusation of infidelity. The study recommended that ongoing Counselling and HIV support groups through post-test clubs may present a key opportunity for discussing fears and concerns around disclosure as well as sharing disclosure strategies amongst peers.

Suggested Citation

  • Winfred Mbula Nzioka & Dr. Dennis Nyongesa Wamalwa, PhD & John Oduor Ondiege, 2020. "Barriers to HIV Positive Status Disclosure among Spouses in Kibera Slum, Nairobi County; Kenya," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 4(7), pages 615-620, July.
    • Handle: RePEc:bcp:journl:v:4:y:2020:i:7:p:615-620
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    References listed on IDEAS

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    1. Bennetts, Anna & Shaffer, Nathan & Manopaiboon, Chomnad & Pattrawan Chaiyakul & Siriwasin, Wimol & Mock, Philip & Klumthanom, Kunyarat & Sorapipatana, Sumaleelak & Yuvasevee, Chanidapa & Jalanchavanap, 1999. "Determinants of depression and HIV-related worry among HIV-positive women who have recently given birth, Bangkok, Thailand," Social Science & Medicine, Elsevier, vol. 49(6), pages 737-749, September.
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