Attitude and practice of secondary school students towards voluntary counselling and testing in Mwanza, North-West Tanzania
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Joshua Majeshi
Abstract
Objectives
Voluntary Counselling and Testing (VCT) has become popular in many parts of the world, especially in Africa, for people to learn about their HIV status and get motivation for positive sexual behaviour change. Our study explored the attitude and practice of secondary school students towards VCT.
Methods
A cross-sectional descriptive study was conducted in Magu, Mwanza, North-West Tanzania. Recorded information included sex, factors promoting or hindering VCT attendance, reasons why attending VCT is necessary, awareness of VCT locations and source of information.
Results
Of the 340 students interviewed, 93.2 % knew that VCT was necessary and had reasons such as getting Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) education, checking HIV status and getting advice if found to be HIV positive. The majority (74.4 %) knew the location of the VCT centres. However, only 20.3 % made use of the VCT services. Those who did not use VCT services had reasons such as time limitations, believing they were not infected and fear of being labelled HIV positive.
Conclusions
Our study shows that most secondary school students know that VCT is necessary and the locations of the VCT centres, but only a few use VCT services. More effort should be put into educating students and society on the importance of using VCT services.
Acknowledgments
The authors thank all principals of secondary schools in Magu District for allowing this study to be carried out in their schools. We also thank them for assisting us in one way or another during the whole period of data collection. We also acknowledge all the students in Magu district who have participated in this study for their time and cooperation. Finally, the authors thank the Tanzania Higher Education Student’s Loan Board (HESLB) for financially supporting this project.
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Informed consent: Verbal informed consent was obtained from all who consented to participate in the study. Confidentiality of respondents’ information and beliefs was maintained throughout the study. No names appeared on the data collection tool as one way of maintaining confidentiality.
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Ethical approval: Ethical approval was obtained from the University of Dar es Salaam, Mbeya College of Health and Allied Science (UDSM-MCHAS) ethics sub-committee. The study was authorised by the Regional and District administration after requesting permission.
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Author contributions: Joshua Majeshi designed the study, conducted the study and contributed to data analysis. Clement N. Mweya designed the study and prepared the original manuscript. All authors contributed to subsequent revisions. All authors read and approved the final manuscript.
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Competing interests: The authors state no competing of interest.
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Research funding: The study was carried out as part of a Doctor of Medicine (MD) research project by Joshua Majeshi at the University of Dar es Salaam, Mbeya College of Health and Allied Sciences (UDSM-MCHAS). The project received internal financial support from the Tanzania Higher Education Student’s Loan Board (HESLB). No external funding was received for this work.
References
1. Hlongwa, M, Mashamba-Thompson, T, Makhunga, S, Hlongwana, K. Mapping evidence of intervention strategies to improving men’s uptake to HIV testing services in sub-Saharan Africa: a systematic scoping review. BMC Infect Dis 2019;19:496. https://doi.org/10.1186/s12879-019-4124-y.Suche in Google Scholar PubMed PubMed Central
2. Mannoh, I, Amundsen, D, Turpin, G, Lyons, CE, Viswasam, N, Hahn, E, et al.. A systematic review of HIV testing implementation strategies in sub-Saharan African countries. AIDS Behav 2022;26:1660–71. https://doi.org/10.1007/s10461-021-03518-z.Suche in Google Scholar PubMed PubMed Central
3. Tonen-Wolyec, S, Koyalta, D, Bouassa, RSM, Filali, M, Batina-Agasa, S, Bélec, L. HIV self-testing in adolescents living in sub-Saharan Africa. Med Maladies Infect 2020;50:648–51. https://doi.org/10.1016/j.medmal.2020.07.007.Suche in Google Scholar PubMed
4. World Health Organisation. Global progress report on HIV, viral hepatitis and sexually transmitted infections, 2021 [Internet]; 2022. https://www.who.int/publications-detail-redirect/9789240027077 [Accessed 2 Aug 2023].Suche in Google Scholar
5. Kharsany, ABM, Karim, QA. HIV infection and AIDS in sub-Saharan Africa: current status, challenges and opportunities. Open AIDS J 2016;10:34–48. https://doi.org/10.2174/1874613601610010034.Suche in Google Scholar PubMed PubMed Central
6. Abubeker, FA, Fanta, MB, Dalton, VK. Unmet need for contraception among HIV-positive women attending HIV care and treatment service at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Int J Reprod Med 2019;2019:3276780. https://doi.org/10.1155/2019/3276780.Suche in Google Scholar PubMed PubMed Central
7. Cawley, C, Wringe, A, Slaymaker, E, Todd, J, Michael, D, Kumugola, Y, et al.. The impact of voluntary counselling and testing services on sexual behaviour change and HIV incidence: observations from a cohort study in rural Tanzania. BMC Infect Dis 2014;14:159. https://doi.org/10.1186/1471-2334-14-159.Suche in Google Scholar PubMed PubMed Central
8. Mwakalobo, ABS. Implications of HIV/AIDS for rural livelihoods in Tanzania: the example of Rungwe District. Afr Stud Rev 2007;50:51–73. https://doi.org/10.1353/arw.2008.0019.Suche in Google Scholar
9. Thirumurthy, H, Zivin, JG, Goldstein, M. The economic impact of AIDS treatment: labor supply in Western Kenya. J Hum Resour 2008;43:511–52. https://doi.org/10.1353/jhr.2008.0009.Suche in Google Scholar
10. Omary, S. Barriers and attitudes towards HIV Voluntary Counselling and Testing (VCT) among Secondary School Pupils of Sengerema in Mwanza. Dar Es Salaam Med Stud J 2008;15:20–3. https://doi.org/10.4314/dmsj.v15i1.49596.Suche in Google Scholar
11. Anaba, EA, Buabeng, Z, Okai, GA. Voluntary HIV counselling and testing services: knowledge, attitudes, and correlates of utilisation among young people in the tema metropolis, Ghana. Youth 2022;2:469–78. https://doi.org/10.3390/youth2040034.Suche in Google Scholar
12. Krishnaratne, S, Hensen, B, Cordes, J, Enstone, J, Hargreaves, JR. Interventions to strengthen the HIV prevention cascade: a systematic review of reviews. Lancet HIV 2016;3:e307–17. https://doi.org/10.1016/s2352-3018(16)30038-8.Suche in Google Scholar PubMed
13. Fonner, VA, Denison, J, Kennedy, CE, O’Reilly, K, Sweat, M. Voluntary counseling and testing (VCT) for changing HIV-related risk behavior in developing countries. Cochrane Database Syst Rev 2012;9:CD001224. https://doi.org/10.1002/14651858.cd001224.pub4.Suche in Google Scholar PubMed PubMed Central
14. Hatzold, K, Gudukeya, S, Mutseta, MN, Chilongosi, R, Nalubamba, M, Nkhoma, C, et al.. HIV self-testing: breaking the barriers to uptake of testing among men and adolescents in sub-Saharan Africa, experiences from STAR demonstration projects in Malawi, Zambia and Zimbabwe. J Int AIDS Soc 2019;22:e25244. https://doi.org/10.1002/jia2.25244.Suche in Google Scholar PubMed PubMed Central
15. MacPherson, P, Lalloo, DG, Webb, EL, Maheswaran, H, Choko, AT, Makombe, SD, et al.. Effect of optional home initiation of HIV care following HIV self-testing on antiretroviral therapy initiation among adults in Malawi: a randomized clinical trial. JAMA 2014;312:372–9. https://doi.org/10.1001/jama.2014.6493.Suche in Google Scholar PubMed PubMed Central
16. Mavhu, W, Willis, N, Mufuka, J, Bernays, S, Tshuma, M, Mangenah, C, et al.. Effect of a differentiated service delivery model on virological failure in adolescents with HIV in Zimbabwe (Zvandiri): a cluster-randomised controlled trial. Lancet Global Health 2020;8:e264–75. https://doi.org/10.1016/s2214-109x(19)30526-1.Suche in Google Scholar PubMed
17. Sam-Agudu, NA, Folayan, MO, Ezeanolue, EE. Seeking wider access to HIV testing for adolescents in sub-Saharan Africa. Pediatr Res 2016;79:838–45. https://doi.org/10.1038/pr.2016.28.Suche in Google Scholar PubMed
18. Abdalla, AM, Abusalih, HH. Factors affecting HIV Voluntary Counseling and Testing uptake among usndergraduate students of Khartoum, Sudan. Open AIDS J 2021;15:21–7. https://doi.org/10.2174/1874613602115010021.Suche in Google Scholar
19. Adulo, LA, Hassen, SS, Kontuab, AM. Utilization of voluntary counseling and testing experience among Mizan-Tepi University students in Southwestern Ethiopia. AIDS Res Treat 2022;2022:e7911385. https://doi.org/10.1155/2022/7911385.Suche in Google Scholar PubMed PubMed Central
20. Teklehaimanot, HD, Teklehaimanot, A, Yohannes, M, Biratu, D. Factors influencing the uptake of voluntary HIV counseling and testing in rural Ethiopia: a cross sectional study. BMC Publ Health 2016;16:239. https://doi.org/10.1186/s12889-016-2918-z.Suche in Google Scholar PubMed PubMed Central
21. Sanga, Z, Kapanda, G, Msuya, S, Mwangi, R. Factors influencing the uptake of Voluntary HIV Counseling and Testing among secondary school students in Arusha City, Tanzania: a cross sectional study. BMC Publ Health 2015;15:452. https://doi.org/10.1186/s12889-015-1771-9.Suche in Google Scholar PubMed PubMed Central
22. WHO. Co-management of HIV and active TB disease [Internet]. In: Treatment of tuberculosis: guidelines, 4th ed. World Health Organization; 2010. https://www.ncbi.nlm.nih.gov/books/NBK138735/ [Accessed 5 Apr 2023].Suche in Google Scholar
23. Alemie, GA, Balcha, SA. VCT clinic HIV burden and its link with HIV care clinic at the University of Gondar hospital. BMC Publ Health 2012;12:1010. https://doi.org/10.1186/1471-2458-12-1010.Suche in Google Scholar PubMed PubMed Central
24. Chi, BH, Stringer, JSA, Moodley, D. Antiretroviral drug regimens to prevent mother-to-child transmission of HIV: a review of scientific, program, and policy advances for sub-Saharan Africa. Curr HIV AIDS Rep 2013;10:124–33. https://doi.org/10.1007/s11904-013-0154-z.Suche in Google Scholar PubMed PubMed Central
25. Charles, MP, Kweka, EJ, Mahande, AM, Barongo, LR, Shekalaghe, S, Nkya, HM, et al.. Evaluation of uptake and attitude to voluntary counseling and testing among health care professional students in Kilimanjaro region, Tanzania. BMC Publ Health 2009;9:128. https://doi.org/10.1186/1471-2458-9-128.Suche in Google Scholar PubMed PubMed Central
26. URT. Population and housing census 2022 – preliminary report. The United Republic of Tanzania. Dar es Salaam: National Bureau of Statistics; 2022.Suche in Google Scholar
27. Kasiulevičius, V, Šapoka, V, Filipavičiūtė, R. Sample size calculation in epidemiological studies. Gerontologija, 2006, 7:225–231.Suche in Google Scholar
28. Alem, AT, Sisay, MM, Alemayehu, AM. Factors affecting voluntary HIV/AIDS counseling and testing service utilization among youth in Gondar City, Northwest Ethiopia. HIV AIDS 2020;12:667–73. https://doi.org/10.2147/hiv.s267494.Suche in Google Scholar
29. 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. Ethiop J Health Dev 2004;18:82–9. https://doi.org/10.4314/ejhd.v18i2.9942.Suche in Google Scholar
30. Sisay, S, Erku, W, Medhin, G, Woldeyohannes, D. Perception of high school students on risk for acquiring HIV and utilization of voluntary counseling and testing (VCT) service for HIV in Debre-berhan Town, Ethiopia: a quantitative cross-sectional study. BMC Res Notes 2014;7:518. https://doi.org/10.1186/1756-0500-7-518.Suche in Google Scholar PubMed PubMed Central
31. NBS. Tanzania – Reproductive and Child Health Survey 1999 (TRCHS) [Internet]; 2000. https://www.nbs.go.tz/tnada/index.php/catalog/25 [Accessed 27 Aug 2022].Suche in Google Scholar
© 2023 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Original Articles
- Digital consumer behaviour: insights into the perceptions of late adolescents’ consumption of digital media on cognitive health
- Attitude and practice of secondary school students towards voluntary counselling and testing in Mwanza, North-West Tanzania
- Vulnerability analysis of Haitian adolescent girls before pregnancy: a qualitative study
- Characteristics of Malaysian 16-year-old girls who reported regular binge eating episodes and the associated risk factors: a descriptive study
- Short Communication
- The intersection of technology and mental health: enhancing access and care
Artikel in diesem Heft
- Frontmatter
- Original Articles
- Digital consumer behaviour: insights into the perceptions of late adolescents’ consumption of digital media on cognitive health
- Attitude and practice of secondary school students towards voluntary counselling and testing in Mwanza, North-West Tanzania
- Vulnerability analysis of Haitian adolescent girls before pregnancy: a qualitative study
- Characteristics of Malaysian 16-year-old girls who reported regular binge eating episodes and the associated risk factors: a descriptive study
- Short Communication
- The intersection of technology and mental health: enhancing access and care
