NLM AIDSLINE Factors which hinder behaviour change in Uganda.
Kalyebara JN; Kampala, Uganda. Fax: 256-41-258615.
January 30, 1997
Int Conf AIDS. 1996 Jul 7-12;11(1):175 (abstract no. Mo.D.1707). Unique
Objective: The main purpose of this study was to find out factors which
hinder sexual behavior change. The results would help to design more
appropriate intervention strategies.Methodology: This study was carried
out in Kampala City, Uganda. It consisted of 175 clients (100 male and
female aged between 17 - 40 years.) These were randomly selected after
they sought voluntary HIV testing at the Centre. Clients were followed
up for 2 years after the initial HIV testing. Personal interviews were
the main method of data collection. All clients underwent intensive
counseling. All data was analyzed by computer. Results: At the initial
HIV testing, 15% male and 33% female were seropositive; 85% male and 67%
female were seronegative. After two years 24% of seropositive clients
they had been tested thrice and were confirmed seronegative. Reasons for
indulging in unprotected sex included: value attached to getting
children; religious beliefs; false beliefs associated with condoms; and
trusting one's partner after staying together for a long time.
Conclusions: All strategies for sexual behavior change should address
gender issues especially those related to cultural and religious beliefs
and values; There is also need to integrate assertive skills especially
for women in all cultures and schools should be the starting point.