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

Winfred Mbula Nzioka, PhD Dr. Dennis Nyongesa Wamalwa and John Oduor Ondiege
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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
PhD Dr. Dennis Nyongesa Wamalwa: 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

International Journal of Research and Innovation in Social Science, 2020, vol. 4, issue 7, 615-620

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.

Date: 2020
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