
@article{ref1,
title="Addressing intimate partner violence and power in intimate relationships in HIV testing services in Nairobi, Kenya",
journal="AIDS and behavior",
year="2020",
author="Haberland, Nicole A. and Ndwiga, Charity and McCarthy, Katharine and Pulerwitz, Julie and Kosgei, Rose and Mak'anyengo, Margaret and Peltz, Amelia and Wong, Vincent J. and Kalibala, Sam",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Intimate partner violence (IPV) undermines women's uptake of HIV services and violates their human rights. In a two-arm randomized controlled trial we evaluated a short intervention that went a step beyond IPV screening to discuss violence and power with women receiving HIV testing services during antenatal care (ANC). The intervention included training and support for HIV counselors, a take-home card for clients, and an on-site IPV counselor. One third (35%) of women (N = 688) reported experiencing IPV in the past year; 6% were living with HIV. Among women experiencing IPV, program participants were more likely to disclose violence to their counselor than women receiving standard care (32% vs. 7%, p < 0.001). At second ANC visit, intervention group women were significantly more likely to report that talking with their counselor made a positive difference (aOR 2.9; 95% CI 1.8, 4.4; p < 0.001) and felt more confident in how they deserved to be treated (aOR 2.7; 95% CI 1.7, 4.4; p < 0.001). Exploratory analyses of intent to use ARVs to prevent mother-to-child transmission and actions to address violence were also encouraging.<p /> <p>Language: en</p>",
language="en",
issn="1090-7165",
doi="10.1007/s10461-020-02801-9",
url="http://dx.doi.org/10.1007/s10461-020-02801-9"
}