ArticleSocial science & medicine (1982)2010
Working outside of the box: how HIV counselors in Sub-Saharan Africa adapt Western HIV testing norms.
Article in Social science & medicine (1982), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Rapid molecular tests for tuberculosis and tuberculosis drug resistance: a qualitative evidence synthesis of recipient and provider views.The Cochrane database of systematic reviews · 2022Pooled it
- 'Sometimes it is not about men': Gendered and generational discourses of caregiving HIV transmission in a rural South African setting.Global public health · 2022Article
- HIV testing services in healthcare facilities in South Africa: a missed opportunity.Journal of the International AIDS Society · 2019Article
- In the eye of the multiple beholders: Qualitative research perspectives on studying and encouraging quality of TB care in India.Journal of clinical tuberculosis and other mycobacterial diseases · 2019Article
- Institutional context and VCT practitioner narratives: possibilities and limitations for HIV prevention in Rio de Janeiro, Brazil.BMC international health and human rights · 2017Article
- HIV testing experiences and their implications for patient engagement with HIV care and treatment on the eve of 'test and treat': findings from a multicountry qualitative study.Sexually transmitted infections · 2017Article
- Making HIV testing work at the point of care in South Africa: a qualitative study of diagnostic practices.BMC health services research · 2017Article
- 'It is just the way it was in the past before I went to test': a qualitative study to explore responses to HIV prevention counselling in rural Tanzania.BMC public health · 2016Article
- Adaptation of community health worker-delivered behavioral activation for torture survivors in Kurdistan, Iraq.Global mental health (Cambridge, England) · 2015Article
- Rewards and challenges of providing HIV testing and counselling services: health worker perspectives from Burkina Faso, Kenya and Uganda.Health policy and planning · 2015Article
- Implementing "insider" ethnography: lessons from theQualitative research : QR · 2015Article
- Evaluation of the HIV lay counselling and testing profession in South Africa.BMC health services research · 2015Article
- Cohort Profile: The Malawi Longitudinal Study of Families and Health (MLSFH).International journal of epidemiology · 2015Article
- Barriers to Point-of-Care Testing in India: Results from Qualitative Research across Different Settings, Users and Major Diseases.PloS one · 2015Article
- 'It means there is doubt in the house': perceptions and experiences of HIV testing in rural Malawi.Culture, health & sexuality · 2014Article
- Quality, not just quantity: lessons learned from HIV testing in Salvador, Brazil.Global public health · 2014Article
- HIV testing and care in Burkina Faso, Kenya, Malawi and Uganda: ethics on the ground.BMC international health and human rights · 2013Review
- The social construction of AIDS during a time of evolving access to antiretroviral therapy in rural Malawi.Culture, health & sexuality · 2013Article
- Testing differences: the implementation of Western HIV testing norms in sub-Saharan Africa.Culture, health & sexuality · 2012Article
- An offer you can't refuse? Provider-initiated HIV testing in antenatal clinics in rural Malawi.Health policy and planning · 2011Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
Abstract
The delivery of HIV counseling and testing programs throughout Sub-Saharan Africa relies on the work performed by trained HIV counselors. These individuals occupy a critical position: they are intermediaries between the rule-making of international and national policymakers, and the norms of the communities in which they live and work. This paper explains when, how and why HIV counselors adapt Western testing guidelines (the "3Cs"--consent, confidentiality and counseling) to local concerns, attempting to maintain the fidelity of testing principles, while reducing the harm they perceive may arise as a consequence of strict adherence to them. Data for this study come from Malawi: a poor, largely rural African country, where HIV prevalence is ranked 9th highest in the world. The analysis is based on 25 interviews with HIV counselors and a unique set of field journals, and captures local experiences and the moral quandaries that counselors in rural Sub-Saharan Africa face. The findings of this inquiry provide new insights into the implementation of HIV testing in rural African settings, insights that may guide HIV prevention policy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.