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    HIV Testing Services 1

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    mujuni brianmju
    The document discusses factors affecting utilization of voluntary HIV testing services among adolescents aged 10-19 in Nakivale refugee settlement in Uganda. It notes that while HIV testing is important, uptake remains low among adolescents globally and in Uganda. The study aims to investigate demographic, individual, health facility, community, and risky sexual behavior factors that influence adolescent uptake of HIV testing services in the refugee settlement. It will seek to identify these factors and determine the current level of HIV testing among adolescents to help improve testing service provision and uptake.

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    HIV Testing Services 1

    Uploaded by

    mujuni brianmju
    47 views4 pages
    The document discusses factors affecting utilization of voluntary HIV testing services among adolescents aged 10-19 in Nakivale refugee settlement in Uganda. It notes that while HIV testing is important, uptake remains low among adolescents globally and in Uganda. The study aims to investigate demographic, individual, health facility, community, and risky sexual behavior factors that influence adolescent uptake of HIV testing services in the refugee settlement. It will seek to identify these factors and determine the current level of HIV testing among adolescents to help improve testing service provision and uptake.

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    SERVICE TEST HIV/AID

    Original Title

    HIV testing services 1

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    The document discusses factors affecting utilization of voluntary HIV testing services among adolescents aged 10-19 in Nakivale refugee settlement in Uganda. It notes that while HIV testing is important, uptake remains low among adolescents globally and in Uganda. The study aims to investigate demographic, individual, health facility, community, and risky sexual behavior factors that influence adolescent uptake of HIV testing services in the refugee settlement. It will seek to identify these factors and determine the current level of HIV testing among adolescents to help improve testing service provision and uptake.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    47 views4 pages

    HIV Testing Services 1

    Uploaded by

    mujuni brianmju
    The document discusses factors affecting utilization of voluntary HIV testing services among adolescents aged 10-19 in Nakivale refugee settlement in Uganda. It notes that while HIV testing is important, uptake remains low among adolescents globally and in Uganda. The study aims to investigate demographic, individual, health facility, community, and risky sexual behavior factors that influence adolescent uptake of HIV testing services in the refugee settlement. It will seek to identify these factors and determine the current level of HIV testing among adolescents to help improve testing service provision and uptake.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Factors affecting utilization of voluntary HIV testing services among adolescents aged 10-

    19 in Nakivale refugee settlement.

    Problem statement

    HIV testing remains a problem among adolescents in low- and middle-income countries, and yet,
    HIV testing is a cornerstone in the fight against HIV (Benyumiza D. et al., 2021).  HIV testing is
    a window for all HIV-related care and treatment services and an essential step in achieving “the
    UNAIDS 90-90-90 targets” among all age groups (Namale L., et al., 2018).

    However, globally, only 35% of young people were aware of their HIV status in 2015 (JUNP,
    2015). In sub-Saharan Africa, only 13% of female and 9% of male adolescents tested for HIV
    and received their results in 2021 (UNICEF, 2020). In Uganda, only 39.4% of older adolescents
    (15-19 years) had tested and received their HIV results in the year 2021(UBOS and ICF, 2017).
    This has prompted the government of Uganda through the Ministry of Health to adopt both
    community-based and facility-based HIV testing to scale up HIV testing (MoH (Uganda), 2018).

    Still, the uptake of HIV testing in health facilities including those in refugee settlement has
    remained generally low. This has been attributed to the attitude of healthcare workers, fear of
    stigmatization, and fear over HIV confidentiality (Avert, 2019). Additionally, institutional
    grounding towards offering comprehensive HIV testing services (HTS) to young people also
    constitutes a major barrier to the provision of HTS although this is not well documented (Kiguli
    J., et al., 2019). More efforts are still needed in terms of repositioning health facilities to
    accommodate all persons regardless of their occupation, sexual orientation, and age category.
    Furthermore, factors such as individual and institutional biases that hinder adolescents from
    testing HIV/AIDS voluntarily hence a need to be studied and addressed (Wanyenze R. K.,
    Musinguzi G., Kiguli J., et al., 2017).

    However, there is scanty literature on the utilization of HIV testing services by adolescents
    especially in refugee settings. This study is aiming at investigating factors affecting utilization of
    voluntary HIV testing services among adolescents aged 10-19 in Nakivale refugee settlement,
    South western Uganda.
    Objectives

     To identify demographic and individual factors affecting utilization of HIV services


    among adolescents aged 10-19 years in Nakivale refugee settlement.
     To find out health facility related factors affecting utilization of HIV Testing services
    among adolescents.
     To determine the uptake of HIV testing services among adolescents aged10-19 years in
    Nakivale refugee settlement

    Research questions

     What are the demographic and individual factors affecting utilization of HIV services
    among adolescents aged 10-19 years in Nakivale refugee settlement?
     What are the health facility related factors affecting utilization of HIV Testing services
    among adolescents?
     What is the level of uptake of HIV testing services among adolescents aged10-19 years in
    Nakivale refugee settlement?

    Significance of the study

    The findings of the proposed study could have both theoretical and practical implications for the
    future of adolescent friendly voluntary counseling and testing services in Nakivale Refugee
    settlement and the whole country. The study is expected to contribute to the advancement of
    knowledge on factors affecting utilization of voluntary HIV testing services among adolescents
    aged 10-19 in Nakivale refugee settlement and other parts of the country. The study also has
    practical significance in that it can assist in mitigating the spread of HIV/AIDS among the
    adolescents. Its recommendations can be used by service providers to improve on utilization of
    voluntary HIV testing services among adolescents. The findings of this study can form a base on
    which others scholars can develop their studies.
    Conceptual framework
    Independent variable sky Dependent variable sky
    sexual behavior sexual behavior

    Demographic factors HIV Testing services uptake


    Gender Prevalence of HIV testing
    Age
    Marital status Intention to test for HIV
    Educational level Risky sexual behavior
    Primary occupation of household head
    Household’s socioeconomic status
    Religion.
    Individual factors
    Age at 1st sex
    HIV knowledge
    HIV stigma indicator
    Risky sexual behavior

    Health facility factors


    Lack of effective communication
    Excessive work load
    Inadequate staff
    Service organization
    Long distance to Health facilities
    Limited support supervision
    Limited funds for service delivery
    Stock outs of HIV testing kits
    Inadequate motivation of health workers

    Risky sexual behavior Intervening variable


    sky sexual behavior
    Community factors
    Region of residence
    community poverty level
    community illiteracy levels
    Risky sexual behavior
    References
    Avert, 2019. HIV testing programmes 2019. [cited 2019 24th November]., s.l.: s.n.

    Joint United Nations Programme on HIV/AIDS. (2015). How AIDS changed everything—
    MDG6: 15 years, 15 lessons of hope from the AIDS response. Geneva, Switzerland: UNAIDS;
    2015.

    Kiguli J., et al., 2019. Health providers’ experiences, perceptions and readiness to provide HIV
    services to men who have sex with men and female sex workers in Uganda – a qualitative study.,
    s.l.: BMC infectious diseases..

    MoH (Uganda), 2018. Consolidated guidelines for the prevention and treatment of HIV and
    AIDS in Uganda., Kampala, Uganda: s.n.

    Namale L., et al., 2018. Prevalence and correlates of HIV testing among adolescents 10–19
    years in a post-conflict pastoralist community of Karamoja region, Uganda., s.l.: BMC Public
    Health.

    Uganda Bureau of Statistics (UBOS) and ICF (2017). Uganda Demographic and Health Survey
    2016: Key Indicators Report. Kampala, Uganda.

    Wanyenze R. K., Musinguzi G., Kiguli J., et al., 2017. When they know that you are a sex
    worker, you will be the last person to be treated: perceptions and experiences of female sex
    workers in accessing HIV services in Uganda., kampala: BMC international health and.

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