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[procaare] Durban 2000: VCT - Violence and VCT
- From: ProCAARE <firstname.lastname@example.org>
- Date: Wed, 11 Oct 2000 15:20:06 -0400 (EDT)
Durban 2000: VCT Abstract (2)
'History of partner violence is common among women attending a voluntary counseling testing clinic
in Dar es Salaam, Tanzania'
S. Maman1, J. Mbwambo2, M. Hogan2, G. Kilonzo3, E. Weiss4
-- (1)JHU SHPH Dept International Health, Baltimore, USA, (2,3)Muhimbili Universtiy College of
Health Sciences, Dar es Salaam, Tanzania, (4)ICRW/Horizons Project, Population Council, USA
In view of the ever-increasing and overlapping epidemics of HIV and violence against women in
sub-Saharan Africa, there is an urgent need for applied research to develop interventions that
respond to both problems. To examine the intersections between HIV and violence, a study supported
by Fogarty International and the Population Council's Horizons Project, was conducted among female
clients of a voluntary HIV counseling and testing (VCT) clinic in Dar es Salaam, Tanzania.
In phase one, in-depth interviews were conducted with 15 women, 17 men, and 15 couples. In phase
two, 340 female VCT clients were enrolled immediately after HIV pre-test counseling. 245 of the
enrolled clients (72%) returned for a follow-up survey interview 3 months after testing and
enrollment. Bivariate and multivariate analysis has been conducted on the survey data to identify
predictors of violence.
Physical abuse as an adult was common for both HIV-positive and HIV-negative women. Among
HIV-positive women, 54.9% said that they had had at least one physically abusive partner in their
lifetime as compared to 32.3% of HIV-negative women (p = .001), and the mean number of physically
abusive partners was higher for HIV-positive women than HIV-negative women (.63 vs. .38, p =
.008). HIV-positive women were also significantly more likely to report a physically violent
episode with their current partner in the last three months (31% vs. 16.2%, p = .019). Furthermore,
a report of at least one physically abusive partner during a woman's lifetime was an important
independent predictor of HIV status. Women who reported at least one physically abusive partner
during their lifetime were 3 times more likely to be HIV-positive than women with no experience
with physically abusive partners (p = .006).
Results suggest that HIV interventions, including counseling and testing programs, must consider
women's experiences with violence to prevent new infections and support women living with
Presenting author: S. Maman, JHU SHPH Dept International Health, 615 North Wolfe Street Room E7141,
Baltimore MD, United States, Tel.: +1 4104 315 036, Fax: +1 4104 315 036, E-mail: email@example.com
[We invite the authors of this abstract to share their views regarding testing in resource-poor
[*VCT = Voluntary Counselling and Testing]
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