Myanmar Health Sciences Research Journal
Volume 30, Number 1
TITLE: Are They Disclosed?: Situation of HIV Status Disclosure among Adolescents in Four Townships of Myanmar
AUTHOR: Kyaw Min Htut*, Myo Myo Mon, Lwin Lwin Ni, Aung Soe Min & Ni Ni Htay Aung
SOURCE: Myanmar Health Sciences Research Journal, Vol. 30, No. 1, 2018
ABSTRACT: Disclosing HIV status to vertically HIV infected adolescents is crucial for preventing further transmission of HIV, maintaining drug adherence, and preventing possible unsafe reproductive behavior. Little is known about the situation of HIV status disclosure among these adolescents. A cross-sectional, exploratory mixed method design was conducted in 2015 with the objective of identifying disclosure related information among HIV infected adolescents. Total of 66 adolescents were interviewed by using a structured questionnaire. Focus group discussions (FGD) and in-depth interviews (IDIs) were conducted with the guardians, providers and focal persons. Age of the adolescents ranged from 10-16 years (12.5±2.0). About 44% of adolescents were double orphans and 82% were currently attending school. Nearly 82% knew their HIV status in which over 42% were disclosed by health staffs. During FGDs, about half of the guardians stated that they have not disclosed HIV status to their children properly. They just let them know that they had an illness which needed daily medication for their survival. Less than half of the children were discussed about HIV with their guardians including transmission of HIV (16.7%), HIV virus (40.9%) and treatment (19.7%). Regarding reproductive health (RH), only few adolescents received information about sexually transmitted diseases (18.5%), puberty changes (7.7%), pregnancy (6.2%) and reproductive organs (4.6%). Most guardians revealed that they rarely discussed about RH with their children although they know that it is important for their future reproductive life. Proper and comprehensive disclosure counselling is needed for vertically HIV infected adolescents.
SUBJECT HEADINGS: Adolescents, HIV, Status disclosure, Counselling, Myanmar