AIDS and Behavior

, Volume 10, Issue 4, pp 361–367

HIV Counseling and Testing Practices at an Urban Hospital in Kampala, Uganda

  • Rhoda Wanyenze
  • Moses Kamya
  • Cheryl A. Liechty
  • Allan Ronald
  • David J. Guzman
  • Fred Wabwire-Mangen
  • Harriet Mayanja-Kizza
  • David R. Bangsberg
Africa and AIDS

DOI: 10.1007/s10461-005-9035-9

Cite this article as:
Wanyenze, R., Kamya, M., Liechty, C.A. et al. AIDS Behav (2006) 10: 361. doi:10.1007/s10461-005-9035-9

While the majority of medical inpatients in Uganda are assumed to be HIV-positive, HIV testing is limited in inpatient settings. This study describes HIV testing practices and risk behavior among medical inpatients at an urban hospital in Uganda. We interviewed 395 adults on the day of discharge. Overall, 46% tested for HIV before or during admission. Of the 20% tested during hospitalization, 64% were HIV-positive. Among 47% who had sex in the previous year, only 14% used condoms consistently and only 20% knew the HIV status of their sexual partner, indicating that participants would benefit from risk-reduction counseling. Yet, only 26% of participants tested during hospitalization received post-test counseling. Half of the participants with HIV-related illnesses left the hospital without being offered the test, a missed opportunity for HIV prevention counseling and care. The findings indicate that hospitals are important venues for HIV counseling and testing.

KEY WORDS:

HIVvoluntary counseling and testing (VCT)AfricaHIV risk behaviorhospital

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Rhoda Wanyenze
    • 1
    • 6
    • 7
  • Moses Kamya
    • 2
    • 6
  • Cheryl A. Liechty
    • 3
    • 4
    • 5
  • Allan Ronald
    • 6
  • David J. Guzman
    • 3
    • 4
  • Fred Wabwire-Mangen
    • 1
    • 6
  • Harriet Mayanja-Kizza
    • 2
    • 6
  • David R. Bangsberg
    • 3
    • 4
    • 5
    • 6
  1. 1.Makerere University Institute of Public HealthKampalaUganda
  2. 2.Makerere University Faculty of MedicineKampalaUganda
  3. 3.Epidemiology and Prevention Interventions CenterUniversity of California San FranciscoCAUSA
  4. 4.Division of Infectious DiseasesUniversity of California San FranciscoCAUSA
  5. 5.The San Francisco General Hospital AIDS ProgramUniversity of California San FranciscoCAUSA
  6. 6.Academic Alliance for AIDS Care and Prevention in AfricaKampalaUganda
  7. 7.Fellow Makerere University Institute of Public HealthKampalaUganda