From mandatory to voluntary testing : Balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana
Identifieur interne : 000F16 ( Main/Exploration ); précédent : 000F15; suivant : 000F17From mandatory to voluntary testing : Balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana
Auteurs : Isaac N. Luginaah [Canada] ; Emmanuel K. Yiridoe [Canada] ; Mary-Margaret Taabazuing [États-Unis]Source :
- Social science & medicine : (1982) [ 0277-9536 ] ; 2005.
Descripteurs français
- KwdFr :
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Assistance, Culture (sociologie), Droits de l'homme, Dépistage obligatoire, Examens prénuptiaux, Femelle, Ghana, Humains, Infections à VIH, Mâle, Religion et médecine, Volontariat, Dépistage, Religion, Santé publique, Aspect culturel, Prévention, SIDA, Ghana, Conseil, Mariage, Aspect social, Droits fondamentaux, Médecine sociale.
- Wicri :
- geographic : Ghana.
- topic : Religion, Santé publique, Mariage, Médecine sociale.
English descriptors
- KwdEn :
- AIDS, Adult, Council, Counseling, Cultural aspect, Culture, Female, Ghana, HIV Infections (prevention & control), Human Rights, Humans, Male, Mandatory Testing, Marriage, Medical screening, Middle Aged, Premarital Examinations, Prevention, Public health, Religion, Religion and Medicine, Social aspect, Volunteering.
- MESH :
- geographic : Ghana.
- prevention & control : HIV Infections.
- Adult, Counseling, Culture, Female, Human Rights, Humans, Male, Mandatory Testing, Middle Aged, Premarital Examinations, Religion and Medicine.
Abstract
This paper examines efforts by some churches in Ghana to reduce the spread of HIV/AIDS. The analysis is based on focus group discussions with two groups of men and two groups of women, along with in-depth interviews with 13 pastors and marriage counsellors in the churches studied. In response to government and public criticisms about human rights violations, churches that previously imposed mandatory HIV testing on members planning to marry now have voluntary testing programmes. However, the results suggest that what the churches refer to as voluntary testing may not be truly voluntary. Cultural values and traditional practices, including traditional courtship and marriage rites (which are performed before church weddings), not only clash with considerations about pre-marital HIV testing but also complicate the contentious issue of confidentiality of information on HIV testing. Associated with these complexities and issues of confidentiality is a reluctance among participants, particularly those from northern Ghana, to test for HIV. The results reveal how broader social impacts of HIV testing for those planning to marry may extend beyond individuals or couples in different cultural contexts. The findings also support the general view that there are no perfect or easy solutions to combating the HIV/AIDS pandemic. Practical solutions and programs for Ghana cannot be neutral to cultural values and need to be tailored for particular (ethnic) populations.
Affiliations:
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Le document en format XML
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Luginaah</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geography, University of Western Ontario</s1><s2>London, Ont., N6A 5C2</s2><s3>CAN</s3><sZ>1 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>London, Ont., N6A 5C2</wicri:noRegion></affiliation></author><author><name sortKey="Yiridoe, Emmanuel K" sort="Yiridoe, Emmanuel K" uniqKey="Yiridoe E" first="Emmanuel K." last="Yiridoe">Emmanuel K. Yiridoe</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Business and Social Sciences, Nova Scotia Agricultural College</s1><s2>Truro, Nova Scotia, B2N 5E3</s2><s3>CAN</s3><sZ>2 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Truro, Nova Scotia, B2N 5E3</wicri:noRegion></affiliation></author><author><name sortKey="Taabazuing, Mary Margaret" sort="Taabazuing, Mary Margaret" uniqKey="Taabazuing M" first="Mary-Margaret" last="Taabazuing">Mary-Margaret Taabazuing</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Woodhull Medical and Mental Health Center, 760 Brooklyn Ave</s1><s2>Brooklyn, New York</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Social science & medicine : (1982)</title><title level="j" type="abbreviated">Soc. sci. med. : (1982)</title><idno type="ISSN">0277-9536</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Social science & medicine : (1982)</title><title level="j" type="abbreviated">Soc. sci. med. : (1982)</title><idno type="ISSN">0277-9536</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Adult</term><term>Council</term><term>Counseling</term><term>Cultural aspect</term><term>Culture</term><term>Female</term><term>Ghana</term><term>HIV Infections (prevention & control)</term><term>Human Rights</term><term>Humans</term><term>Male</term><term>Mandatory Testing</term><term>Marriage</term><term>Medical screening</term><term>Middle Aged</term><term>Premarital Examinations</term><term>Prevention</term><term>Public health</term><term>Religion</term><term>Religion and Medicine</term><term>Social aspect</term><term>Volunteering</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Assistance</term><term>Culture (sociologie)</term><term>Droits de l'homme</term><term>Dépistage obligatoire</term><term>Examens prénuptiaux</term><term>Femelle</term><term>Ghana</term><term>Humains</term><term>Infections à VIH ()</term><term>Mâle</term><term>Religion et médecine</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Counseling</term><term>Culture</term><term>Female</term><term>Human Rights</term><term>Humans</term><term>Male</term><term>Mandatory Testing</term><term>Middle Aged</term><term>Premarital Examinations</term><term>Religion and Medicine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Assistance</term><term>Culture (sociologie)</term><term>Droits de l'homme</term><term>Dépistage obligatoire</term><term>Examens prénuptiaux</term><term>Femelle</term><term>Ghana</term><term>Humains</term><term>Infections à VIH</term><term>Mâle</term><term>Religion et médecine</term><term>Volontariat</term><term>Dépistage</term><term>Religion</term><term>Santé publique</term><term>Aspect culturel</term><term>Prévention</term><term>SIDA</term><term>Ghana</term><term>Conseil</term><term>Mariage</term><term>Aspect social</term><term>Droits fondamentaux</term><term>Médecine sociale</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Religion</term><term>Santé publique</term><term>Mariage</term><term>Médecine sociale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This paper examines efforts by some churches in Ghana to reduce the spread of HIV/AIDS. The analysis is based on focus group discussions with two groups of men and two groups of women, along with in-depth interviews with 13 pastors and marriage counsellors in the churches studied. In response to government and public criticisms about human rights violations, churches that previously imposed mandatory HIV testing on members planning to marry now have voluntary testing programmes. However, the results suggest that what the churches refer to as voluntary testing may not be truly voluntary. Cultural values and traditional practices, including traditional courtship and marriage rites (which are performed before church weddings), not only clash with considerations about pre-marital HIV testing but also complicate the contentious issue of confidentiality of information on HIV testing. Associated with these complexities and issues of confidentiality is a reluctance among participants, particularly those from northern Ghana, to test for HIV. The results reveal how broader social impacts of HIV testing for those planning to marry may extend beyond individuals or couples in different cultural contexts. The findings also support the general view that there are no perfect or easy solutions to combating the HIV/AIDS pandemic. Practical solutions and programs for Ghana cannot be neutral to cultural values and need to be tailored for particular (ethnic) populations.</div></front></TEI><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="Canada"><noRegion><name sortKey="Luginaah, Isaac N" sort="Luginaah, Isaac N" uniqKey="Luginaah I" first="Isaac N." last="Luginaah">Isaac N. Luginaah</name></noRegion><name sortKey="Yiridoe, Emmanuel K" sort="Yiridoe, Emmanuel K" uniqKey="Yiridoe E" first="Emmanuel K." last="Yiridoe">Emmanuel K. Yiridoe</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Taabazuing, Mary Margaret" sort="Taabazuing, Mary Margaret" uniqKey="Taabazuing M" first="Mary-Margaret" last="Taabazuing">Mary-Margaret Taabazuing</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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