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From mandatory to voluntary testing : Balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana

Identifieur interne : 000103 ( PascalFrancis/Corpus ); précédent : 000102; suivant : 000104

From mandatory to voluntary testing : Balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana

Auteurs : Isaac N. Luginaah ; Emmanuel K. Yiridoe ; Mary-Margaret Taabazuing

Source :

RBID : Pascal:05-0370829

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Soc. sci. med. : (1982)
A05       @2 61
A06       @2 8
A08 01  1  ENG  @1 From mandatory to voluntary testing : Balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana
A11 01  1    @1 LUGINAAH (Isaac N.)
A11 02  1    @1 YIRIDOE (Emmanuel K.)
A11 03  1    @1 TAABAZUING (Mary-Margaret)
A14 01      @1 Department of Geography, University of Western Ontario @2 London, Ont., N6A 5C2 @3 CAN @Z 1 aut.
A14 02      @1 Department of Business and Social Sciences, Nova Scotia Agricultural College @2 Truro, Nova Scotia, B2N 5E3 @3 CAN @Z 2 aut.
A14 03      @1 Woodhull Medical and Mental Health Center, 760 Brooklyn Ave @2 Brooklyn, New York @3 USA @Z 3 aut.
A20       @1 1689-1700
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 13689 @5 354000131488620070
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 1 p.1/2
A47 01  1    @0 05-0370829
A60       @1 P
A61       @0 A
A64 01  1    @0 Social science & medicine : (1982)
A66 01      @0 GBR
C01 01    ENG  @0 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.
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C03 01  X  ENG  @0 Volunteering @5 02
C03 01  X  SPA  @0 Voluntariado @5 02
C03 02  X  FRE  @0 Dépistage @5 03
C03 02  X  ENG  @0 Medical screening @5 03
C03 02  X  SPA  @0 Descubrimiento @5 03
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C03 03  X  ENG  @0 Religion @5 05
C03 03  X  SPA  @0 Religión @5 05
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C03 06  X  ENG  @0 Prevention @5 09
C03 06  X  SPA  @0 Prevención @5 09
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C03 07  X  ENG  @0 AIDS @5 11
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C03 11  X  SPA  @0 Aspecto social @5 19
C03 12  X  FRE  @0 Droits fondamentaux @4 INC @5 86
C03 13  X  FRE  @0 Médecine sociale @4 INC @5 87
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
C07 02  X  FRE  @0 Infection
C07 02  X  ENG  @0 Infection
C07 02  X  SPA  @0 Infección
C07 03  X  FRE  @0 Afrique @2 NG
C07 03  X  ENG  @0 Africa @2 NG
C07 03  X  SPA  @0 Africa @2 NG
C07 04  X  FRE  @0 Immunodéficit @5 37
C07 04  X  ENG  @0 Immune deficiency @5 37
C07 04  X  SPA  @0 Inmunodeficiencia @5 37
C07 05  X  FRE  @0 Immunopathologie @5 39
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C07 05  X  SPA  @0 Inmunopatología @5 39
N21       @1 255

Format Inist (serveur)

NO : PASCAL 05-0370829 INIST
ET : From mandatory to voluntary testing : Balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana
AU : LUGINAAH (Isaac N.); YIRIDOE (Emmanuel K.); TAABAZUING (Mary-Margaret)
AF : Department of Geography, University of Western Ontario/London, Ont., N6A 5C2/Canada (1 aut.); Department of Business and Social Sciences, Nova Scotia Agricultural College/Truro, Nova Scotia, B2N 5E3/Canada (2 aut.); Woodhull Medical and Mental Health Center, 760 Brooklyn Ave/Brooklyn, New York/Etats-Unis (3 aut.)
DT : Publication en série; Niveau analytique
SO : Social science & medicine : (1982); ISSN 0277-9536; Coden SSMDEP; Royaume-Uni; Da. 2005; Vol. 61; No. 8; Pp. 1689-1700; Bibl. 1 p.1/2
LA : Anglais
EA : 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.
CC : 002B30A11; 002B05C02D
FD : Volontariat; Dépistage; Religion; Santé publique; Aspect culturel; Prévention; SIDA; Ghana; Conseil; Mariage; Aspect social; Droits fondamentaux; Médecine sociale
FG : Virose; Infection; Afrique; Immunodéficit; Immunopathologie
ED : Volunteering; Medical screening; Religion; Public health; Cultural aspect; Prevention; AIDS; Ghana; Council; Marriage; Social aspect
EG : Viral disease; Infection; Africa; Immune deficiency; Immunopathology
SD : Voluntariado; Descubrimiento; Religión; Salud pública; Aspecto cultural; Prevención; SIDA; Ghana; Consejo; Matrimonio; Aspecto social
LO : INIST-13689.354000131488620070
ID : 05-0370829

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Pascal:05-0370829

Le document en format XML

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<NO>PASCAL 05-0370829 INIST</NO>
<ET>From mandatory to voluntary testing : Balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana</ET>
<AU>LUGINAAH (Isaac N.); YIRIDOE (Emmanuel K.); TAABAZUING (Mary-Margaret)</AU>
<AF>Department of Geography, University of Western Ontario/London, Ont., N6A 5C2/Canada (1 aut.); Department of Business and Social Sciences, Nova Scotia Agricultural College/Truro, Nova Scotia, B2N 5E3/Canada (2 aut.); Woodhull Medical and Mental Health Center, 760 Brooklyn Ave/Brooklyn, New York/Etats-Unis (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Social science & medicine : (1982); ISSN 0277-9536; Coden SSMDEP; Royaume-Uni; Da. 2005; Vol. 61; No. 8; Pp. 1689-1700; Bibl. 1 p.1/2</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B30A11; 002B05C02D</CC>
<FD>Volontariat; Dépistage; Religion; Santé publique; Aspect culturel; Prévention; SIDA; Ghana; Conseil; Mariage; Aspect social; Droits fondamentaux; Médecine sociale</FD>
<FG>Virose; Infection; Afrique; Immunodéficit; Immunopathologie</FG>
<ED>Volunteering; Medical screening; Religion; Public health; Cultural aspect; Prevention; AIDS; Ghana; Council; Marriage; Social aspect</ED>
<EG>Viral disease; Infection; Africa; Immune deficiency; Immunopathology</EG>
<SD>Voluntariado; Descubrimiento; Religión; Salud pública; Aspecto cultural; Prevención; SIDA; Ghana; Consejo; Matrimonio; Aspecto social</SD>
<LO>INIST-13689.354000131488620070</LO>
<ID>05-0370829</ID>
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