From mandatory to voluntary testing: balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana.
Identifieur interne : 000132 ( PubMed/Corpus ); précédent : 000131; suivant : 000133From 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 TaabazuingSource :
- Social science & medicine (1982) [ 0277-9536 ] ; 2005.
English descriptors
- KwdEn :
- 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.
DOI: 10.1016/j.socscimed.2005.03.034
PubMed: 15913859
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Yiridoe</name></author><author><name sortKey="Taabazuing, Mary Margaret" sort="Taabazuing, Mary Margaret" uniqKey="Taabazuing M" first="Mary-Margaret" last="Taabazuing">Mary-Margaret Taabazuing</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:15913859</idno><idno type="pmid">15913859</idno><idno type="doi">10.1016/j.socscimed.2005.03.034</idno><idno type="wicri:Area/PubMed/Corpus">000132</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000132</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">From mandatory to voluntary testing: balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana.</title><author><name sortKey="Luginaah, Isaac N" sort="Luginaah, Isaac N" uniqKey="Luginaah I" first="Isaac N" last="Luginaah">Isaac N. Luginaah</name><affiliation><nlm:affiliation>Department of Geography, University of Western Ontario, London, Ont., Canada N6A 5C2.</nlm:affiliation></affiliation></author><author><name sortKey="Yiridoe, Emmanuel K" sort="Yiridoe, Emmanuel K" uniqKey="Yiridoe E" first="Emmanuel K" last="Yiridoe">Emmanuel K. Yiridoe</name></author><author><name sortKey="Taabazuing, Mary Margaret" sort="Taabazuing, Mary Margaret" uniqKey="Taabazuing M" first="Mary-Margaret" last="Taabazuing">Mary-Margaret Taabazuing</name></author></analytic><series><title level="j">Social science & medicine (1982)</title><idno type="ISSN">0277-9536</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Counseling</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>Middle Aged</term><term>Premarital Examinations</term><term>Religion and Medicine</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></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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15913859</PMID><DateCreated><Year>2005</Year><Month>07</Month><Day>20</Day></DateCreated><DateCompleted><Year>2005</Year><Month>11</Month><Day>29</Day></DateCompleted><DateRevised><Year>2005</Year><Month>07</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0277-9536</ISSN><JournalIssue CitedMedium="Print"><Volume>61</Volume><Issue>8</Issue><PubDate><Year>2005</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Social science & medicine (1982)</Title><ISOAbbreviation>Soc Sci Med</ISOAbbreviation></Journal><ArticleTitle>From mandatory to voluntary testing: balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana.</ArticleTitle><Pagination><MedlinePgn>1689-700</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Luginaah</LastName><ForeName>Isaac N</ForeName><Initials>IN</Initials><AffiliationInfo><Affiliation>Department of Geography, University of Western Ontario, London, Ont., Canada N6A 5C2.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yiridoe</LastName><ForeName>Emmanuel K</ForeName><Initials>EK</Initials></Author><Author ValidYN="Y"><LastName>Taabazuing</LastName><ForeName>Mary-Margaret</ForeName><Initials>MM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Soc Sci Med</MedlineTA><NlmUniqueID>8303205</NlmUniqueID><ISSNLinking>0277-9536</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003376" MajorTopicYN="N">Counseling</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003469" MajorTopicYN="Y">Culture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006806" MajorTopicYN="Y">Human Rights</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018580" MajorTopicYN="Y">Mandatory Testing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011291" MajorTopicYN="N">Premarital Examinations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012068" MajorTopicYN="Y">Religion and Medicine</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2004</Year><Month>06</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2005</Year><Month>03</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>5</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>12</Month><Day>13</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>5</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15913859</ArticleId><ArticleId IdType="pii">S0277-9536(05)00129-2</ArticleId><ArticleId IdType="doi">10.1016/j.socscimed.2005.03.034</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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