Amsterdam 2015
Amsterdam 2015
Abstract book - Abstract - 2335
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Abstract #2335  -  Family matters: Relationships and HIV
Session:
  28.6: Family matters: Relationships and HIV (Parallel) on Thursday @ 11.30-13.00 in C002 Chaired by Eline Op de Coul,
Francine Cournos

Authors:
  Presenting Author:   Mr Jorge Flores Aranda - Coalition PLUS, France
 
  Additional Authors:   
Aim:
Background: “Pouvoir Partager / Pouvoir Partagés” (PP/PP) is a program that aimed to empower women living with HIV (WLHIV) in regard to the disclosure of their HIV status. This program was first developed and evaluated in Canada, by a research team of the Université du Québec à Montréal, and culturally adapted in collaboration with Coalition PLUS (France) and ARCAD/SIDA (Mali). The Malian adapted version, named Goundo-So, is composed by an individual welcome meeting, ten group workshops (or three individual interventions meetings) and a final individual meeting. The meetings and workshops were facilitated by peers throughout participative methods. Objective: To assess the short-term effects of the program on women’s empowerment regarding the disclosure of their HIV status.
 
Method / Issue:
Methodology: A pre-experimental study with two measures (pre and post-test) without a control group was carried out. The participants have received a group intervention or an individual one (based on the women’s choice). Before and, a month after the interventions, participants have completed a 35 items questionnaire. The questionnaire assessed various dimensions: self-esteem, the weight of keeping the secret about their HIV status in the women’s live and the capacity to cope with the secret or the disclosure. Bivariate analysis were performed.
 
Results / Comments:
Results: 222 women have participated in the study (190 have received a group intervention and 32 an individual one). The women in the individual intervention were younger (31 vs 35 years old respectively) (p <0.05). In average, the participants of the two groups have been diagnosed with HIV since 3.6 years. Through the program (group intervention) the participants have improved the perceived support from the other participants (peers social support) (p <0.001). Women in both interventions (group and individual) have developed a better decision-making capacity in order to manage the secret or the disclosure of their HIV status have increased their self-efficacy regarding the strategies to disclose or to keep the secret about their HIV status have decreased the perceived weight of keeping the secret regarding their HIV status, and have improved the perception of control over one's life (p <0.001 for all items).
 
Discussion:
Discussion: Despite the limitations of the evaluation design, the results suggest that Goundo-So has achieved its objectives. Sharing is a major issue that affects quality of life of women living with HIV, and the program has an effect on this issue. Gundo-So seems to be a promising intervention to accompany Malian women living with HIV in the management of disclosing their HIV status or keeping the secret about it. Indeed, for some Malian women, to disclose their HIV status could generate rious consequences. Thus, Goundo-So gave, to women who wanted to keep the secret, the tools to do it.
 
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