eprintid: 29373
rev_number: 13
eprint_status: archive
userid: 3730
dir: disk0/00/02/93/73
datestamp: 2021-02-09 15:36:07
lastmod: 2022-01-24 10:23:21
status_changed: 2021-02-09 15:36:07
type: article
metadata_visibility: show
creators_name: Wachinger, Jonas
creators_name: Kibuuka Musoke, Daniel
creators_name: Oldenburg, Catherine E.
creators_name: Bärnighausen, Till
creators_name: Ortblad, Katrina F.
creators_name: McMahon, Shannon A.
title: “But I Gathered My Courage”: HIV Self-Testing as a Pathway of Empowerment Among Ugandan Female Sex Workers
subjects: ddc-610
divisions: i-912800
keywords: Uganda; East Africa; HIV self-testing; female sex worker; empowerment; resources; agency; achievements; qualitative; in-depth interviews
note: Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz bzw. Nationallizenz frei zugänglich. *** This publication is freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
abstract: HIV self-testing (HIVST) increases HIV testing in diverse populations, but little is known about the experiences of individuals who self-test. We used a five-step framework approach to analyze 62 qualitative interviews with 33 female sex workers (FSWs) participating in an HIVST trial in urban Uganda. Notions of empowerment emerged from the data, and findings were interpreted based on Kabeer’s empowerment framework of resources, agency, and achievements. We found that access to HIVST bolstered empowerment because it increased participant’s time and money (resources), control of testing circumstances and status disclosure (agency), and sense of competency (achievements). In addition, we found that knowledge of HIV status empowered participants to better control HIVrelated behaviors (agency) and recognize a new sense of self (achievements). This suggests that the availability of HIVST can facilitate feelings of empowerment, meriting a higher awareness for benefits outside of linkage to HIV treatment and prevention services.
date: 2021
publisher: Sage
id_scheme: DOI
id_number: 10.11588/heidok.00029373
official_url: https://doi.org/10.1177/1049732320978392
ppn_swb: 1786988623
own_urn: urn:nbn:de:bsz:16-heidok-293735
language: eng
bibsort: WACHINGERJBUTIGATHER2021
full_text_status: public
publication: Qualitative Health Research
volume: 31
number: 3
place_of_pub: Thousand Oaks, Calif.
pagerange: 443-457
issn: 1049-7323 (Druck-Ausg.), 1552-7557 (Online-Ausg.)
edition: Zweitveröffentlichung
citation:   Wachinger, Jonas ; Kibuuka Musoke, Daniel ; Oldenburg, Catherine E. ; Bärnighausen, Till ; Ortblad, Katrina F. ; McMahon, Shannon A.  (2021) “But I Gathered My Courage”: HIV Self-Testing as a Pathway of Empowerment Among Ugandan Female Sex Workers.  Qualitative Health Research, 31 (3).  pp. 443-457.  ISSN 1049-7323 (Druck-Ausg.), 1552-7557 (Online-Ausg.)     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/29373/1/10.1177_1049732320978392.pdf