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MARCH Outcome Evaluation

5.7. Exposure to the MARCH and Psychosocial constructs in relation to HIV testing

Respondents were asked a series of questions to help ascertain their efficacy and outcome expectancy in relation to HIV testing (Box 6 and 7). Furthermore, this section also presents future intention (i.e. in the next 3 months) of up taking HIV testing in the study population.  The MARCH interventions focused at improving the efficacy of the target population with regards to HIV testing and also promoted positive attitudinal belief towards the benefits of HIV testing.  

Information on the self-efficacy and outcome expectancy in relation to testing for HIV was not available at baseline in both of the sites.  Besides, due to difficulty in comprehending and subsequently responding to these psychosocial questions among respondents of the West Hararghe, only the data from Addis Ababa were used for this particular assessment.

Self-efficacy for HIV testing  Box 6 Items used for HIV testing self-efficacy

1.

How sure are you that you could get an HIV test if you wanted to?

2.

How sure are you that you could get an HIV test even if you thought you might be infected with HIV?

3.

How sure are you that you would get an HIV test even if you were afraid someone might find out that you went?

4.

What about if your partner didn’t want you to?  

5.

How sure are you that you could get an HIV test even if you thought your family or partner would reject you if you had HIV?

6.

How sure are you that you could get an HIV test if you thought other people would shun you if you were HIV positive?

7.

How sure are you that you could get an HIV test if you thought the counselors at the testing center would tell other people your results?

A total of 7 items (questions) were used to measure respondents’ self-efficacy in relation to HIV testing (Box 6). Each of the items was scored on a 5-point Likert scale, where  1 = Not at all sure 2= Only a little sure   3 = Somewhat sure 4 = Very sure  and 5 = Extremely sure.

Outcome expectancy for HIV testing     Box 7 Items used for HIV testing outcome expectancy

1.

How likely do you think that you would feel like you were protecting the health of your family?

2.

How likely do you think that your partner would appreciate it?

3.

How likely do you think that your would brave?

4.

How likely do you think that other people would think you had HIV?

5.

How likely do you think that you would be relieved to know your status?

6.

How likely do you think that you would worry and die more quickly if you had HIV?

7.

How likely do you think that the counsellors at the testing centre would tell other people your results if you had HIV?

Seven items (questions) were used to measure respondents’ outcome expectancy in relation to HIV testing (Box 7). Each of the items was scored on a 5-point Likert scale, where 1 = Not at all sure 2= Only a little sure   3 = Somewhat sure 4 = Very sure and 5 = Extremely sure.

Addis Ababa and West Hararghe

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