Prevalence and Factors Associated with HIV Sero-Discordance among Couples Attending Pallisa General Hospital-Pallisa District Eastern Uganda
HIV serodiscordant refers to a situation where in a pair of long-term sexual partners, one is HIV positive andthe other is HIV negative. There is an increased risk of HIV transmission to the HIV-negative partner indiscordant couples which makes HIV sero- discordance a hindrance to HIV control and prevention strategies.Sero-discordance is one of the factors affecting the impact of HIV prevention strategies, therefore effective HIVprevention strategies must consider HIV discordance. Limited knowledge about the prevalence of HIVserodiscordant in the community hinders the formulation of appropriate strategies for effective control of HIVtransmission. The study was aimed at determining the prevalence of HIV serodiscordant and its associatedfactors among couples attending Pallisa General Hospital (PGH) Pallisa District. The knowledge generatedwill guide the stakeholders in formulating HIV prevention and control strategies aimed at reducing HIVtransmission. A cross-sectional hospital-based study was carried out through the conduction of guidedinterviews using a questionnaire to random-systematically selected 250 couples attending PGH. Data wasanalyzed and presented in tables with percentages comparing different factors. The HIV seroprevalence was6.8%. The prevalence of discordance was 4.8% among participant couples and 52.2% among the infected couples.HIV serodiscordant was associated with sexual practice (83.3%), circumcision status of the male partner in thecouple (58.3%), condom use (58.3%), use of ARVs by the HIV-infected partner (25%), and experience of STIsamong partners (25%). The prevalence of HIV serodiscordant among the participant couples was 4.8%,associated mainly with sexual practice, circumcision, and condom use