alexa The Awareness Framework: A Novel Approach for Understanding HIV Testing and Disclosure in HIV-discordant Dyads
ISSN: 1948-5964

Journal of Antivirals & Antiretrovirals
Open Access

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Short Communication

The Awareness Framework: A Novel Approach for Understanding HIV Testing and Disclosure in HIV-discordant Dyads

Nora E Rosenberg1-3*, Audrey E Pettifor2 and William C Miller2,3

1UNC Project, Lilongwe, Malawi

2Department of Epidemiology, University of North Carolina, USA

3Department of Medicine, University of North Carolina, Chapel Hill, USA

*Corresponding Author:
Nora E. Rosenberg, PhD, MSPH
UNC Project, Tidziwe Center, Malawi
Departments of Epidemiology, Medicine
University of North Carolina, USA
Tel: +265991090676
Fax: (919)966-8536
E-mail: [email protected]

Received Date: January 08, 2013; Accepted Date: January 30, 2013; Published Date: February 06, 2013

Citation: Rosenberg NE, Pettifor AE, Miller WC (2013) The Awareness Framework: A Novel Approach for Understanding HIV Testing and Disclosure in HIV-discordant Dyads. J Antivir Antiretrovir 5:008-011. doi: 10.4172/jaa.1000057

Copyright: © 2013 Rosenberg NE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



HIV testing and counseling (HTC) is rapidly being brought to scale in sub-Saharan Africa [1]. Scale-up has been driven primarily by the goal of linking HIV-infected persons to treatment. But what impact will HTC scale-up have on HIV prevention, especially as new biomedical HIV prevention interventions are introduced? Consistent with the Couples HIV Testing and Counseling Guidelines recently released by the World Health Organization, we assert that the prevention impact of HTC will hinge on whether both members of HIVdiscordant dyads receive HTC and whether they share their HIV status with each other. However, a better understanding of the prevention impact of other awareness possibilities is needed. We introduce a novel framework for considering a person’s awareness of his/her own HIV status (through HTC) and his/her partner’s HIV status (through HIV disclosure) within HIV-discordant dyads. This framework is useful for understanding HTC trends, examining behavioral and biomedical risk in partnerships, and ultimately optimizing the impact of HIV prevention.

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