Premarital HIV testing in Malaysia: a qualitative exploratory study on the views of major stakeholders involved in HIV prevention

Barmania, Sima and Aljunid, Syed M., (2017). Premarital HIV testing in Malaysia: a qualitative exploratory study on the views of major stakeholders involved in HIV prevention. BMC International Health and Human Rights, 17(12), 1-10

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  • Sub-type Journal article
    Author Barmania, Sima
    Aljunid, Syed M.
    Title Premarital HIV testing in Malaysia: a qualitative exploratory study on the views of major stakeholders involved in HIV prevention
    Appearing in BMC International Health and Human Rights
    Volume 17
    Issue No. 12
    Publication Date 2017-05-10
    Place of Publication London
    Publisher BioMed Central
    Start page 1
    End page 10
    Language eng
    Abstract Background: HIV screening has existed in numerous methods as an important part of HIV prevention efforts over the years. Premarital HIV testing for couples who wish to marry has been implemented in a number of regions, which often operate in a mandatory rather than voluntary basis and is considered a contentious issue, with viewpoints held in favour and against. One such region is Malaysia which has a policy of mandatory premarital HIV testing of prospective Muslim married couples. The purpose of this study is to understand stakeholders’ views on premarital HIV testing given the Malaysian Islamic context. Methods: 35 in-depth face to face semi-structured interviews were undertaken with key stakeholder groups involved in HIV prevention policy in Malaysia, namely, officials from the Ministry of Health, religious leaders and people living with HIV. Participants were recruited from the Klang Valley area, from July to December 2013, using purposive sampling techniques. Inclusion criteria necessitated that participants were over the age of 18 and provided full consent. Interviews were audiotaped, followed a standardised topic guide, transcribed verbatim and analysed using a framework analysis. Results: Participants identified pre-marital HIV testing as an effective HIV prevention policy implemented in Malaysia and was viewed, for the most part, as a positive initiative across all stakeholders. Religious leaders were supportive of testing as it provides a protective mechanism, in line with the teachings of the Shariah, while Ministry of Health officials considered it a normal part of their HIV prevention screening initiatives. However, there were concerns surrounding issues such as confidentiality, counselling and discrimination surrounding the test described by the PLHIV group. Conclusion: The findings of this study show that among the participants interviewed was strong support for mandatory premarital HIV testing, which could possibly expose the vulnerability to HIV, reluctance to test and other areas in the HIV response in Malaysia that need to be addressed. Furthermore, although international health organisations are vehemently against mandatory premarital HIV testing, the strong local support for such measures and the mismatch between these views is worth exploring in more detail, given the cultural, social and religious context.
    UNBIS Thesaurus MALAYSIA
    ISLAM
    HUMAN RIGHTS
    Keyword HIV testing
    HIV prevention
    Premarital
    Copyright Holder The Authors
    Copyright Year 2017
    Copyright type Creative commons
    DOI 10.1186/s12914-017-0120-8
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    Created: Mon, 29 May 2017, 13:13:03 JST by Cheah, Swee Neo on behalf of UNU IIGH