Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV

Authors

  • N Aryal Department of Medicine, University of Otago, Wellington
  • PR Regmi Faculty of Health and Social Sciences, Bournemouth University, Bournemouth
  • E V Teijlingen Faculty of Health & Social Sciences, Bournemouth University, Bournemouth
  • D Dhungel AIDS Healthcare Foundation (AHF) Nepal, Kathmandu
  • G Ghale Section of Population Health, University of Aberdeen, Aberdeen Scotland
  • G K Bhatta SAARC Tuberculosis and HIV/AIDS Center, Thimi, Bhaktapur

DOI:

https://doi.org/10.3126/saarctb.v13i1.16923

Keywords:

Culture, Sexual Health, Migration, Gender, South Asia

Abstract

Introduction: Male migrants and their sexual partners at home are at increased risk of STIs (Sexually Transmitted Infections) including HIV (Human Immunodeficiency Virus). We aimed to assess the knowledge and attitudes of migrants’ wives regarding HIV and STIs, and to understand risk perception of HIV due to their husbands’ sexual behaviour. 

Methodology: A cross-sectional survey among 182 migrants’ wives was conducted in two rural villages of Chitwan district in Nepal. The participants were selected through multistage cluster sampling method and data were collected through a questionnaire administered through a face-to-face interview. 

Results: Nearly all (94%) of migrants’ wives had a good knowledge of HIV, however with some misconceptions. More than two-thirds of the participating migrants’ wives were aware about the risk of HIV infection in migrant husbands and subsequent risk of transmitting themselves through sexual intercourse. Nearly half of the participants reported inability to ask their husbands about HIV and STIs even if they had their doubts. Knowledge of HIV and HIV risk associated with migration were statistically significantly higher in younger women, those who were literate and the longer the period of their husbands’ migration. 

Conclusion: Despite having generally a good knowledge and awareness of HIV and migration induced HIV risk; migrants’ wives could not discuss sexual health issues with their husbands, thus increasing their vulnerability to HIV and STIs.

SAARC J TUBER LUNG DIS HIV/AIDS, 2016; XIII(1), page: 9-15

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Author Biographies

N Aryal, Department of Medicine, University of Otago, Wellington

PhD Student

PR Regmi, Faculty of Health and Social Sciences, Bournemouth University, Bournemouth

Research Fellow

E V Teijlingen, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth

Professor

D Dhungel, AIDS Healthcare Foundation (AHF) Nepal, Kathmandu

Country Program Manager

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Published

2017-03-09

How to Cite

Aryal, N., Regmi, P., Teijlingen, E. V., Dhungel, D., Ghale, G., & Bhatta, G. K. (2017). Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV. SAARC Journal of Tuberculosis, Lung Diseases and HIV/AIDS, 13(1), 9–15. https://doi.org/10.3126/saarctb.v13i1.16923

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Articles