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ConclusionĬounsellors regularly encounter ethical, legal and moral dilemmas between respecting patients' confidentiality and autonomy, and protecting patients' sexual partners at risk of HIV infection. Position one focused on absolute respect of patients' autonomy position two balanced between the respect of patients' autonomy and their partners' safety position three wished for protection of sexual partners at risk of HIV infection and legal protection for counsellors and position four requested making HIV testing and partner notification routine processes. All the respondents encouraged voluntary partner notification, and held four varying positions when confronted with patients who refused to voluntarily notify their partners. ResultsĬonfidentiality issues were perceived to be handled properly despite concerns about patients' reluctance to report cases of violation due to apprehension of reprisals from health care staffs. Situational Analysis (positional map) was used for data analysis. Qualitative research interviews were conducted in the Northwest Region of Cameroon with 30 TB/HIV counsellors in 4 treatment centres, and 2 legal professionals between September and December 2009. This study aimed to explore tuberculosis (TB)/HIV counsellors' perspectives regarding confidentiality and partner notification. However, counsellors are often frustrated by the reluctance of HIV-positive patients to voluntarily notify their sexual partners.
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Partner notification for HIV is an important component of HIV counselling because it is an effective strategy to prevent secondary transmission, and promote early diagnosis and prompt treatment of HIV patients' sexual partners. However, to benefit from these services, knowledge of one's HIV status is critical.
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There is a global consensus towards universal access to human immunodeficiency virus (HIV) services consequent to the increasing availability of antiretroviral therapy.