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(ID13) However, some participants felt reluctant to disclose personal issues in group settings due to fear of breach of confidentiality.
This study suggested that health workers at this facility could be under-utilising the OHU due to fear of being stigmatized, fear of breach of confidentiality, lack of knowledge of the HIV program, misconceptions and attitudes toward the OHU service and HIV program, and/or a misperception of policies and their implementation.
Although 90% reported they were not afraid that a cell phone message would disclose their HIV-status:four participants (8%) specifically listed a fear of breach of privacy related to cell phone text messaging about health: "I don't see any worries because even the people that use my phone they have that use it with my consent and when am there seeing them".
The reasons given for not testing on the day included fear of being tested positive, not ready, fear of HIV results, fear of breach of confidentiality, not being at risk, self-trust, inconvenient PITC room, stigma and discrimination, needing to consult partner, do not want to know my status now, and another participant said that "my behavior is good so there is no need for me to be tested".
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The fear of breaching confidentiality has been reported in Zambia even among health workers when they come to seek HIV services [ 31].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com