PAUSE©: THE CASE FOR DEVELOPING A PREMARITAL HIV TESTING AID FOR PRIMARY CARE SETTINGS IN MALAYSIA

Authors

  • Nurin Zainal Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia
  • Aznida Firzah Abdul Aziz Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia https://orcid.org/0000-0001-7620-4008
  • Chai Eng Tan Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia https://orcid.org/0000-0001-7981-9366
  • Rahmah Kamaluddin Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia
  • Petrick Periyasamy Infectious Disease Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia
  • Noorul Amilin Binti Sulaiman Klinik Kesihatan Gombak Setia, 53100 Kuala Lumpur, Malaysia

Keywords:

premarital, Human Immunodeficiency Virus, counselling, primary care

Abstract

Since 2001, Malaysia has mandated premarital Human Immunodeficiency Virus (HIV) screening tests for prospective Muslim couples to curb HIV transmission. Pre-test counselling is essential prior to HIV testing. Nevertheless, a standardized format for delivering HIV pre-test counselling tailored to premarital clients has been lacking. This study aims to create the Premarital Counselling (PAUSE©) flipchart for couples undergoing mandatory premarital HIV testing in primary care settings and assess its comprehensibility and efficacy. Developed in accordance with literature reviews, local and international guidelines, PAUSE© content validity was ensured through an expert panel comprising Infectious Disease Specialists, Family Medicine Specialists with a particular focus on HIV, and HIV counsellors. The understandability of PAUSE© was evaluated among its end users—the clients—using the Patient Education Materials Assessment Tool – Print (PEMAT-P) questionnaire. To gauge effectiveness, pre- and post-test questionnaires assessing HIV knowledge were administered. Results indicated that clients' PEMAT-P scores for PAUSE© demonstrated strong understandability (scores >70%). PAUSE© exhibited preliminary effectiveness in enhancing overall HIV knowledge scores post-counseling (Z= -5.24, P <0.001). Therefore, PAUSE© serves as an easily comprehensible and valuable standardized counseling aid, supporting premarital HIV test counseling within primary care facilities.

Author Biographies

Nurin Zainal, Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia

Dr Nurin Zainal is a Family Medicine Specialist with the Ministry of Health Malaysia. She holds a masters degree in Family Medicine (Dr Fam Med) from Universiti Kebangsaan Malaysia. 

Aznida Firzah Abdul Aziz, Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia

Associate Professor Dr Aznida Firzah Abdul Aziz is a Senior Family Medicine Consultant and lecturer at the Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia. She has Phd qualification in Public Health. Her research interests include health systems delivery and health economics.

Petrick Periyasamy, Infectious Disease Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia

Associate Professor Dr Petrick Periyasamy is Head of Infectious Disease Unit in the Department of Medicine, Faculty of Medicine, UKM.

Noorul Amilin Binti Sulaiman, Klinik Kesihatan Gombak Setia, 53100 Kuala Lumpur, Malaysia

Dr Noorul Amilin Sulaiman is a Family Medicine Specialist with the Ministry of Health Malaysia. She currently works at Klinik Kesihatan Gombak Setia, Selangor.

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Published

2023-12-28

How to Cite

Zainal, N., Abdul Aziz, A. F., Tan, C. E., Kamaludin, R., Periyasamy, P., & Binti Sulaiman, N. A. (2023). PAUSE©: THE CASE FOR DEVELOPING A PREMARITAL HIV TESTING AID FOR PRIMARY CARE SETTINGS IN MALAYSIA. Malaysian Journal of Public Health Medicine, 23(3), 190–200. Retrieved from https://mjphm.org/index.php/mjphm/article/view/2085