| Issue/Objective |
Background & Relevance:
HIV serodiscordant couples remain central to global HIV prevention efforts. The Undetectable = Untransmittable (U=U) message offers a transformative, evidence-based approach that eliminates sexual transmission risk when viral suppression is achieved. However, in settings such as Kiambu County, Kenya, stigma, misinformation, and limited tailored counseling hinder its full adoption. In line with the conference theme-Collectively reclaiming global health equity and restoring commitment to action in a fragmented world-this study foregrounds lived experiences to bridge the gap between biomedical knowledge and social realities, advancing equitable, people-centered HIV responses.
Objectives
The study assesses awareness and understanding of U=U among serodiscordant couples, explores emotional, relational, and sexual experiences; examines its influence on trust, disclosure, stigma, and adherence; identifies barriers and enablers to acceptance; and evaluates the role of healthcare providers in U=U communication.
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| Methodology/Approach |
Methodology:
A qualitative case study was conducted at Gachororo Health Centre in Kiambu County. Using purposive sampling, 10-15 serodiscordant couples (20-30 individuals) were recruited. Data were collected through in-depth interviews, focus group discussions, and key informant interviews with healthcare providers. Thematic analysis was applied using Atlas. ti. Implementation occurred over six months: one month of preparation, three months of data collection, and two months of analysis and dissemination.
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| Results |
Key Findings:
Findings reveal moderate awareness but persistent skepticism toward U=U, particularly among HIV-negative partners. Acceptance of U=U improved intimacy, reduced fear, and strengthened adherence, while poor communication and entrenched stigma limited trust. Gender dynamics influenced uptake, with women disproportionately affected by fear of blame and violence. Healthcare providers played a critical role, though inconsistencies in messaging undermined confidence.
Lessons Learned
Integrating U=U into routine HIV counseling, strengthening provider training, and embedding gender-sensitive approaches are essential. Community-led messaging emerged as a powerful tool for stigma reduction and trust-building
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| Discussion/Conclusion |
Conclusion
U=U extends beyond a biomedical intervention to a framework for dignity, equity, and relational healing. Scaling context-specific, gender-responsive U=U interventions can enhance adherence and reduce stigma, aligning with global equity goals.
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| Presenters and Affiliations |
Rose Muema Kiambu County |
