ABSTRACT
Resumen En los últimos años se ha incrementado en Argentina la cantidad de tratamientos de reproducción asistida con donación de gametos (óvulos y/o espermatozoides). La filiación por técnicas de reproducción asistida heterólogas interroga la tradicional "herencia de sangre" objeto de estudio privilegiado de las ciencias sociales. En las últimas décadas, el paradigma sobre el anonimato de los donantes ha cambiado en muchos países. A su vez, se ha sugerido que los rápidos y generalizados avances en las pruebas genéticas podrían modificar las políticas de anonimato. ¿Cuáles son las consecuencias de fundamentar la revelación de la información genética/identificatoria sobre la base del mayor acceso que posibilitan los test genéticos? La presente reflexión parte de dos vertientes: la pública - que analiza las paradojas que encierra el articulado del nuevo Código Civil y Comercial (2015) - y la íntima, que ubica las coordenadas sobre las que se inscribe la transmisión singular de los orígenes.
Abstract In recent years, the number of assisted reproduction treatments with the donation of gametes (ovules and/or sperm) has increased in Argentina. The filiation by heterologous assisted reproduction techniques interrogates the traditional "blood inheritance" object of privileged study of the social sciences. In recent decades, the donor anonymity paradigm has changed in many countries. In turn, it has been suggested that rapid and widespread advances in genetic testing could modify anonymity policies. What are the consequences of substantiating the disclosure of genetic/identifying information based on the greater access that genetic tests allow? This reflection is based on two aspects: the public aspect - which analyzes the paradoxes contained in the articles of the new Civil and Commercial Code (2015) - and the intimate one, which locates the coordinates on which the singular transmission of the origins is inscribed.
Resumo Nos últimos anos, o número de tratamentos de reprodução assistida com doação de gametas (óvulos e/ou espermatozoides) aumentou na Argentina. A filiação por técnicas de reprodução assistida heteróloga interroga a tradicional "herança sanguínea", objeto de estudo privilegiado das ciências sociais. Nas últimas décadas, o paradigma do anonimato dos doadores mudou em muitos países. Por sua vez, sugeriu-se que avanços rápidos e generalizados em testes genéticos poderiam modificar as políticas de anonimato. Quais são as consequências de fundamentar a revelação das informações genéticas/de identificação com base no maior acesso que o teste genético torna possível? Esta reflexão parte de duas vertentes: a pública, que analisa os paradoxos dos artigos do novo Código Civil e Comercial (2015); e a íntima, que determina as coordenadas sobre as quais se inscrevem a transmissão singular das origens.
Subject(s)
Bioethics , Reproductive Techniques, Assisted , Direct-To-Consumer Screening and TestingABSTRACT
Background: HIV self-testing is recognised as a possible option of expanding access to HIV testing and counselling (HTC). There is high demand for self testing among health workers. However; in many health facilities in Kenya; the rate of unregulated self-testing and factors influencing the practice remain unknown.Objectives: To determine the prevalence and factors influencing HIV self-testing among health workers Design: A descriptive cross-sectional study. Setting: Nyeri Provincial Hospital; the largest public hospital in Central Kenya. Subjects: Four hundred and fourteen Health workers at Nyeri Provincial Hospital who included the following cadres: Nurses; Doctors; Clinical officers; Laboratory Technicians; Community Health Workers and HTC counsellors.Results: The proportion of self-testers were 65.8% (N=348). The significant predictors of HIV self-testing were identified as age; difficulty of conducting HIV self-test; reliability of HIV self-test results and confidence in HIV positive self-test results. Self-testers (n=229) identified factors that influenced them to self-test as: easy access to test kits; obligation to test themselves; saves time and fear of stigma. Non self-testers (n=119) identified inability to handle HIV positive results; idea of self-test scares me; fear of stigma and lack of access to test kits as factors inhibiting self-testing.Conclusions: Self-testing is highly practiced by health workers at Nyeri provincial hospital. HIV related stigma needs to be addressed. Increasing access to test kits may increase self-testing