Quality of HIV counselling in South Africa

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dc.contributor.authorMohlabane, Neo
dc.contributor.authorPeltzer, Karl
dc.contributor.authorMwisongo, Aziza
dc.contributor.authorNtsepe, Yoliswa
dc.contributor.authorTutshana, Bomkazi
dc.contributor.authorvan Rooyen, Heidi
dc.contributor.authorKnight, Lucia
dc.date.accessioned2016-09-27T09:19:45Z
dc.date.available2016-09-27T09:19:45Z
dc.date.issued2015
dc.description.abstractHIV counselling and testing (HCT) has become increasingly available in South Africa since the 1990s. Over 4500 public health facilities offer client and provider-initiated HIV counselling and testing. Counselling and testing remain key components of HIV/AIDS prevention as they provide an entry point into prevention, care, treatment and support services. This paper examines the quality of HIV counselling in government and non-governmental (NGO) facilities and reviews adherence to the HCT policy guidelines during counselling sessions in 67 HIV counselling and testing (HCT) sites across 8 South African provinces.The assessment used both quantitative and qualitative methods. In total 149 structured observations of counselling sessions were conducted using a written checklist and audio recording. This assessment confirms that while counselling does occur prior and post HIV testing, the quality of counselling differs between sites and does not match the South African HCT policy guidelines. The following key aspects were not adequately discussed with clients: risk assessment and reduction, partner involvement, supportive care and treatment for those testing HIV positive. Confidentiality was also compromised by frequent interruptions during some sessions. The assessment indicated that ongoing training and mentoring of counsellors needs to be addressed, to make the HCT programme more effective.en_US
dc.description.accreditationIBSSen_US
dc.identifier.citationMohlabane, N. et al. (2015). Quality of HIV Counselling in South Africa. Journal of Psychology, 6(1): 19-31
dc.identifier.issn0976-4224
dc.identifier.urihttp://hdl.handle.net/10566/2433
dc.language.isoenen_US
dc.privacy.showsubmitterfalse
dc.publisherKamla-Raj
dc.rightsThis is the author-final version of the article published online in the Journal of Psychology.
dc.source.urihttp://krepublishers.com/02-Journals/JP/JP-06-0-000-15-Web/JP-06-1-000-15-Abst-PDF/JP-06-1-019-15-127-Peltzer-K/JP-06-1-019-15-127-Peltzer-K-Tx[3].pdf
dc.status.ispeerreviewedtrue
dc.subjectHIV counsellingen_US
dc.subjectPost-test counsellingen_US
dc.subjectPre-test counsellingen_US
dc.subjectSouth Africaen_US
dc.subjectHIV/AIDS
dc.titleQuality of HIV counselling in South Africaen_US
dc.typeArticleen_US

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