Quality of HIV Counselling in South Africa

Mohlabane, Neo; Peltzer, Karl; Mwisongo, Aziza; Ntsepe, Y.; Tutshana, Bomkazi; Rooyen, Heidi van; Knight, Lucia

doi:10.1080/09764224.2015.11885520

Cited by 8 publications

(8 citation statements)

References 21 publications

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“…According to kadengye and shone [33] 40% of the women had high knowledge which means there is slight increase in the knowledge regarding transmission and discrimination. These results were consistent with pelterzer [14].…”

Section: Discussionsupporting

confidence: 91%

“…Many studies has shown that sexuality education is key in prevention of HIV and related sexually transmitted diseases especially if given to adolescents, schools and many people those that receive sex education are likely not to indulge in risky sexual behaviours [8,9]. HIV testing and counselling is so important because it helps to identify those having HIV making it easier for treatment especially home based HIV counselling and testing and also prevent mother-to-child transmission (MTCT) this should also be coupled with counselling about family planning methods other than condom use alone [10][11][12][13] and which lowers transmission to others however some studies found that people are scared to find out their status, shy, fear what people might say about them in case they are positive and above all fear of death [14]. There is much evidence that a higher level of education is correlated with having more knowledge about HIV risk when compared with populations of lower education and in such categories transmission of HIV is lower in highly educated as compared to the counterparts [15].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Knowledge of Transmission and Prevention of HIV/ AIDS among Men and Women in Uganda: Evidence from Demographic Health Survey of Uganda 2016

2019

Journal of HIV/AIDS & Infectious Diseases

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Back groundHIV/AIDS has become a major public health concern globally with majority of those affected found in Sub-Saharan Africa.Knowledge regarding transmission and prevention of HIV/AIDS in Uganda is still low making most persons not to disclose their HIV status due to fear of public judgement and isolation and this makes prevention and treatment very difficult.Aim: This study aims to examine factors associated with knowledge of HIV/AIDS transmission and prevention among men and women in Uganda. Method:We analysed data from a nationally-representative population-based cross-sectional survey, the 2016 Uganda demographic and health survey (UDHS), which included all the consenting women aged 15-49 years who were present in sampled households the night before the survey with a sample size of 18,506 women and 5,336 men.Results: Around 99% of respondents had heard about HIV/AIDS but only a proportion of 58% and 54 % of women and men had high knowledge regarding transmission and prevention of HIV/AIDS. After adjusting for socio-demographic factors, women and men in the age group 25-29 years were more likely to have high knowledge regarding transmission and prevention of HIV/AIDS as compared to women and men respectively in 15

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Factors Associated with Knowledge of Transmission and Prevention of HIV/ AIDS among Men and Women in Uganda: Evidence from Demographic Health Survey of Uganda 2016

2019

Journal of HIV/AIDS & Infectious Diseases

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“…A study that assessed the quality of HIV counselling in South Africa noted that HIV risk assessment and reduction were amongst key aspects of HIV that were not adequately discussed with clients during counselling. Instead, counselling mostly focused on details of HIV testing procedure and results interpretation [ 41 ]. Another recently published study conducted in South Africa observed that there was no improvement in HIV knowledge after counselling.…”

Section: Discussionmentioning

confidence: 99%

High risk exposure to HIV among sexually active individuals who tested negative on rapid HIV Tests in the Tshwane District of South Africa—The importance of behavioural prevention measures

et al. 2018

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ObjectiveTo assess the prevalence of HIV risk behaviour among sexually active HIV sero-negative individuals in the Tshwane district of South Africa (SA).MethodsDemographic and HIV risk behaviour data were collected on a questionnaire from participants of a cross-sectional study that screened for early HIV infection using pooled nucleic acid amplification testing (NAAT). The study enrolled individuals who tested negative on rapid HIV tests performed at five HIV counseling and testing (HCT) clinics, which included four antenatal clinics and one general HCT clinic.ResultsThe study enrolled 9547 predominantly black participants (96.6%) with a median age of 27 years (interquartile range [IQR]: 23–31). There were 1661 non-pregnant and 7886 pregnant participants largely enrolled from the general and antenatal HCT clinics, respectively. NAAT detected HIV infection in 61 participants (0.6%; 95% confidence interval [CI]: 0.4–0.8) in the whole study. A high proportion of study participants, 62.8% and 63.0%, were unaware of their partner’s HIV status; and also had high prevalence, 88.5% and 99.5%, of recent unprotected sex in the general and pregnant population, respectively. Consistent use of condoms was associated with protection against HIV infection in the general population. Trends of higher odds for HIV infection were observed with most demographic and HIV risk factors at univariate analysis, however, multivariate analysis did not show statistical significance for almost all these factors. A significantly lower risk of HIV infection was observed in circumcised men (p <0.001).ConclusionsThese data show that a large segment of sexually active people in the Tshwane district of SA have high risk exposure to HIV. The detection of newly diagnosed HIV infections in all study clinics reflects a wide distribution of individuals who are capable of sustaining HIV transmission in the setting where HIV risk behaviour is highly prevalent. A questionnaire that captures HIV risk behaviour would be useful during HIV counselling and testing to ensure that there is a systematic way of identifying HIV risk factors and that counselling is optimised for each individual. HIV risk behaviour surveillance could be used to inform relevant HIV prevention interventions that could be implemented at a community or population level.

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“…Standard messaging as part of HCT, adherence counseling, and HIV care in South Africa is generally provided as informational outside of specific client context (eg, descriptions of HIV, warnings about the perils of missing doses of ART, instructions to use condoms, etc). 18 Delivering precision health communication was not always easy for the counselors who both missed communication opportunities and, at times, reverted to proscriptive general messaging. Although not a common occurrence in this study, other studies have reported major challenges with counselors primarily relying on directing, moralizing, and health advising techniques.…”

Section: Discussionmentioning

confidence: 99%

“…Although not a common occurrence in this study, other studies have reported major challenges with counselors primarily relying on directing, moralizing, and health advising techniques. 15,18 The consequences of such approaches can be client resistance or superficial therapeutic alliances that do not yield results. 19 However, other researchers argue that some sub-Saharan African societies and cultures perceive value and favorably defer to paternalistic approaches with resulting positive HIV care engagement outcomes.…”

Section: Discussionmentioning

confidence: 99%

Effective Interpersonal Health Communication for Linkage to Care After HIV Diagnosis in South Africa

Mabuto

Charalambous

Hoffmann

2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background:Early in the global response to HIV, health communication was focused toward HIV prevention. More recently, the role of health communication along the entire HIV care continuum has been highlighted. We sought to describe how a strategy of interpersonal communication allows for precision health communication to influence behavior regarding care engagement.Methods:We analyzed 1 to 5 transcripts from clients participating in longitudinal counseling sessions from a communication strategy arm of a randomized trial to accelerate entry into care in South Africa. The counseling arm was selected because it increased verified entry into care by 40% compared with the standard of care. We used thematic analysis to identify key aspects of communication directed specifically toward a client's goals or concerns.Results:Of the participants, 18 of 28 were female and 21 entered HIV care within 90 days of diagnosis. Initiating a communication around client-perceived consequences of HIV was at times effective. However, counselors also probed around general topics of life disruption—such as potential for child bearing—as a technique to direct the conversation toward the participant's needs. Once individual concerns and needs were identified, counselors tried to introduce clinical care seeking and collaboratively discuss potential barriers and approaches to overcome to accessing that care.Conclusions:Through the use of interpersonal communication messages were focused on immediate needs and concerns of the client. When effectively delivered, it may be an important communication approach to improve care engagement.

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Quality of HIV Counselling in South Africa

Cited by 8 publications

References 21 publications

Factors Associated with Knowledge of Transmission and Prevention of HIV/ AIDS among Men and Women in Uganda: Evidence from Demographic Health Survey of Uganda 2016

Factors Associated with Knowledge of Transmission and Prevention of HIV/ AIDS among Men and Women in Uganda: Evidence from Demographic Health Survey of Uganda 2016

High risk exposure to HIV among sexually active individuals who tested negative on rapid HIV Tests in the Tshwane District of South Africa—The importance of behavioural prevention measures

Effective Interpersonal Health Communication for Linkage to Care After HIV Diagnosis in South Africa

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