“What is the Point of Knowing?”: Psychosocial Barriers to HIV/AIDS Voluntary Counselling and Testing Programmes in South Africa

Dyk, Alta C. van; Dyk, Peet J. Van

doi:10.1177/008124630303300207

Cited by 46 publications

(43 citation statements)

References 16 publications

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“…These results were similar to those in studies of other societies in two ways: (a) difficulties coping with the diagnosis of HIV and (b) fear and its effect on the PLWH (Cao, Sullivan, Xu, & Wu, 2006;Duffy, 2005;Greeff et al, 2008;Petros, Airhihenbuwa, Simbayi, Ramlagan, & Brown, 2006;Skinner & Mfecane, 2004;Van Dyk & Van Dyk, 2003;Zhou, 2007). However, considering their cultural and social backgrounds, people's beliefs and notions about these factors were different in different regions.…”

Section: Discussionsupporting

confidence: 86%

Coming to Terms With a Diagnosis of HIV in Iran: A Phenomenological Study

Mohammadpour¹,

Yekta²,

Nasrabadi³

et al. 2009

Journal of the Association of Nurses in AIDS Care

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The number of people living with HIV (PLWH) has increased in all Asian regions, including Iran. Discovering that one has any serious illness can be a traumatic experience, but coming to terms with an HIV diagnosis is made more difficult by social constructs and negative reactions to the infection. This interpretative phenomenological study was carried out to understand and describe the lived experience of HIV-infected Iranians during the period immediately following an HIV diagnosis. Audiotaped in-depth semistructured interviews with 13 participants were used to collect data, which were analyzed with critical hermeneutics. Two main themes emerged: (a) doubt and delay in coming to terms with the diagnosis and (b) testing and its associated impacts. Nine subthemes were also found. Many challenges face people who need to determine their HIV status, and these are compounded by the sociocultural context found in Iran. Iran needs more education, counseling, testing facilities, and support programs to encourage people to get tested for HIV and to help them deal with a positive test result.

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Section: Discussionsupporting

confidence: 86%

Coming to Terms With a Diagnosis of HIV in Iran: A Phenomenological Study

Mohammadpour¹,

Yekta²,

Nasrabadi³

et al. 2009

Journal of the Association of Nurses in AIDS Care

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“…Despite relatively widespread awareness of VCT services, barriers to VCT utilisation still exist (Day et al 2003;Francis 2010). These include doubts about the confidentiality of results, fear about disclosure and stigmatisation, and difficulty in involving partners (Painter 2001;Van Dyk & Van Dyk 2003), VCT should therefore be a key component of any prevention and care programme offered to communities (Mkaya-Mwamburi et al 2000;Serima & Manyenna 2000in Van Dyk 2005.…”

Section: Background and Contextmentioning

confidence: 99%

AIDS awareness and VCT behaviour: An application of the integrated model of behaviour prediction

Diteweg

Oostwaard

Tempelman³

et al. 2013

Health SA Gesondheid

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In order to limit the expansion of the HIV and AIDS epidemic in South Africa, it is important to develop targeted prevention strategies. The voluntary HIV counselling and testing (VCT) programme appears to be effective for preventing the spread of the HI virus. This study adapted guidelines of the integrated model of behaviour prediction (IMBP) into a questionnaire and examined the extent to which it predicts behaviour. A sample of 92 sports team members from Limpopo ranging from 14 to 30 years of age completed the questionnaire. Results suggested that beliefs about the outcomes of behaviour and beliefs about the expectations of others had a direct influence on the intention to undergo HIV counselling and testing. Efficacy beliefs, namely beliefs that there are factors that can facilitate behaviour, can lead to actual testing behaviour if accompanied by self-efficacy. Knowledge, intention and stigma are not related to VCT behaviour. Findings show that some constructs influence intention and test behaviour, but in ways not predicted by the model. Thus, the adequacy of the IMBP to determine HIV and AIDS-preventative behavioural intentions is questioned.Dit is belangrik om doelgerigte voorkomende strategieë te ontwikkel om die verspreiding van MIV en VIGS in Suid Afrika te bekamp. Die vrywillige MIV-voorligtings- en toetsingsprogram (VVT) blyk effektief te wees om die verspreiding van die MI virus te stuit. In hierdie studie is ŉ vraelys ontwikkel wat op die geïntegreerde model van gedragsvoorspelling (GMG) gebaseer is. Die studie ondersoek die mate waarin die GMG gedrag kan voorspel. ŉ Steekproef van 92 sport spanlede van Limpopo tussen die ouderdomme van 14 tot 30 jaar, het die vraelys voltooi. Resultate toon dat oortuigings oor die uitkoms van gedrag en oortuigings oor die verwagtings van ander ‘n direkte invloed uitoefen op die intensie om VVT te ondergaan. Oortuigings dat daar faktore is wat gedrag kan fasiliteer het ‘n invloed op die intensie slegs as ŉ mens ook die gemak waarmee gedrag uitgevoer kan word insien. Kennis, intensie en stigma is nie verwant aan toetsgedrag nie. Die bevindinge toon dat sommige konstrukte wel intensie en toetsgedrag beïnvloed, maar nie op die manier wat die model voorstel nie. Resultate bevraagteken die vermoë van die GMG om MIV en VIGS- voorkomende gedragsintensies te bepaal.

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“…Although adolescent infection rates in South Africa have begun to show a downward trend (UNAIDS 2009), the need for strategies and interventions aimed at young people is still critical as young people are particularly vulnerable to HIV infection due to their risky sexual behaviour (Kelly 2001;Van Dyk & Van Dyk 2003). According to Fisher and Fisher (1992), adolescent learners are likely to be empowered through intervention programmes that provide them with appropriate knowledge, motivate them to change risky sexual behaviour and equip them with relevant behavioural skills to act upon the knowledge they possess.…”

Section: Introductionmentioning

confidence: 99%

Application of the information, motivation and behavioural skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa

Ndebele¹,

Kasese-Hara²,

Greyling³

2012

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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This paper discusses the application of an information, motivation and behavioural skills (IMB) model in a school-based programme for the reduction of HIV risk behaviour among 259 Grade 11 learners in two high schools in Alexandra township, Johannesburg. School 1 was the Experimental group, while School 2 was the Control group. After a baseline study (Time 1) at both schools, a 3-week intervention programme was conducted at School 1. A post-test (Time 2) was conducted at both schools. The intervention was repeated at School 2, followed by another post-test (Time 3) at both schools. A final test (Time 4) was conducted at both schools. While there were positive changes in the levels of HIV&AIDS IMB in learner participants, these changes may not be entirely attributed to the intervention. If an IMB model-based intervention is to be maximally effective in reducing HIV-risk behaviour among adolescents, it must focus on the behavioural, structural and socio-cultural contexts in which adolescents live. Keywords: IMB model, vulnerability, adolescents, risk behaviour, structural, socio-cultural Résumé Cet article traite de l'application du model : Information, Motivation et Comportement (IMC) dans un programme en milieu scolaire pour la réduction des comportements à risque relatif au VIH parmi 259 élèves de l'avant dernière année du secondaire dans deux écoles secondaires du canton d'Alexandra, à Johannesburg. L'école 1 était le groupe expérimental, tandis que l'école 2 était le groupe de contrôle. Après une étude de base (Temps 1) dans les deux écoles, un programme d'intervention de 3 semaines a été mené à l'école 1. Un post-test (Temps 2) a été mené dans ces deux écoles. L'intervention a été répétée à l'école 2, suivi par un autre post test (temps 3) dans les deux écoles. Un test final (temps 4) a été mené dans ces deux écoles. Bien qu'il y ait eu des changements positifs dans les taux d'information, de motivation et des compétences comportementales relatifs au VIH / SIDA chez les élèves participants, ces changements peuvent ne pas être entièrement attribué à l'intervention. Si une intervention du type IMC doit atteindre une efficacité maximale dans la réduction des comportements à risque chez les adolescents, elle doit se concentrer sur les contextes comportementaux, structurels et socioculturels dans lequel vivent les adolescents.

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“What is the Point of Knowing?”: Psychosocial Barriers to HIV/AIDS Voluntary Counselling and Testing Programmes in South Africa

Cited by 46 publications

References 16 publications

Coming to Terms With a Diagnosis of HIV in Iran: A Phenomenological Study

Coming to Terms With a Diagnosis of HIV in Iran: A Phenomenological Study

AIDS awareness and VCT behaviour: An application of the integrated model of behaviour prediction

Application of the information, motivation and behavioural skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa

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