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Use of Unaids tools to evaluate HIV voluntary counselling and testing services for mineworkers in South Africa

Bibliographic Data

ID19439686
AuthorsS K Ginwalla (London School of Hygiene & Tropical Medicine), Anne D Grant (0000-0002-2437-5195, University of London), John H Day (0000-0002-5515-6606, University of London), T W Dlova (b Aurum Health Research , Welkom , South Africa), Macintyre (0000-0003-3644-7237, AngloGold Ashanti (South Africa)), S Macintyre (c Peripheral Health Services , Anglogold Health Service , Free State , South Africa), Rachel Baggaley (0000-0001-6320-3444, University of London), Gavin Churchyard (0000-0002-4269-3699, Aurum Institute), G J Churchyard (b Aurum Health Research , Welkom , South Africa)
Year2002
Volume14
Issue5
Pages707-726
Publication date2002-10-01
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0954012021000005533
PMID12419119
OpenAlexW2162103359
LanguageEN
Citations received18
References cited8

HIV voluntary counselling and testing (VCT) is now an integral part of many HIV care and control programmes. However, very little work has been done to assess the quality of VCT services. An evaluation of VCT services for mineworkers in Welkom, South Africa was conducted to assess client and counsellor satisfaction, the quality of the services and to identify barriers to uptake of VCT. A cross-sectional survey was carried out using tools developed by UNAIDS, consisting of semi-structured interviews and observation of counselling sessions. Twenty-two nurse counsellors and six community volunteers were interviewed. Twenty-four counselling sessions were observed and 24 client exit interviews were conducted. Although nine of the 22 nurse counsellors had only in-service rather than formal training for HIV counselling whereas all community volunteers had been formally trained, nurse counsellors demonstrated better interpersonal skills than did community volunteers. Both clients and counsellors identified fear of a positive result as a major barrier to HIV testing. Clients also raised concerns about confidentiality. UNAIDS evaluation tools were a feasible and an acceptable method of assessing VCT in this operational setting. The study identified areas where training needs to be strengthened and suggested ways of improving the services, and changes to the service have now been implemented in line with these recommendations

Business · Confidentiality · Environmental health · Family medicine · Health services · Population · Voluntary counseling and testing · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology

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Citations per year0.78
Citation span2003 - 2018 (16)
Highly citedNo

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