I don’t know what I am doing because I am doing everything
Perceptions and experiences of nurses about HIV counselling and testing among children in Free State Province, South Africa
Bibliographic Data
| ID | 19442144 |
|---|---|
| Authors | Abiola O Olaleye, Abiola Olaleye (Clinton Health Access Initiative, corresponding author), Yolisa Tsibolane (University of the Free State), Lydia Van-Turha (University of the Free State), Sibongile Monareng (Clinton Health Access Initiative), Perpetual Chikobvu (University of the Free State), Mohlouoa Sam Boleme (University of the Free State), Celicia Serenata (0000-0001-7921-0948, Clinton Health Access Initiative) |
| Year | 2016 |
| Volume | 28 |
| Issue | sup2 |
| Pages | 21-28 |
| Publication date | 2016-05-26 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2016.1176670 |
| PMID | 27391995 |
| OpenAlex | W2471861458 |
| Language | EN |
| Citations received | 1 |
| References cited | 11 |
Although HIV/AIDS constitute a significant health burden among children in South Africa, testing and counselling of exposed children are inadequate. It is therefore imperative that factors relating to paediatric HCT services offered by health workers are examined. This study was conducted to explore and describe the perceptions and experiences of trained professional nurses regarding HIV counselling and testing among children. We conducted six focus group discussions among trained professional nurses in health facilities in a district in Free State Province, South Africa. All verbatim transcripts were analysed with a thematic approach and emergent codes were applied. Forty-seven trained professional nurses participated in the study and two of them were males. The age of the participants ranges from 38 to 60 years while the median age was 50 years. Most participants in the focus groups explained how HCT occurs during regular health talks and that lay counsellors are doing most of the counselling. While a few participants thought that children should not be bothered with HCT, most of them seek consent from caregivers for HIV test for children. While children whose parents are negative are usually not tested, most children are tested only when they become ill. Identified barriers to HCT among children include refusal of consent, work overload, lack of encouragement, and poor record keeping. Participants recommended improvement of issues relating to community mobilization and increasing trained staff strength for optimal paediatric HCT service delivery. Developing guidance and policies with respect to obtaining consent, recruiting more health providers, and addressing structural issues in the society to reduce stigma and discrimination were identified as key priority issues by majority of the participants. The perspectives of these participants who provide paediatric HCT services offer vital insight which may be useful to inform policy interventions
Alternative medicine · Family medicine · Focus group · Free state · Informed consent · Perception · Qualitative research · Service delivery framework · Thematic analysis · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Poverty, Education, and Child Welfare · Psychology
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Opportunities for strengthening provider-initiated testing and counselling for HIV in Namibia
New insights into HIV epidemic in South Africa
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,1 |
| Citation span | 2016 - 2016 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |