Abstract

Human immune deficiency virus (HIV) and acquired immune-deficiency syndrome (AIDS) still carry a stigma in the community. Many people do not know their status and they are still reluctant to be tested including pregnant women despite the fact that Voluntary Counselling and Testing (VCT) is offered for free in South Africa. In South Africa VCT for HIV and AIDS is offered by lay counsellors in public hospitals and clinics. The study conducted by Mate, Bennet, Mphatswe, Barker and Rollins (2009:5483) outlined that in South Africa the prevention of mother-to-child transmission (PMTCT) of HIV guidelines have raised hope that the national goal of reducing perinatal HIV transmission rates to less than 5% can be attained. A qualitative, exploratory, descriptive and contextual study was conducted in 15 public clinics of the Polokwane Municipality in the Capricorn District, Limpopo Province. The purpose of the study was to determine the experiences of the lay counsellors who provide VCT for the PMTCT of HIV and AIDS in the Capricorn District, Limpopo Province. Data were collected through one-to-one interviews using a semi-structured guide (De Vos et al, 2006:296). The findings of the study reflected the following: the content of training and counselling skills received by lay counsellors were satisfactory, there was lack of counsellor support and in-service education. A program for in-service education and support for all lay counsellors who have had VCT training should be conceptualised and implemented.

Highlights

  • Introduction andBackgroundThe sub-Saharan Africa remains the most heavily affected region with Human Immune Deficiency Virus (HIV) and Acquired Immune-Deficiency Syndrome (AIDS) infections worldwide

  • These lay counsellors are trained by non-governmental organisations in Voluntary Counselling and Testing (VCT) for prevent mother-to-child transmission (PMTCT) of HIV and AIDS to work with professional nurses at the public hospitals and clinics

  • This study focused on the experiences of lay counsellors with regard to VCT for PMTCT of HIV and AIDS which they provide to pregnant women

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Summary

Introduction

Introduction andBackgroundThe sub-Saharan Africa remains the most heavily affected region with HIV and AIDS infections worldwide. There are very few people who have the courage to publicly disclose their HIV status (Van Dyk, 2001:270) It is, necessary to provide counselling before and after a client is tested, and this can be a success provided the counsellors are provided with continued professional support towards the counselling duties that they perform. Young women aged 15-24 years in South Africa continue to face the highest risk of HIV infection in the world, UNAIDS in Harrison, Newell, Imrie & Hoddinott, (2010:1471), the prevalence rate of HIV and AIDS among these women has declined between 2002-2005 and 2005-2008 (Rehle, Hallet, Shisana, Pillay-van Wyk, Zuma, Carrara & Jooste, 2010: 4). When pregnant women report for antenatal care at public clinics or hospitals, they are offered VCT for PMTCT of HIV and AIDS by trained lay counsellors. The lay counsellors provide counselling to clients and those who agree to be tested

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