Lay counsellor-based risk reduction intervention with HIV negative diagnosed patients at HIV counselling and testing sites in a rural South African setting
SOURCE: Journal of Psychology in Africa
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2009
TITLE AUTHOR(S): K.Peltzer, C.Tabane, G.Matseke, L.Simbayi
KEYWORDS: HIV TESTING AND COUNSELLING (HTC), HIV/AIDS, HIV/AIDS PREVENTION, RISK BEHAVIOUR, RURAL COMMUNITIES
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 6180
HANDLE: 20.500.11910/4426
URI: http://hdl.handle.net/20.500.11910/4426
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2009
TITLE AUTHOR(S): K.Peltzer, C.Tabane, G.Matseke, L.Simbayi
KEYWORDS: HIV TESTING AND COUNSELLING (HTC), HIV/AIDS, HIV/AIDS PREVENTION, RISK BEHAVIOUR, RURAL COMMUNITIES
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 6180
HANDLE: 20.500.11910/4426
URI: http://hdl.handle.net/20.500.11910/4426
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
The study evaluated the feasibility, fidelity, and effectiveness of a human immunodeficiency virus (HIV) prevention intervention delivered to HIV-uninfected patients by lay counsellors during routine HIV counselling and testing (HCT) service in Mpumalanga, South Africa. Participants were 543 HIV negative diagnosed persons (males =383, females =163, age range=18 - 68). They were assessed at baseline, received a single 60-minute session motivational/skills-building HIV risk reduction counselling intervention and followed-up at 4-months with 75% retention. Measures included descriptive information (demographics, substance use, and HIV risk history), Information Motivation Behavioural Skills (IMB) constructs, and sexual behaviour. Analyses tested for differences between baseline and follow-up using Paired samples t-tests for continuous variables and McNemar Chi-square tests for categorical variables. The 60-minute motivational/skills risk reduction counselling demonstrated significantly greater risk reduction practices, lower rates of multiple partners, unprotected intercourse, alcohol or drug use in the context of sex, transactional sex and greater likelihood of reduction of alcohol use and abuse. Brief theory-based HIV prevention counselling may significantly reduce HIV risk behaviours for HIV-uninfected patients at HIV counselling and testing sites in South Africa. Further research is needed to validate the findings.-
Related Research Outputs:
- HSRC presentation to the Standing Committee on Appropriations
- Lay counsellor-based risk reduction intervention with HIV positive diagnosed patients at public HIV counselling and testing sites in Mpumalanga, South Africa
- HIV/AIDS/STD knowledge, attitudes, beliefs and behaviours in a rural South African adult population
- NASFAM funding proposal for the National AIDS Commission
- Evaluation of HIV/AIDS prevention intervention messages on a rural sample of South African youth's knowledge, attitudes, beliefs and behaviours over a period of 15 months
- HIV/AIDS/STD prevention intervention messages: an evaluation of the knowledge, attitudes and beliefs of a rural South African sample
- HIV/AIDS risk reduction counseling for alcohol using sexually transmitted infections clinic patients in Cape Town, South Africa
- Development of HIV behavioural risk reduction intervention programmes for people living with HIV/AIDS in support groups
- Positive prevention: reducing HIV transmission among PLWHA
- Sugar daddies' and HIV: is it really about money, money, money?
- Unpacking issues of adherence: moving beyond access
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- Review of behavioural interventions and strategies for changing HIV-related behaviours
- Integrated gender-based violence and HIV risk reduction intervention for South African men: results of a quasi-experimental field trial
- The feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: results of a pilot study
- Innovative mobilization strategies for attracting at risk youth and young adults to participate in community-based voluntary counselling and testing in rural Kwa-Zulu Natal, South Africa (Project Accept - HPTN 043)
- Knowledge, attitudes and beliefs about male circumcision and HIV by traditional and medical providers of male circumcision and traditionally and medically circumcised men in Mpumalanga, South Africa
- Interventions and strategies for changing HIV-related behaviours
- HIV and youth: a behavioural perspective
- Positive prevention: HIV risk reduction for people living with HIV/AIDS