Dissertations / Theses on the topic 'Voluntary Counseling and HIV testing'
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Kanyemba, Phyllis Changu Bune. "Uptake of Voluntary Counseling and Testing at Ngungu Mini - hospital, Zambia." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2251_1299558390.
Full textIn countries like Zambia where HIV prevalence (14.3% in the age group 15-49 years) is one of the highest in sub-Saharan Africa, HIV testing is an important strategy to combat the HIV/AIDS epidemic, because it is a critical step towards HIV/AIDS care, treatment and support. Despite decades of HIV/AIDS information and education campaigns, only 10% of Zambians know their HIV status. This study aimed to describe the uptake of voluntary counseling and testing and factors associated with uptake at Ngungu Mini - hospital in Ngungu Township, Zambia. Methodology: A descriptive, cross-sectional survey was conducted among 100 adult clients accessing health care at Ngungu mini - hospital during the second week of January 2009. Participants were asked to fill in a questionnaire on VCT, knowledge, attitudes towards HIV testing, and factors that promote/hinder HIV testing. Data was captured with Excel and basic descriptive analysis done using SPSS version 16.0 and Epi Info Version 3.3.1.
Craig, Shelley L. "Correlates of voluntary HIV testing and counseling among middle aged and older Latinas :." FIU Digital Commons, 2007. http://digitalcommons.fiu.edu/etd/2663.
Full textShangula, Maria N. "Factors affecting voluntary counseling and HIV testing among pregnant women in Tsumeb district, Oshikoto region, Namibia." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5201_1183462266.
Full textIncreased uptake of VCT services by pregnant women may be attributed to the development of counseling services and increased availability of rapid tests at the study clinics by the Namibian Health and Social Services. A high knowledge and understanding of HIV and VCT services by pregnant women also probably contributed.
Mutwali, Reem. "Socio-demographic characteristics and HIV testing in Omdurman National Voluntary Counseling and Testing (VCT) in Sudan by Reem Mutwali." Thesis, UWC, 2008. http://hdl.handle.net/11394/2874.
Full textThe identification of the association between socio-demographic characteristics and HIV was found to be a useful tool in determining the important risk factors in Sudan. In this study, the relationship(s) between HIV test results and the demographic characteristics such as gender, age, residence area, employment, education, marital status and religion in Omdurman, Sudan were investigated. The data were collected from patients visiting Omdurman National Voluntary Counseling and Testing (VCT) Centre from April 2005 to April 2006. The study sample was represented by 320 patients. Tables were used in the data analysis to present the distribution of the participants by the result of HIV test and demographic factors; odds ratios were also obtained from these tables. The Chi-square test was used to test the association between each socio-demographic factor and the result of HIV test; the Pvalue obtained from this test was measured at a significance level of 0.05. Finally, the joint effect of all demographic factors on HIV test results was tested using logistic regression. A significant association between socio-demographic characteristics and HIV test results was observed. It showed a higher incidence rate in females, middle-aged, married, employed and Christian individuals. HIV was also found to be higher in urban areas than in rural areas. The lower incident rate was observed among educated individuals.
Sulwe, Charlton Nchimunya. "Factors influencing uptake of voluntary counseling and HIV testing services in Mwense district, Zambia." University of the Western Cape, 2012. http://hdl.handle.net/11394/4541.
Full textFor more than two decades now, the acquired immune deficiency syndrome (AIDS) and its etiological agent, the human immunodeficiency virus (HIV), has been a growing challenge that affects all segments of the global population. Voluntary HIV counseling and testing (VCT) is one of the many prevention and control strategies adopted globally and by the Government of the Republic of Zambia. VCT is the process by which an individual undergoes counseling to enable him/her to make an informed choice about being tested for the human immunodeficiency virus (HIV). This decision must be entirely the choice of the individual and he or she must be assured that the process will be confidential. VCT is a key component of both HIV prevention and care programs. Although VCT is increasingly available in Zambia through public health facilities, VCT only or stand-alone sites and mobile counseling and testing services, there is still great reluctance among many people to be tested. Aim: This study explored factors affecting the utilization of VCT services in Mwense District, Zambia. Methodology: An explorative, qualitative study was conducted. Data was collected through focus group discussions with community members, and key informant interviews with lay counselors and health care workers. Thematic analysis of transcribed data was done to elucidate knowledge and awareness of HIV/AIDS and VCT services, factors facilitating uptake and barriers to utilization of VCT services and suggestions for improving VCT uptake. Results: The study found that HIV/AIDS was recognized as a major problem in the communities and that participants were aware of the availability and benefits of HIV counseling and testing services. The main reasons for seeking an HIV test included facilitating sexual behavior change to avoid infection, re-infection or infecting others with HIV. Facilitators to uptake of VCT services include accessing information on HIV/AIDS and other care and support services such as prevention of mother to child interventions, peer and social support systems, home-based care and early treatment with antiretroviral therapy if one is HIV positive. Community members indicated that VCT was an entry point to reaching out to the family and community for on-going counseling, which would lead to reduction in HIV/AIDS stigma and discrimination. Several barriers to VCT were identified by the participants. At individual level, barriers included: the fear of the ramifications of a positive test; fear of HIV/AIDS stigma and discrimination; doubt about the existence of HIV and AIDS; and fear of loss of control of life circumstances and destiny. Health facility level barriers included concerns about confidentiality of HIV-test results, familiarity with service providers, lack of promotional activities of the VCT services, shortage of testing logistics and commodities, and human resource shortages both in terms of numbers and confidence to promote VCT services. Community levels barriers included cultural beliefs and customs, gender imbalances, religious beliefs and stigma. Conclusions: There is urgent need for community sensitization about VCT and its benefits in HIV/AIDS control.
Obiajulu, Anthony. "Knowledge ,attitude and practice of voluntary counseling and testing (VCT) for HIV/AIDS amongst the health professionals in Umpumulo Hospital , Mapumulo , Ilembe District , Kwazulu-Natal Province." Thesis, University of Limpopo (Medunsa Campus), 2009. http://hdl.handle.net/10386/209.
Full textThe impact of HIV/AIDS on the health sector and the health professionals that work in it is huge. This impact has contributed to the continuing attrition of health professionals in South Africa. Voluntary Counseling and Testing (VCT) has a central role to play in the response to these problems both at the level of the health sector in general and most especially at the level of the individual health professional. Thus, understanding factors that affect the practice of VCT amongst this group of professionals is crucial in South Africa‟s quest to reverse these negative trends. AIM The aim of this study was to determine the level of knowledge, to access and understand the attitude and practice of VCT for HIV/AIDS amongst the health professionals in a rural district Hospital and to make recommendations in order that appropriate intervention strategies may be instituted. METHODS A descriptive cross-sectional quantitative study design was used in which data was collected using a self-administered questionnaire. The study population included all the health professionals working in the hospital at the time of the study but excluded those who were on leave or absent from duty during the period of data collection. Informed consent was obtained from each participant. Data was captured and analyzed using the SPSS version 15.0 (SPSS Inc, Chicago, Illinois, USA). vi RESULTS There was a very high level of knowledge, a moderately supportive attitude and a moderately high level of practice of VCT amongst the study participants. Divorced/separated respondents to this study had more supportive attitude towards VCT than their single colleagues. Age was found to have a very weak but positive correlation to attitude score. There was no significant difference in knowledge and attitude scores between those who practiced VCT and those who did not. CONCLUSION Health professionals understand the importance of VCT as an HIV preventive behavior but there remains some VCT knowledge, attitude and practice concerns together with other determinants of VCT behavior that needs to be addressed.
Mucheke, Stephen Kinyua. "Experiences of Heterosexual Couples Who Undergo HIV Counseling and Testing in Nakuru-Kenya." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2673.
Full textMa, Wei. "Acceptance of and barriers to voluntary HIV counseling and testing among adults in Guizhou Province, China." Diss., Restricted to subscribing institutions, 2006. http://proquest.umi.com/pqdweb?did=1280149721&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
Full textFoster, Caron. "An exploration of voluntary counselling and testing : a Port Elizabeth-based study." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1204.
Full textMore, Pontsho Elizabeth. "The importance of voluntary counselling and confidential testing for HIV in the workplace /." Link to the online version, 2007. http://hdl.handle.net/10019/746.
Full textTeng, James Wei Jie. "An interpretative phenomenological analysis of the experiences of HIV-positive lay counsellors working in the voluntary counselling and testing settings." Thesis, Rhodes University, 2011. http://hdl.handle.net/10962/d1002579.
Full textWilliams, Leilanie. "Barriers and enablers to acceptance of voluntary counseling and testing (VCT) services by youth males." Thesis, Stellenbosch : Stellenbosch University, 2007. http://hdl.handle.net/10019.1/19894.
Full textENGLISH ABSTRACT: Voluntary Counseling and Testing (VCT) is considered an important component of the South African government’s response to the HIV/AIDS pandemic. Despite of this, the numbers of South Africans who have accessed VCT remains low. Pregnant women in antenatal clinics remain the primary recipients of HIV testing since it is routinely offered to them at antenatal clinics. Figures from antenatal clinics constitute the most important source of HIV/AIDS statistics in South Africa. Targeting women at antenatal clinics perpetuate the stereotypes that women are solely responsible for reproductive health issues or, that they are to be blame for the mounting HIV infections. These beliefs exacerbate the culminating violence against women. According to observation, active involvement of male youth in reproductive health at the Rosedale Clinic situated in Uitenhage, a town in the Eastern Cape, appears to be very limited. This might be as a result of traditional beliefs declaring reproductive health a primarily female domain. Active involvement of males in reproductive health is considered to have positive health outcomes both for themselves, and their partners. The purpose of this study is thus to encourage males served by the Rosedale clinic to become more actively involved in one aspect of reproductive health, namely voluntary counseling and testing (VCT). The study aims to find out which factors constitute barriers and enablers to VCT acceptance by male youth. Semi-structured, face-to- face interviews were conducted in September 2006 with eighteen males, 18 to 25 years, to determine from their perspective what constitute barriers and enablers to HIV test acceptance by males. These participants were recruited from two well-known rugby clubs in Uitenhage, located in the Eastern Cape. In addition, a focus group discussion was conducted with four males recruited at a graduate development programme hosted in Uitenhage in order to explore common themes emerging from interviews and the discussion. A pervasive, psychologically rooted fear; and possible low perception of risk emerge from this study as main barriers to HIV testing. Negative perceptions regarding service delivery in the public health sector constitute another barrier to HIV testing. The possibility of teasing, a common phenomenon amongst rugby players but not exclusive to them, exacerbates peer pressure thus possibly contributing to low levels of HIV test acceptance among these males. Increased HIV test acceptance is associated with increased opportunities of exposure to HIV testing opportunities, for example at awareness campaigns. Access to medical aid and income is also associated with an increased likelihood of HIV testing since most males prefer accessing HIV testing services in the private sector. Convenience and ease of access to HIV testing services are important when these males consider going for HIV testing.
AFRIKAANSE OPSOMMING: Vrywillige Berading en MIV Toetsing, een aspek van reproduktiewe gesondheid, word beskou as ‘n belangrike komponent van die Suid-Afrikaanse regering se strategie teen MIV/VIGS. Ongeag van hierdie feit is ‘n groot aantal Suid-Afrikaners nog nie getoets vir MIV nie. Swanger vrouens word op ‘n daaglikse basis hierdie toets aangebied as deel van roetine ondersoeke. Syfers vanaf pre-natale klinieke vorm die hoofbron van Suid- Afrika se HIV/VIGS statistieke. Die feit dat swanger vrouens die hoofteikengroep is vir MIV toetsing dra by tot stereotipes wat daartoe lei dat vrouens primêr verantwoordelik is vir die behoud van reproduktiewe gesondheid; en dat hulle beskou word as die hoofverdagtes in die toenemende oordrag van MIV. Laasgenoemde beskuldiging vererger geweld teen vrouens. Volgens waarneming by Rosedale publieke kliniek geleë in Uitenhage, ‘n dorp in die Oos-kaap, is veral jeugdige mans se betrokkenheid in reproduktiewe gesondheid uiters minimaal. Dit kan moontlik wees omdat reproduktiewe gesondheid tradisioneel as ‘n vroulike domein beskou word. Aktiewe betrokkenheid van beide mans en vrouens in reproduktiewe gesondheid het positiewe gesondheidsuitkomste vir beide partye tot gevolg. Die doel van hierdie studie is dus om jongmans wie deur die Rosedale kliniek bedien word aan te moedig om meer sigbaar te word in reproduktiewe gesondheidskwessies; met die oog op een aspek daarvan naamlik, vrywillige berading en MIV toetsing. Die studie poog dus om uit te vind watter struikelblokke jeugdige mans weerhou van MIV toetsing en; watter faktore mans aanmoedig om vir die toets te gaan. Semi-gestruktureerde, aangesig-tot- aangesig onderhoude is in September 2006 met 18 mans, vanaf die ouderdomme 18 tot 25 jaar, gevoer. Hierdie mans was tydens die studie rugbyspelers vanuit twee welbekende rugbyklubs op die dorp. ‘n Addisionele fokus groep is verder gevoer met manlike studente wie ten tye van die studie aan ‘n ontwikkelingsprogram vir gradueerders deelgeneem het op die dorp. Hierdie fokusgroep is geloods om soortgelyke temas vanuit die onderhoude en die bespreking te ondersoek. Die studie toon dat ‘n diepgewortelde, sielkundige vrees; en moontlike lae bewustheid van persoonlike risiko die twee vernaamste struikelblokke is vir MIV toetsing. Negatiewe sienings rakende die publieke gesondheidssektor kan moontlik bydrae tot weerstand teen MIV toetsingsdienste. Tergery, ‘n bekende verskynsel onder rugbymans, maar nie slegs beperk tot diè groep nie, dra by tot groepsdruk en weerhou moontlik menige mans van MIV toetsing. Diegene in die studie wie alreeds vir MIV getoets is geniet toenemende blootstelling aan MIV toetsingsgeleenthede; bv tydens bewusmakingsveldtogte geloods òf by die werk òf tersiêre instellings. Toegang tot ‘n mediese fonds; en ‘n inkomste is moontlike bepalende faktore sienende dat meeste respondente gesondheidsdienste in die privaatsektor verkies. Gerieflike toegang tot MIV toetsingsdienste word deur sommige mans as belangrike beskou wanneer hulle MIV toetsing oorweeg.
Ngodji, Terthu Kutupu. "Knowledge, attitudes and practices of male circumcision for HIV prevention among voluntary counseling and testing clients in Onandjokwe District Hospital, Namibia." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_6195_1307446077.
Full textThis study assessed the knowledge, attitudes and practices about MC as an HIV prevention intervention among adult males presenting for HIV Voluntary Counselling and Testing (VCT) services at Onandjokwe District Hospital in northern Namibia. A high level of knowledge of MC, particularly its potential to reduce the risk of HIV infection, STIs and enhance penile hygiene exists among VCT attendees in Onandjokwe District Hospital. MC will most likely to be accepted in this study area, especially when it is implemented to reduce the risk of HIV infection. The study recommends a comprehensive education and information program targeting males and their partners and a training for traditional and medical circumcisers to ensure a high quality of MC services.
Maama, Lineo Bernadette. "Factors affecting AIDS orphans' from accessing voluntary counselling and testing (VCT)." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/1046.
Full textMaja, Lusanda Nobom. "Experiences and feelings of counsellors involved in HIV and AIDS voluntary counselling and testing." Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-11262008-142405.
Full textNguyen, Hai Thuong Bhuiyan Shafi Ullah. "Determinants related to the utilization of voluntary counselling and HIV testing services in Vietnam /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd387/4838006.pdf.
Full textMokalake, Ellen N. "Determinants of HIV voluntary counselling and testing among the youth: The case of Botswana." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/9403.
Full textThis study was conducted in Gaborone city, Botswana. Botswana is a small country in south central part of Africa with a population of 1.7 million (Botswana population census, 2001) The overall aim of the study was to examine barriers and facilitating factors influencing the readiness for and acceptability of voluntary HIV testing among the youth aged 18-24 years in Gaborone, Botswana. A quantitative methodology was used in this study. A multistage sampling strategy was also used to recruit one hundred and forty four (144) participants. Information on socio-demographic characteristic, knowledge and utilization of VCT sexual behaviour and perception of risk was gathered by use of a self administered structured questionnaire. STATA version 8 was used to analyse the results of this study. Summary statistics, chi-square test and logistic regression were employed in the analysis. Participants comprised of students from senior secondary schools and tertiary education institutions from the sampled schools of Gaborone. The modal level of education was secondary and the more than half of participants (56%) were females. Their age ranged from 18-24 years. The majority of participants (75%) were sexually active and just over a third 36% of all participants considered themselves not at risk of HIV. VCT knowledge was reported by a significant proportion (59%) who also reported knowledge of VCT sites. HIV testing was reported by a minority of participants 42% and the most commonly reported reason for testing was media campaigns encouraging HIV testing whilst the most commonly reported reason for not testing was never been sexually active. Findings from this study revealed that, HIV test acceptance among the youth is still an area that needs greater attention. The facilitation of HIV testing amongst the young people and removal of barriers to testing can be achieved through a focus on use of strategies that seem vii to work such as the media. Also, there is need to ensure utilization of VCT services by youth through making them understand of the role that VCT plays in preventing HIV and AIDS.
Jusayo, Nomonde. "Factors affecting the utilisation of a workplace voluntary counselling and testing programme in the Eastern Cape." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1010273.
Full textAnderson, Tarryn Nicole. "An implementation evaluation of the University of Cape Town's HIV voluntary counselling and testing programme." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/10073.
Full textThis programme aims to ensure that all students and staff are aware of their HIV status and encourages the reduction of high-risk behaviours. Furthermore, UCT's VCT programme provides access to both medical care and social support at HIV positive individuals. The focus of this implementation evaluation was to determine the extent to which UCT's VCT programme was operating effectively and in keeping with UCT's mission.
Cremin, Ide. "The impact and importance of voluntary counselling and testing for HIV in sub-Saharan Africa." Thesis, Imperial College London, 2010. http://hdl.handle.net/10044/1/6059.
Full textChhea, Chhorvann. "Couples in conflict in the context of HIV/AIDS discordant risk behaviors, experiences with voluntary counseling and testing and disclosure of HIV status in Cambodia /." Diss., Restricted to subscribing institutions, 2009. http://proquest.umi.com/pqdweb?did=1835449121&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
Full textWoke, Felix Ikechi. "The Role of Socio-demographics factors in Voluntary Counselling and Testing uptake in South-Africa." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1990.
Full textKomanyane, Lorato. "Factors influencing the utilization of voluntary counselling and testing services amongst employees of the Lobatse Town Council in Botswana." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/535.
Full textWeimers-Maasdorp, Delia Angelique. "Evaluating the outcome of voluntary counselling and testing for HIV at the workplace : a Namibian case study." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/6723.
Full textENGLISH ABSTRACT: In Namibia the HIV prevalence rate in adults (15 to 45 years of age) is estimated at 18.1%. The first HIV infection in Namibia was reported in 1986 and the epidemic constitutes the biggest developmental challenge for Namibia. Approximately 39 new infections occur every day and approximately 28% of deaths in the country are AIDS-related. The majority of Namibia’s workforce is in the age group of 15 years to 45 years and it can be anticipated that HIV and AIDS will have a major disruptive effect on the country’s workforce as well as its economy over the next two decades. According to the Namibian government, voluntary counselling and testing (VCT) for HIV is one of the most effective methods to prevent the spread of the epidemic. With this in mind, this study aims to evaluate the outcome of voluntary counselling and testing at one workplace in Windhoek, Namibia, to see whether VCT provides education as well as whether VCT is a vehicle to promote awareness, good attitudes, intentions and behaviour change. The main purpose of this outcome evaluation is to determine to what extent voluntary counselling and testing at the workplace has led to HIV-related changes in knowledge, attitudes, behaviour and practises. Although the majority of respondents indicated that their knowledge of HIV had increased after their participation in the VCT programme, upon closer analysis it was evident that participants who had a secondary or higher level of education had more knowledge, or had had more of a knowledge increase, than participants with a primary or lower level of education. From the research findings, it appeared that the voluntary counselling and testing had helped participants to identify their individual risks, as their self-reported risk perceptions with regard to becoming infected with HIV and/or a sexually transmitted disease increased after their participation in the VCT. There was also evidence that participants implemented risk reduction plans after the voluntary counselling and testing, as the percentage of participants who had casual sex partners decreased while the percentage of participants who had not had casual sex partners in the previous six months increased. It can be concluded that the general attitude amongst employees towards HIV-positive people is relatively non-discriminatory. However, it seems that the VCT was not as successful in transferring information and education on HIV amongst employees with lower education levels than amongst their peers with higher levels of education, and employees with primary or lower education levels appear not to have benefited much from the intervention in terms of an increase in knowledge. It is recommended that voluntary counselling and testing be provided to the employees at the company on a regular basis, not only because employees have requested it, but also to monitor whether the voluntary counselling and testing for HIV at the company has had the desired effects on the employees, especially with regard to effecting an increase in knowledge, a reduction of stigma and discriminatory attitudes, and the desired behaviour change amongst participants.
AFRIKAANSE OPSOMMING: In Namibië word die MIV voorkomssyfer onder volwassenes (ouderdom 15 tot 45 jaar) op 18,1% geskat. Die eerste MIV-geval in Namibië is in 1986 aangemeld en vertoonwoordig die land se grootste ontwikkelingsuitdaging met ongeveer 39 nuwe infeksies daagliks en ongeveer 28% van sterftes in die land wat VIGS-verwant is. Die meerderheid van Namibië se werksmag val in die ouderdomsgroep 15 tot 45 jaar en daar kan verwag word dat MIV en VIGS oor die volgende twee dekades grootskaalse ontwrigting op die land se werksmag sowel as sy ekonomie gaan veroorsaak. Volgens die Namibiese regering is vrywillige berading en toetsing (VBT) een van die mees doeltreffende metodes om die verspreiding van die epidemie te verhoed. Gedagtig hieraan het hierdie navorsingsprojek dit ten doel om die uitkomste van vrywillige berading en toetsing by een werksplek in Windhoek, Namibië, te evalueer ten einde te bepaal of VBT opvoedkundig is en of dit bewuswording, gesonde houdings, voornemens en gedragsverandering bevorder. Die hoofdoelwit van hierdie uitkomsevaluering is om die mate waartoe vrywillige berading en toetsing tot verandering in kennis, houding, gedrag en praktyke gelei het, te bepaal. Alhoewel die meerderheid respondente aangedui het dat hulle kennis na VBT verbeter het, het dit by nadere ondersoek geblyk dat deelnemers wat sekondêre of hoëronderwys gehad het, oor meer kennis beskik het of hul kennis meer uitgebrei het as respondente wat slegs 'n primêre of laer vlak van onderwys gehad het. Uit die navorsingsbevindings blyk dit dat daar onder deelnemers aan vrywillige berading en toetsing 'n toename in die self-aangemelde risiko-persepsie van besmetting met HIV en/of geslagsoordraagbare siektes na hul deelname aan VBT was. Daar was ook bewyse dat deelnemers na die vrywillige berading en toetsing risikoverminderingsplanne geïmplementeer het, omdat daar 'n afname was in die persentasie deelnemers wat informele seksmaats gehad het, sowel as 'n toename in deelnemers wat geen informele seksmaats in die vorige ses maande gehad het nie. Daar kan tot die slotsom gekom word dat werknemers se houding teenoor MIV-positiewe mense oor die algemeen betreklik nie-diskriminerend is. Dit blyk egter asof VBT ten opsigte van die oordrag van inligting en opvoeding oor MIV aan werknemers met laer vlakke van onderwys nie so geslaagd was nie omdat werknemers met primêre of 'n laer vlak van opleiding nie veel by die ingrypaksie gebaat het in terme van ‘n toename in kennis nie. Daar word aanbeveel dat vrywillige berading en toetsing op 'n gereelde grondslag aan werknemers by die maatskappy aangebied moet word, nie bloot omdat werknemers daarvoor gevra het nie, maar ook om te bepaal of vrywillige berading en toetsing vir MIV by die maatskappy die gewenste uitwerking op die werknemers gehad het, veral met betrekking tot die uitbou van kennis, 'n afname in stigmatisering en diskriminerende houdings, en 'n toename in die gewenste gedragsverandering onder deelnemers.
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Imported from http://etd.sun.ac.za
Toivo, Aini-Kaarin. "Perceptions and experiences of pregnant women towards HIV voluntary antenatal counselling and testing in Oshakati Hospital, Namibia." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
Full textTaegtmeyer, Miriam. "Approaches to the successful scale up of HIV voluntary counselling and testing services in Kenya 2001-2005." Thesis, University of Liverpool, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.479051.
Full textGonzalez, J. A. Leon. "The role of voluntary counselling and testing in modifying risky sexual behaviour for HIV infection : cross-sectional study from the ‘Wellness Clinic’ of a District Hospital in rural Limpopo, South Africa." Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97242.
Full textMusemwa, Shingisai. "Factors influencing university students' use of HIV voluntary counselling and testing services : an analysis using the health belief model." Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/1448.
Full textNzaumvila, Doudou Kunda. "Reasons given by pregnant women for not returning for their results following voluntary counselling and testing (VCT) for the human immunodeficiency virus at Embhuleni Hospital." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/202.
Full textOBJECTIVE: In 2007 36% of the pregnant women tested positive for HIV at Embhuleni Hospital and its satellite clinics. However, only one quarter of those returned to the wellness clinic for their CD4 results so as to begin with Anti-Retrovirus Therapy (ART) if they qualified. The rest would not return to the wellness clinic, and would only present late with opportunistic infections or a subsequent pregnancy. The study aimed at exploring the reasons why women who had been tested for HIV by means of VCT failed to return for their CD4 results, to understand those reasons, to determine what information was given to them before they were tested, to assess the availability of personal support systems (family, friends, etc), and finally to assess the women’s understanding of HIV/AIDS, for which they were tested. METHODS: A descriptive qualitative study was conducted using the free attitude interview technique for data collection. The Ante-natal care (ANC) clinic register of the Embhuleni Hospital was used to trace patients who had consented for voluntary counselling and testing (VCT), but who had since not returned for their results after 30 days of testing. Those patients were visited at their places of residence by the research team (interviewing nurse and the researcher) to request them to participate in the study. The exploratory question was: “May you tell us why you did not come back for your HIV test results?” “Sicela usichazele kutsi yinindzaba ungasetanga kutewuhlola imiphumela yakho yengati? (SiSwati Version). The interviews were audio recorded and field notes taken. The interviewer sought clarification for unclear issues raised, and gave reflective summaries at the conclusion of each idea under discussion. The interviews continued until there was information saturation. In this study, was reached at respondent number nine. The audio-tapes were transcribed verbatim, followed by translation into English. The emerging themes formed the basis for the write-up. RESULTS: The following themes emerged: Communication between health care workers and patients Poor quality of communication (patients not told to come back) Knowledge on HIV/AIDS and PMTCT Patients had poor knowledge of HIV/AIDS and PMTCT Fear of stigma for HIV/AIDS The community associated coming back for the results with being HIV positive Poor patient support Poor family support system for the patient Limited patient financial resources Experience at the health facilities Lack of patient privacy Attitude of the health care workers not acceptable to patients CONCLUSION: The factors that resulted in non-return of the pregnant women to the facility for their results were that the women were not made aware that they were to return for their results; poor quality of communication by the hospital staff; unpleasant experiences by patients at the facility; patients feared community stigmatisation; there was lack of patient support, and the patients had poor knowledge of HIV/AIDS and PMTCT
Hara, Rosiana Julia. "Perceptions and attitudes of first year student nurses towards voluntary HIV counselling and testing at the Western Cape College of Nursing." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_6595_1256887789.
Full textVoluntary HIV counselling and testing (VCT) programmese have been regarded as an important strategy in the management of the HIV/AIDS pandemic. This is in light of having statistics showing only one in five South Africans who know about voluntary counselling and testing also went for testing/ The aim of this study was to get a better understanding of the barriers whoch prevented student nurses from participating in voluntary HIV counselling and testing, explore their knowledge of the VCT process, explore factors which influence their decision to test or not to test and their perception of the VCT programme in their college.
Sikasote, Janet Precious Banda. "Effect of voluntary counselling and testing and a negative HIV result on risk behaviour : a qualitative longitudinal study in a Zambian mining community." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/4441.
Full textChiv, Nget Santhat Sermsri. "Illness suffering experience, stigma and discrimination against people living with HIV/AIDS : a case study of plwas using voluntary counseling confidentiality and testing in Kirivong Referral Hospital, Takeo province, Cambodia /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd415/4938049.pdf.
Full textEsack, Abdul Aziz. "Knowledge, attitudes, beliefs and practises (KABP) of adolescents / young adults (15-24 year of age) attending a private general practice, regarding HIV Voluntary Counselling & Testing (VCT)." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/26934.
Full textMulaudzi, Makondelele Sarah. "The perceptions of teachers regarding HIV/AIDS in the Thoyoyandou area." Diss., Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-01272006-161731.
Full textTadesse, Mizanie Abate. "HIV testing from an African Human Rights System perspective : an analysis of the legal and policy framework of Botswana, Ethiopia and Uganda." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5928_1210839992.
Full textThe HIV/AIDS pandemic poses the greatest threat to Africa's efforts to achieve its full potential in the social, economical and political spheres. Cognizant of its devastating consequences, various mechanisms have been designed to address the issue of HIV/AIDS in Africa. This thesis addressed the question: 'Are the legislations and policies of Ethiopia, Botswana and Uganda providing for various modalities of HIV testing consistent with human rights as enshrined under African Human Rights system?' The author of this dissertation critically analyzed the African human rights instruments and the relevant domestic legislation and policies of the three countries.
Akpabio, Alma. "Attitude, perceptions and behaviour towards family planning amongst women attending PMTCT services at Oshakati Intermediate Hospital, Namibia." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9300_1362391815.
Full textBackground: About 22.4 million people were living with HIV/AIDS in 2008 out of which women constitute approximately 57%. Namibia is one of the highly affected countries with a national HIV prevalence of 17.8% among women attending antenatal clinics. Antiretroviral medications have become available in Namibia since 2002 and presently all district hospitals and some health centres provide ARVs to those in need. Namibia is rated as one of the few countries in sub-Sahara Africa with a high coverage of ART, with 80% of those in need of ART receiving the treatment. An increasing trend has been observed whereby HIV+ women on ARV are becoming pregnant. Little is known about the attitude, knowledge and behavior of these women towards family planning and use of contraceptives and what barriers they may be facing in accessing these services.Aim: To determine the factors affecting the utilization of family planning services by HIV+ pregnant women receiving PMTCT services. Methodology: The study was a cross sectional study using both quantitative and qualitative methods to assess the critical elements of knowledge, attitude and perceptions of the study participants towards family planning services. The study also assessed the health system and other factors that impact on the use of contraceptives by HIV+ women. It was conducted in northern Namibia at Oshakati Health centre among randomly selected pregnant HIV+ women attending for PMTCT services.Results: Among the 113 respondents, who participated in the study, 97.3% knew at least one method of family planning but only 53.6% actually used any method of contraception prior to current pregnancy. Among the 46.4% who did not use any contraception, the reasons often cited for non-use were because they wanted a baby (52%), spouse objection (10%), being afraid of the effects (14%) and other reasons such as belief, culture and distance to travel to the health facility. 88% of the respondents indicated a willingness to use contraceptives after current pregnancy and expressed general satisfaction with services at the health centre while asking for more information on family planning services.Conclusion: HIV+ women have high awareness on some contraceptives but use of contraceptives is not as high as many of them have a desire to have children for self esteem and leave a legacy for the future. Knowledge of the risks of pregnancy on HIV+ woman may be limited and there is a need to improve educational intervention in this regard as well as integrate family planning services into all HIV/AIDS services.
Kumwenda, Andrew. "Evaluation of the quality of counselling for prevention of mother to child transmission of HIV offered to pregnant women in the copperbelt province of Zambia." University of the Western Cape, 2011. http://hdl.handle.net/11394/5095.
Full textBackground: One study on estimating rates of mother to child transmission of HIV (MTCT) in program settings in Zambia showed significant reduction in the MTCT rate with some specific prevention of mother to child transmission of HIV (PMTCT) interventions. Prolonged breastfeeding and mixed feeding practices by HIV positive mothers increased the MTCT rate by more than double by the time the infant reached 6 to12 months of age. Although the study did not assess the quality of PMTCT counselling in antenatal care settings, literature shows that poor quality of counselling on PMTCT reduces the effectiveness of PMTCT interventions. Study aim: To evaluate the quality of PMTCT counselling offered to pregnant women attending antenatal care (ANC) services in four public health facilities in Kitwe, Copperbelt province of Zambia. Study design and data collection: This was a cross sectional descriptive study. Data was generated using qualitative research methods including document analysis and individual interviews with 22 participants using non-participant observations, client exit interviews and focus group discussions (FGDs) to collect data. The study participants were ANC attendees and PMTCT providers. Two FGDs were conducted with a total of 98 counselling observations done and 16 ANC client exit interviews. Client exit interviews were done immediately after the mothers had undergone PMTCT counselling. Results: Content for group health education (GHE) varied across the facilities. Individual pre-test, post-test and follow up counselling sessions were very short and lacked depth. A total of 41 (83.7%) pre-test observations took between 1 and 5 minutes to be conducted. In addition, several key topics including major modes of HIV transmission, MTCT and the "window period" were omitted. The counsellors' interpersonal skills were generally good but they did not consistently summarize the main issues. The 16 mothers interviewed had limited knowledge of PMTCT with only one client knowing all the MTCT modes correctly. Discussion: Quality of PMTCT counselling did not meet expectations. With a lot of key topics omitted, outcomes of PMTCT interventions may not be as good as expected. Facilities are faced with serious staff shortages and limitations with space. The few members of staff available are overworked and are not able to provide quality PMTCT counselling. Conclusion: While the PMTCT uptake was good and clients felt satisfied, the quality of PMTCT counselling is compromised. There is need to improve it and ensure optimal effectiveness of PMTCT services.
Bucyana, Allan. "The influence of specialised HIV/AIDS sites on first time clients' initiative to seek VCT services : a case of Nkumba University students, Uganda." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/6869.
Full textENGLISH ABSTRACT: Although VCT has been recognized for its importance in HIV prevention and control, there are several matters of concern surrounding it that potentially limit its uptake. Clients' selective behavior in tandem with service provider and operating environment factors determine uptake of VCT service. This study sought to contribute knowledge on the influence that specialized HIV/AIDS sites have on first time clients' initiative to seek VCT services in comparison with the general health care sites. The study also analyzed factors that determine clients' preference of VCT access point. The study was done within a student population of Nkumba University in Entebbe municipality, Uganda. A sample of students to fill the study questionnaire was selected using a simple random sampling method from a population frame established from a class identified haphazardly. Four focus group discussions were done: two of the groups participants were stratified as students' male and female groups and were selected using convenient sampling from the sampling frame. The other FGDs were done with two groups of nurse counselors – one from a general health care site while the other was from a specialized VCT site, selected purposively. Specialized VCT sites had a higher frequency of first student clients than general health care sites. Results however indicated that though the perception of service providers' attitude and availability of trained councilors affected their choice, there was no significant difference between specialized and general VCT sites in terms of first time clients' preference. Reasons for preference of site differed. Specialized sites were preferred because they are perceived to offer better quality service owing to their concentration on VCT services, but shunned by others for lack disguise. Conversely, respondents revealed that there is disguise at general health j sites which enhances confidentiality and anonymity thereby curbing clients fears of being identified making it easier for first time clients to go to these sites for VCT.
AFRIKAANSE OPSOMMING: Alhoewel vrywillige raadgewing en toetsing (VRT) erken is vir sy belangrikheid met betrekking tot MIV voorkoming en beheer, is daar verskeie kwessies daaraan verbonde wat die gebruik daarvan kan beperk. Kliënte se selektiewe gedrag saam met diensverskaffers en omgewingsfaktore bepaal die gebruik van VRT dienste. Hierdie studie het gepoog om kennis by te dra oor die invloed wat gespesialiseerde MIV/Vigs toetsingsterreine het op eerstelinge se inisiatief om VRT dienste te soek in vergelyking met algemene gesondheidssorgterreine. Die studie het ook faktore geanaliseer wat kliënte se voorkeur van VRT terreine bepaal. Die studie is binne 'n studente populasie van Nkumba Universiteit in Entebbe Munisipaliteit, Uganda, uitgevoer. 'n Steekproef van studente om die vraelyste in te vul is geselekteer deur die eenvoudige toevalmonster metode te gebruik van 'n populasie raam geskep van 'n klas was lukraak geidentifiseer is. Vier fokusgroepe het plaasgevind: twee waar deelnemers as manlike en vroulike studentegroepe gestratifiseerd was en geselekteer deur gerieflike steekproeneming van die steekproefraam. Die ander fokusgroepe was twee groepe van verpleegster beraders – een van 'n algemene gesondheidssorgterrein en die ander van 'n gespesialiseerde VRT terrein, doelbewus geselekteer. Gespesialiseerde VRT terreine het 'n hoër frekwensie van eersteling student-kliente as algemene gesondheidssorgterreine. Uitslae het aangedui dat hoewel die persepsie van diensverskaffers se houdings en beskikbaarheid van opgeleide beraders hul keuse geaffekteer het, dat daar geen betekenisvolle verskil was tussen gespesialiseerde en algemene VRT terreine in terme van eerstelinge se voorkeur. Redes vir voorkeur van terrein het verskil. Gepesialiseerde terreine is verkies weens die persepise dat hulle 'n beter kwaliteit diens lewer weens hul konsentrasie op VRT dienste, maar deur ander vermy was weens gebrek aan vermomming. Omgekeerd het respondente aan die lig gebring dat daar wel vemomming by algemene gesondheidssorg terreine is wat vertroulikheid en anonimiteit verhoog en kliënte se vrese verminder wat dit makliker maak vir eerstelinge om na hierdie terreine vir VRT te gaan.
Roux, Paul. "Informed consent for voluntary counselling and testing for HIV infection in South African mothers and children: An assessment of burdens and consequences and an argument for a modification in the process of informed consent." Master's thesis, University of Cape Town, 2001. http://hdl.handle.net/11427/18412.
Full textGerrits, Ilza. "Die swanger vrou se keuse tot MIV-toetsing / I. Gerrits." Thesis, North-West University, 2007. http://hdl.handle.net/10394/758.
Full textThesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.
Hutchinson, Angela Blair. "A health technology assessment of HIV counseling and testing technologies." Diss., Georgia Institute of Technology, 2004. http://hdl.handle.net/1853/8077.
Full textYandell, Caroline. "Improving the uptake of voluntary HIV testing in UK African communities." Thesis, University of Bristol, 2006. http://hdl.handle.net/1983/43eff761-5d45-4210-8242-3c0bbf26121d.
Full textLamohr, Clive. "Perceptions and attitudes of employees toward voluntary HIV/AIDS testing: a South African case study." Thesis, University of Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_8115_1184927881.
Full textThe devastation caused by the Human Immunodeficiency Virus/ Acquired Immune Deficiency Syndrome (HIV/AIDS) is having a major impact on both the social and economic environment in South Africa. HIV/AIDS hits at the core of the businesses structure - the bottom line. In the absence of a cure for the disease or an effective vaccine, the challenge for all the stakeholders is how to successfully contain and limit the impact of the disease. Intervention programmes such as awareness, knowledge sharing and sero-prevailance testing have the potential to limit HIV/AIDS infections and reduce high-risk behaviours. Whilst education and awareness programmes have been relatively successful in highlighting the dangers of HIV infection, perception, attitudes and behaviours of employees towards HIV/AIDS have dampened voluntary HIV screening initiatives. Many South African organisations have commendable HIV/AIDS education and awareness programmes, however, a concerning fact is that employees are reluctant to avail themselves to voluntary HIV/AIDS testing. Stigmatising attitudes toward persons living with HIV/AIDS may reduce people&rsquo
s willingness to have themselves tested for the Human Immunodeficiency Virus (HIV). This may increase the risk of transmission. It may also lead to increased absenteeism in the workplace, and workdays lost resulting from excessive sick.
The aim of the study was to establish what the perceptions and attitudes are of employees at different levels of the organisation with regard to HIV/AIDS testing. A further aim was to identify possible reasons for the poor employee response to voluntary HIV/AIDS testing. It was thus important for this research to gauge employee knowledge, attitude and behaviour toward HIV/AIDS in order for organisations to develop strategies for effective HIV/AIDS counselling and testing programmes.
The data for this study was collected by means of a self report questionnaire. The questionnaire was administered to a sample of employees across all levels of the organisation using the convenient sample approach to identify the respondents. Two hundred and forty six (246) out of a total of 600 questionnaires distributed were returned, making the response rate a credible 41%.
The Statistical Package for Social Science (SPSS) was used to analyse the data obtained from the questionnaire. Both inferential and descriptive statistical approaches were used to analyse the data. The Analyses Of Variance (ANOVA) was used to determine whether differences exist in the perceptions and attitudes of employees at different levels and groupings in the organisation. Additionally post hoc tests (i.e. the Scheffe test) were applied to all comparisons of means after the analysis of variance.
The findings of this research are important for the role of HIV/AIDS testing and awareness/preventions strategies implemented in South Africa. It provides more insight as to why employees resist HIV/AIDS testing. It can furthermore assist organisations in developing strategies for implementing effective HIV/AIDS awareness and/or prevention programmes. More specifically, the findings identified ways in which organisations can redesign their intervention programmes so as to encourage a greater number of employees to submit to voluntary HIV/AIDS testing.
Oguegbu, Adaeze. "Factors Associated with HIV Counseling and Testing Among Young People in Nigeria." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1572.
Full textMitra, Debjani. "Assessment of the decision support needs of immigrant and refugee women from HIV endemic countries regarding voluntary HIV testing." Thesis, University of Ottawa (Canada), 2006. http://hdl.handle.net/10393/27395.
Full textRosen, David L. Schoenbach Victor J. "Factors associated with voluntary HIV testing and serostatus among North Carolina state prisoners, 2004-2006." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2007. http://dc.lib.unc.edu/u?/etd,1637.
Full textTitle from electronic title page (viewed Sep. 16, 2008). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Epidemiology." Discipline: Epidemiology; Department/School: Public Health.
Sefularo, Tebogo Veronica. "A phenomenological study of four students' experiences of voluntary counselling and testing." Diss., Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-11192008-190129.
Full textMolefe, Matilda Nombuyiselo. "Attitudes and fears of HIV counsellors towards voluntary HIV testing." Thesis, 2008. http://hdl.handle.net/10210/1595.
Full textThis study explores attitudes and fears of HIV counsellors towards HIV testing. A social constructionistic perspective was used to realize this objective. The researcher hoped to find out the following: what attitudes and fears do HIV counselors( who have not tested for HIV), have towards HIV testing? how the HIV counsellors’ attitudes and fears differ from those of the general population. the environmental factors affecting their decision, their vulnerability to HIV and what can facilitate their willingness to test. what strategies can be used (from the HIV counsellors’ point of view), to change those attitudes and alleviate those fears so that all HIV counsellors can be willing to undergo voluntary HIV testing. Tape recorded interviews were conducted with the HIV counsellors who have not tested for HIV. It was evident in the study that there are attitudes and fears towards HIV testing which are common to the HIV counselors and the general population, and those which are peculiar to HIV counselors because of the nature of their job. Also evident in the study is the fact that HIV counsellors are vulnerable to contracting HIV and therefore could reap the benefits of knowing their HIV status by undergoing the HIV test. The researcher together with the HIV counsellors co-designed strategies that will address those attitudes and fears so that HIV counsellors can be encouraged to undergo voluntary HIV testing. Since the study was conducted only in the community clinics, the findings cannot be generalized to all HIV counsellors. The recommendations based on the findings are that a similar study should be done and should cover a much wider and broader context to determine if such a study can yield similar results.
Mbengo, Fungai. "Factors influencing the use of voluntary counselling and testing by university students." Diss., 2013. http://hdl.handle.net/10500/13059.
Full textInformation Science
MA (Public Health)
Idogho, Omokhudu. "Determinants of voluntary HIV counselling testing uptake in the federal capital territory Abuja, Nigeria." Diss., 2010. http://hdl.handle.net/10500/4923.
Full textHealth Studies
M.P.H.