THE EXPERIENCES OF LAY COUNSELLORS REGARDING HIV AND AIDS CARE AND SUPPORT IN TSHWANE CLINICS

Authors

  • Chuene Mkhabele University of Pretoria
  • Doriccah Peu University of Pretoria

DOI:

https://doi.org/10.25159/2415-5829/1838

Keywords:

AIDS, care, experiences, HIV, lay counsellors, support

Abstract

Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) is a major burden disease in South Africa. The pandemic characterises the need for increased counselling and testing due to the availability of antiretroviral therapy (ART). This study describes the experiences of lay counsellors regarding care and support for HIV and AIDS. A qualitative approach was used during focus group interviews at four Tshwane clinics. The purposive sampling method was used to select participants from each facility. Data were collected and data analysis conducted using Tesch’s method. The results highlight that lay counsellors are not recognised as part of the health workers and multidisciplinary team by the Department of Health. It was recommended that the lay counsellors be retained as stipend earning government workers with clearly stipulated and revised conditions of service. On-going support, managerial support and supervision are necessary to improve care and support of HIV and AIDS.

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References

Avert. (2015). “Global Information and Advice on HIV and AIDS: HIV and AIDS in South Africaâ€, www.avert.org (Accessed on 04 /09 /2016).

Black, V., Sprague, C. and Chersich, M.F. (2011). “Interruptions in Payments for Lay Counsellors Affect HIV Testing at Antenatal Clinics in Johannesburg†South African Medical Journal 101:407-408.

Creswell, J.W. (2014). Research Design Lincoln: University of Nebraska. Department of Health (DoH). (2010). The National Counselling and Testing Campaign Strategy Pretoria: Department of Health.

Department of Health (DoH). (2014). National Consolidated Guidelines for the Prevention of Mother-To-Child Transmission of HIV (pmtct) and the Management of HIV in Children, Adolescents and Adults Pretoria: Department of Health.

De Vos, A.S., Strydom,, H., Fouché, C.B. and Delport, C.S.L. (2011). Research at Grass Roots: For the Social Sciences and Human Services Professions. Pretoria: Van Schaik, Third Edition.

Dlamini, R. (2011). “Lay Counsellors: The Unheralded Backbone of South Africa’s HCT Programmeâ€, http://www.tsikululu.org.za (Accessed on 01/04/2011).

Hassim, J. (2009). Becoming and Being a Lay Volunteer Counsellor: An Interpretative Phenomenological Analysis (IPA) Study (Unpublished Master’s Dissertation) Pretoria: University of Pretoria, Department of Psychology.

Health-E News. (2012). “Gauteng Discusses Future of Lay Counsellors Living with AIDSâ€, https://www.health-org.za/gautengdiscussesfutureoflaycounsellorslivingwithaids (Accessed on 07/07/2016).

Kerr, Z.Y., Grafsky, E.L., Miller, K. and Love, R. (2011). “Stressors and Coping Strategies for HIV Test Counsellors giving Rapid HIV Test Results: An Exploratory Qualitative Study†AIDS Patient Care 25(8):483-491.

Legido-Quigley, H., Montgomery, C.M., Khan, P., Atun, R., Fakoya, A., Getahun, H. and Grant, A.D. (2013). “Integrating Tuberculosis and HIV Services in Low and Middle Income Countries: A Systematic Review†Tropical Medicine and Internal Health 18(2):199-211.

Lincoln, Y.S. and Guba, E.G. (1985). Naturalistic Inquiry. Beverley Hills: Sage Publications.

Mataboge, M.S., Peu, M.D., Chinuoya, M., Rikhotso, R., Ngunyulu, R.N. and Mulaudzi, F.M. (2014). “Healthcare Workers’ Experiences of HIV Testing in Tshwane, South Africa†Curationis 37(1):1-8.

Mwewa, A.M., Saili, G. and Simbaya, J. (2013). “Multi Country Research on Community Caregivers: The Backbone for Accessible Care and Support†Multi Country Research. Zambia Report. The caregivers Action Network.

Mwisongo, A., Mehlomakhulu, V., Mohlabane, N., Peltzer, K., Mthembu, J. and Van Rooyen, H. (2015). “Evaluation of the HIV Lay Counselling and Testing Profession in South Africa†BMC Health Services Research 15(276).

Papanna, M.K., Kumar, P., Shetty, A., Kulothungan, K., Poojary, I.B. and Ballala, K. (2013). “Job Perception of Counsellors Employed at Integrated Counselling and Testing

Centers (ICTCs) for HIV in a District of South India†Journal of the International Association of Providers of AIDS Care (JIAPAC) 15(4):301-305. doi: 10.1177/2325957413488192.

Peltzer, K. (2012). “Prevalence and Correlates of Posttraumatic Stress on HIV Lay Counsellors in Nkangala District, South Africaâ€. Journal of Psychology in Africa 22(3):387-392.

Peu, M.D., Mataboge, S., Chiouya, M., Jiyane, P., Rikhotso, R., Ngwenya, T. and Mulaudzi, F.M. (2014). “Experiences and Challenges of an Interprofessional Community of Practice in HIV and AIDS in Tshwane District, South Aftrica†Journal of Interprofessional Care 28(6):547-552.

Polit, D.F and Beck, C.T. (2012). Nursing Research: Generating and Assessing Evidence for Nursing Practice Philadelphia: Lippincott William and Wilkins, Eighth Edition.

Rohleder, P. and Swartz, L. (2005). “What I’ve Noticed What they Need is Stats’: Lay HIV Counsellors’ Reports of Working in a Task-oriented Health Care System†AIDS Care 17(3):397-406.

Republic of South Africa. (2013). Global Aids Response: Progress Report South Africa: Government Printers.

Schneider, H., Hlophe, H. and Van Rensburg, D. (2008). “Community Health Workers and the Response to HIV/AIDS in South Africa: Tensions and Prospects†Health Policy and Planning 23:179-187.

Shisana, O., Rehle, T., Simbayi, L.C., Zuma, K., Jooste, S., Zungu, N., Laabdarios, D. and Anoya, D. (2014). South African National HIV Prevalence Incidence and Behaviour Survey 2012 Cape Town: HSRC Press.

Teng, J. (2011). An Interpretative Phenomenological Analysis of the Experiences of HIV Positive Lay Counsellors Working in Voluntary Counselling and Testing Settings (Unpublished Master’s Dissertation) Grahamstown: Rhodes University, Department of Psychology.

Thurling, C.H. and Harris, C. (2012). “Prevention of Mother to Child Transmission Lay Counsellors: Are They Adequately Trained?†Curationis 35(1):1-7.

United Nations (UN). (2011). The Millennium Development Goals Report 2011 New York: United Nations.

United Nations (UN). (2015). The Millennium Development Goal Report 2015 New York: United Nations.

Vawda, Y.A and Variawa, F. (2012). “Challenges Confronting Health Care Workers in Government’s ARV Rollout: Rights and Responsibilities†Potchefstroomse Elektroniese Regsblad (PER ) (15):487-569.

Woolman, S., Sprague, C. and Black, V. (2009). “Why State Policies that Undermine HIV Lay Counsellors Constitute Retrogressive Measures that Violate the Right of Access to Health Care for Pregnant Women and Infants†South African Journal of Human Rights 25(1):102-125.

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Published

2016-10-28

How to Cite

Mkhabele, Chuene, and Doriccah Peu. 2016. “THE EXPERIENCES OF LAY COUNSELLORS REGARDING HIV AND AIDS CARE AND SUPPORT IN TSHWANE CLINICS”. Southern African Journal of Social Work and Social Development 28 (3):316-29. https://doi.org/10.25159/2415-5829/1838.

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Articles