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Health Care Providers’ Perspectives on Voluntary HIV Counseling and Testing in Health Clinics in Tanzania - A Qualitative Study

Balaile, G., Kingazi, F. and Arvidson, A.-B. R. (2014) Health Care Providers’ Perspectives on Voluntary HIV Counseling and Testing in Health Clinics in Tanzania - A Qualitative Study. Universal Journal of Public Health. pp. 174-180.

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Abstract

The aim of this study was to explore the perspectives of health care providers on voluntary counseling and testing (VCT) patients for human immunodeficiency virus (HIV) or counseling those living with the virus. Semi-structured interviews were conducted with 12 Tanzanian HIV counselors in different health service clinics in Dar es Salaam, Tanzania. The interviews were analyzed using a qualitative method. Three themes emerged from the interviews: a person-centered approach is necessary to build trusting relationships to negotiate for behavioral change; challenges in the variations in counseling sessions as well as the maintenance of confidentiality; and the Confidentiality requirement for privacy and disclosure only with the patient/client's consent. The health care providers, who all had considerably long experiences of VCT, showed confidence in the counseling situation and were aware of the many challenges and barriers they encountered at work as a counselor. They stressed that the basis for creating a trusting relationship between a counselor and a patient was a person-centered approach. Patient confidentiality was an important factor in the counseling work, but confidentiality could also be a challenge and dilemma to protect both the patient and sexual partners at risk, and this should be taken into consideration in counseling guidelines.

Item Type: Article
Keywords: HIV/AIDS Counseling and testing, Person-Centered approach, Tanzania
Subjects: HIV > Surveillance
Divisions: Other
Depositing User: Mr Joseph Madata
Date Deposited: 15 Sep 2014 06:13
Last Modified: 15 Sep 2014 06:13
URI: http://ihi.eprints.org/id/eprint/2865

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