'What I've noticed what they need is the stats': Lay HIV counsellors' reports of working in a task-orientated health care system

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dc.contributor.authorRohleder P.
dc.contributor.authorSwartz L.
dc.date.accessioned2011-05-15T15:58:50Z
dc.date.available2011-05-15T15:58:50Z
dc.date.issued2005
dc.description.abstractCounselling has been recognized as an important component of HIV and AIDS care, and an essential part of HIV testing. In South Africa, a commonly used model is for lay counsellors to be trained by non-governmental organizations and then to work alongside professionals in public health clinics. In studies of counselling in health care settings in the context of HIV, there has been a relative lack of attention to the organizational and systemic issues faced by counsellors and counselling programmes. Counsellors are involved in a dynamic interrelationship not only with their clients but also with the organizations in which they work. In this paper we report on counsellors' accounts of the impact of their unclear position on their work. Twenty-nine counsellors were interviewed using individual interviews and focus group discussions. The findings reveal a clash between an holistic counselling approach and a task-oriented health system. The results provide some indication of the need to consider workplace issues in planning and researching VCT.
dc.description.versionArticle
dc.identifier.citationAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
dc.identifier.citation17
dc.identifier.citation3
dc.identifier.issn9540121
dc.identifier.other10.1080/09540120512331314376
dc.identifier.urihttp://hdl.handle.net/10019.1/10868
dc.subjectacquired immune deficiency syndrome
dc.subjectadult
dc.subjectarticle
dc.subjectcontrolled study
dc.subjecthealth care personnel
dc.subjecthealth care system
dc.subjecthealth center
dc.subjecthealth program
dc.subjecthuman
dc.subjectHuman immunodeficiency virus infection
dc.subjecthuman relation
dc.subjectinformation processing
dc.subjectinterview
dc.subjectnormal human
dc.subjectpatient counseling
dc.subjectpriority journal
dc.subjectpublic health service
dc.subjectteamwork
dc.subjectworkplace
dc.subjectAttitude of Health Personnel
dc.subjectCounseling
dc.subjectDelivery of Health Care
dc.subjectHealth Services Needs and Demand
dc.subjectHIV Infections
dc.subjectHumans
dc.subjectInterprofessional Relations
dc.subjectPatient Care Team
dc.subjectProfessional-Patient Relations
dc.subjectSouth Africa
dc.title'What I've noticed what they need is the stats': Lay HIV counsellors' reports of working in a task-orientated health care system
dc.typeArticle
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