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7/27/2019 Difference between counselling and vct.
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Voluntary Counseling and
Testing (VCT) for HIV
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{
PresentationObjectives
By the end of this session, you should be able to:
Describe the basic facts about voluntary counseling and testing
(VCT).
Explain the importance of VCT.
Describe the goals and outcomes of VCT.
Describe the link from VCT to HIVprevention, care and treatment.
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HIV Counseling Confidential dialogue between a client and a care provider
aimed at enabling the client to cope with stress and makepersonal decisions related to HIV and AIDS.
Voluntary Counseling and Testing (VCT) A combination of two activities counseling and testing
into a service that amplifies the benefits of both.
HIV Counseling and
Testing
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Effective prevention and care activities require people toknow their HIV status.
VCT promotes and sustains behavior change (prevention).
VCT facilitates early referral to care and support services-including access to antiretroviral therapy.
VCT links with PMTCT, STI, and OI services.
VCT assists in stigma reduction.
Why is VCT So Important?
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Voluntary
Counseling
Testing
Acceptance ofSerostatus and coping
Preventive therapy(TB and bacteraemia)and contraceptive advice
Earlymanagement ofOIs and STDs
Reduces
mother-to-childtransmission
Facilitates
behavioralchange
Planning forfuture orphancare; Will
preparation
Referral tosocial andpeer support
Normalizes
HIV/AIDS
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Prevention of HIV transmission From +ve tested people to -ve or untested
partner/s
From +ve tested mother to child
From +ve or untested partner/s to -ve testedpeople
Early uptake of services
Counseling for positive living Social support
Legal advice
Future planning
Goals of VCT (1)
Medical care
Family planning
Emotional care
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Goals of VCT (2)
Societal benefits
Normalisation of HIV
Reduction of stigma Promote awareness
Support human rights
Increase adherence to:
ARV therapy
Preventive therapies ARV regimens for PMTCT
Infant feeding choices
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Components of VCT
Determining clientsknowledge
Giving accurateinformation
Conductingpersonalized riskassessment
Developing apersonalized risk
reduction planDemonstrating
appropriate condomuse
Explaining the test andobtaining informedconsent
Discussing implications
of HIV result Assessing coping ability
Result notification
Providing psychologicaland emotional support
and referral asappropriate
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Effective in promoting behavioural change and
providing psychosocial support. Cost effective especially when it is targeted to couples
and high risk groups.
Feasible as a component of comprehensive HIVprevention and care strategies in developing
countries. Facilitates the linkage to other HIV prevention and
care activities.
Rationale for VCT as an
Intervention Strategy
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Prevention of HIV transmission
Prevention of HIV transmission in special populations
Care: Improving access to medical, emotional, andsocial support
Review of VCT Outcomes
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Fear
No cure or treatment
Stigma No need: Im faithful
Partner with a negative HIV result
Gender inequalities
Lack of perceived benefit
Lack of access to care and support services
Barriers to VCT (1)
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Fear
I feel if I tested positive it would just devastate me.You know that, while I know I might be positive - I
had herpes zoster - there are times I tell myself thatits my father-in-law doing some black magic onme. If I went and had a test and they said youhave it then I know I would be dead in a week.
Woman 28 years, Kara Counseling and Training Trust,Lusaka, Zambia
Barriers to VCT (2)
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No cure or effective treatment
I do not even want a test. What are yougoing to do about it if I come out positive?Are you going to give me medicines? If
you tell me that you can give memedicines or that you will cure the diseasethen I can go for a test tomorrow.
Man 30 years, Kara Counseling and Training
Trust, Lusaka, Zambia
Barriers to VCT (3)
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Stigma
If you go for a test and the result comes out positiveyour family will not take care of you because youwill be an outcast.
Woman 22 years, Kara Counseling andTraining Trust, Lusaka, Zambia
Barriers to VCT (4)
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No need
Its not necessary since a test is only forthose young ones who have notfollowed their parents advice of notindulging in things like careless sex.
Woman 56 years, Kara Counseling andTraining Trust, Lusaka, Zambia
Barriers to VCT (5)
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Partner communication difficulties Gender imbalances in sexual decision making
Difficulties in changing sexual behaviour
Desire to have children
Stigma
Economic deprivation
END . DONE BY SWEET SARAH.
Barriers to ChangingSexual Behavior FollowingVCT