difference between counselling and vct

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

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