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is a confidential dialogue between a person and a care provider aimed at enabling the person cope with stress and make informed personal decisions relating to HIV and AIDS (World Health Organisation-WHO 1994)

HIV Counselling Practice

Elements of ethical and effective Counselling

What to cover during Post-test Counselling (negative result)

  • Acceptance
  • Ample Time

Types of HIV Counselling

  • Accessibility
  • Conscent
  • HIV prevention Counselling
  • Consistency and Accuracy
  • Remind the client about the window period
  • Strengthen the need for re-testing
  • Provide the schedule for re-test
  • Discuss risk reduction strategies
  • Return demonstration of condom use
  • Encourage partner for testing
  • Pre-HIV test Counselling
  • Confidentiality
  • Post-HIV test Counselling
  • Sociocultural considerations
  • Ongoing Counselling for people affected

by HIV

  • Treatment Adherence Counselling

What to cover during Pre-test counselling

  • Pediatric Counselling
  • Clinical Risk Assessment
  • Explain the Window Period
  • Psychological and emotional assessment of the readiness for the result
  • Disclosure possibilities
  • Explore the possible support system
  • Suicide risk assessment
  • Safer sex or injection information

Interpersonal Skills in Counselling

What is Counselling?

  • Establishing Rapport

What to cover during Post-test Counselling (positive result)

  • Ensuring privacy and confidentiality
  • Psychological and emotional preparation of the client
  • Access for suicidal ideation
  • Explore the possible support system
  • Disclosure to sexual partner or family members
  • Positive prevention strategies
  • Encourage the partner for testing
  • Referral to treatment hub
  • Referral to support group
  • Showing Empathy
  • Showing Respect

Goals of HIV Counselling

are:

  • Acknowledging difficult feelings
  • Offering Acceptace
  • to prevent HIV transmission
  • to assist people in developing skills
  • to provide psychological support to people who are infected with and affected by HIV
  • to support clients in treatment adherence

Counselling Communication Skills

  • Developing your attending and listening skills
  • Showing Immediacy
  • Using an appropriate language level
  • Using impersonal statements

THANK YOU! :)

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