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Lay counsellor-based risk reduction intervention with HIV positive diagnosed patients at public HIV counselling and testing sites in Mpumalanga, South Africa


  • Peltzer, Karl
  • Tabane, Cily
  • Matseke, Gladys
  • Simbayi, Leickness


Objective To evaluate the feasibility, fidelity, and effect of a human immunodeficiency virus (HIV) risk reduction intervention delivered to HIV-infected patients by lay counsellors during routine HIV counselling and testing (HCT) public service in Mpumalanga, South Africa. Methods: A total of 488 HIV-infected patients, aged 18 years and older, receiving HCT service at clinics in Mpumalanga, received an "Options for Health" intervention delivered by clinic lay counsellors. Intervention lay counsellors implemented a brief risk reduction intervention at on average 2.3 sessions to help patients reduce their unprotected sexual behaviour. Questionnaires were administered at baseline and 4 months following the intervention to assess HIV risk behaviour in previous 3 months. Results: A significant increase in AIDS knowledge, behavioural intentions and risk reduction efficacy among participants at follow-up was found. Participants at 4-month follow-up reported a significant reduction of multiple partners, unprotected sex, alcohol or drug use in a sexual context, and transactional sex. In addition, sexual abstinence increased and alcohol use decreased, in the past 3 months. Conclusions: A lay counsellor-delivered HIV prevention intervention targeting HIV-infected patients seems to be feasible to implement with fidelity in the South African HCT setting and promising at reducing risk behaviour.

Suggested Citation

  • Peltzer, Karl & Tabane, Cily & Matseke, Gladys & Simbayi, Leickness, 2010. "Lay counsellor-based risk reduction intervention with HIV positive diagnosed patients at public HIV counselling and testing sites in Mpumalanga, South Africa," Evaluation and Program Planning, Elsevier, vol. 33(4), pages 379-385, November.
  • Handle: RePEc:eee:epplan:v:33:y:2010:i:4:p:379-385

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    Cited by:

    1. Parker, L. & Maman, S. & Pettifor, A. & Chalachala, J.L. & Edmonds, A. & Golin, C.E. & Moracco, K. & Behets, F., 2013. "Adaptation of a U.S. evidence-based Positive Prevention intervention for youth living with HIV/AIDS in Kinshasa, Democratic Republic of the Congo," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 124-135.
    2. Gutin, Sarah A. & Cummings, Beverley & Jaiantilal, Prafulta & Johnson, Kelly & Mbofana, Francisco & Rose, Carol Dawson, 2014. "Qualitative evaluation of a Positive Prevention training for health care providers in Mozambique," Evaluation and Program Planning, Elsevier, vol. 43(C), pages 38-47.
    3. Conroy, Amy A. & Wong, Lauren H., 2015. "How reliable are self-reports of HIV status disclosure? Evidence from couples in Malawi," Social Science & Medicine, Elsevier, vol. 144(C), pages 28-37.


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