Task-shifting HIV counselling and testing services in Zambia: the role of lay counsellors View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-12

AUTHORS

Parsa Sanjana, Kwasi Torpey, Alison Schwarzwalder, Caroline Simumba, Prisca Kasonde, Lameck Nyirenda, Paul Kapanda, Matilda Kakungu-Simpungwe, Mushota Kabaso, Catherine Thompson

ABSTRACT

BACKGROUND: The human resource shortage in Zambia is placing a heavy burden on the few health care workers available at health facilities. The Zambia Prevention, Care and Treatment Partnership began training and placing community volunteers as lay counsellors in order to complement the efforts of the health care workers in providing HIV counselling and testing services. These volunteers are trained using the standard national counselling and testing curriculum. This study was conducted to review the effectiveness of lay counsellors in addressing staff shortages and the provision of HIV counselling and testing services. METHODS: Quantitative and qualitative data were collected by means of semistructured interviews from all active lay counsellors in each of the facilities and a facility manager or counselling supervisor overseeing counseling and testing services and clients. At each of the 10 selected facilities, all counselling and testing record books for the month of May 2007 were examined and any recordkeeping errors were tallied by cadre. Qualitative data were collected through focus group discussions with health care workers at each facility. RESULTS: Lay counsellors provide counselling and testing services of quality and relieve the workload of overstretched health care workers. Facility managers recognize and appreciate the services provided by lay counsellors. Lay counsellors provide up to 70% of counselling and testing services at health facilities. The data review revealed lower error rates for lay counsellors, compared to health care workers, in completing the counselling and testing registers. CONCLUSION: Community volunteers, with approved training and ongoing supervision, can play a major role at health facilities to provide counselling and testing services of quality, and relieve the burden on already overstretched health care workers. More... »

PAGES

44

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1478-4491-7-44

DOI

http://dx.doi.org/10.1186/1478-4491-7-44

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1018699194

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19480710


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