Browsing by Author "Van Rooyen, Heidi."

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An exploration of the psychological needs and concerns of HIV positive women living in Pietermaritzburg.
(2004) Mhlongo, Sibusiso Dumisani.; Van Rooyen, Heidi.
The study aims to explore women's psychosocial needs and concerns following an HIV positive diagnosis. It also seeks to understand nature and various sources of care and support that women need for learning how to live with an HIV positive diagnosis. Finally, to understand what women need from HIV/AIDS health care and social service providers. In order to achieve these aims, a sample of 12 HIV positive women age between 20 and 40 was approached and interviewed at the Centres for Disease Control Clinic (CDC) in one of the local hospital in Pietermaritzburg. A qualitative research approach using semi- structured in-depth interviews was used in the study. The findings of the study reveal that HIV positive women are still faced with a range of psychosocial needs, different to that of HIV infected men. Their main psychosocial concerns centre on the welfare of their children rather their own health. Women fear rejection from their sexual relationships and as a way of coping with this, they choose to abstain from intimate relationships. Many women receive limited support from their families, health, and social welfare systems.
Making practice visible : analysing the interactional tasks of voluntary counselling and testing.
(2008) Van Rooyen, Heidi.; Lindegger, Graham Charles.; Durrheim, Kevin Locksley.
Voluntary counselling and testing, the cornerstone of HIV/AIDS prevention efforts worldwide, is at the centre of a policy debate rega rding its effectiveness. Informed by social constructionism and drawing on various tools from ethnomethodology and conversation analysis, a sample of twenty-seven vid eotaped simulated counselling interactions in South Africa was analysed. The aim was to assess how the interactional tasks of the voluntary counselling and testing sess ion were worked through by clients and counsellors, and how this was done against the publ ic health and counselling frameworks that inform voluntary counselling and testing pract ice. The goal of the analysis was not to examine practitioners’ competencies, but to exam ine their unfolding actions in the situation and to consider the interactional functio ns these actions might serve. The results show that of the three interactional ta sks of voluntary counselling and testing, information-giving lays the foundation upon which the advice and support goals are realised. It is constructed as critical to client a nd counsellor identities and is a powerful tool through which hope is dispensed. Both the info rmation-giving and support tasks of voluntary counselling and testing combine to manage client distress into more concrete and manageable terms that encourage client coping. Counsellors draw on a range of advice-giving strategies – those that place the onu s of responsibility on the client to those that view the counsellor as the moral guide able to direct client change – in order to encourage clients to reflect on their risk behaviou r. In general, voluntary counselling and testing is framed as a moral activity, and this is most evident in the advice-giving segments. The public health and counselling framewo rks that inform voluntary counselling and testing create a dilemma for counse llors. In practice, counsellors orient towards a directive and health-advising role rather than a non-directive, client-centred counselling role. The implication of this research is that voluntary counselling and testing needs to be defined and framed more clearly – i.e. as a public health intervention with preferred outcomes that draws on a set of client-centred skills. Reconceptualisations of voluntary counselling and testing need to acknowledge the mor al framework under which it operates. Clear implementation guidelines (and training) on what voluntary counselling and testing is and that define its goals more clearly will be useful in assisting counsellors to implement the policies that govern their practice.
Mentorship : the perspectives of HIV/AIDS counsellors and mentors.
(2004) Nott, Vicki Margaret.; Van Rooyen, Heidi.
The devastating impact and spread of HIV/AIDS is well recognized throughout the world. HIV/AIDS counselling is one element of Voluntary Testing and Counselling (VCT), a process designed to encourage testing, provide support, care and prevention knowledge. Quality assurance,ongoing training and counsellor support are vital components for VCT to succeed. The implementation of mentorship for HIV/AIDS counsellors is recommended as an appropriate way of addressing current counselling concerns and providing professional and psychsocial support structures to produce benefits for the quality of VCT in the long term. This study aimed at contributing to the limited field of research on the topic of mentorship by conducting an in-depth examination of mentorship in general and in an HIV/AIDS context specifically. A qualitative, interpretative method, using both in-depth interviews and focus groups, was used to address three specific research questions relating to mentorship views of HIV/AIDS counsellors and mentors in KwaZulu-Natal. A grounded theory analytic technique revealed that mentorship provides multiple functions such as guidance and support to counsellors, ongoing training and monitoring counsellor performance, which inevitably contributes to more motivated counsellors and improved quality of work. This study hopes to give greater insight into mentorship, specifically from the perspective of VCT counsellors and mentors, to those key role players and policy makers that are involved in the development of programmes for HIV/AIDS counsellors.
Scaling up HIV testing in resource-constrained settings: debates on the role of VCT and routine ‘opt-in or opt-out’ HIV testing.
(South African Medical Association., 2005) Strode, Ann Elaine.; Van Rooyen, Heidi.; Heywood, Mark.; Abdool Karim, Quarraisha.
Scaling up of the numbers of people voluntarily undergoing HIV testing has become vital, especially in resource-constrained settings, where the need for knowledge of HIV status for both prevention and care is critical. The reality is that for most people in Africa, access to HIV testing and to voluntary counselling and testing (VCT) has been very limited, and this has human rights implications – missing the opportunity to be diagnosed with a disease that is now well understood, manageable and treatable means certain death. The key challenge in our current context is how scaling up of HIV testing should be done. In responding to this challenge, we are guided by Gruskin and Loff,1 who state that ‘A human rights approach mandates that any public strategy, whether or not rights are to be restricted, be informed by evidence and widely debated. This approach protects against unproved and potentially counterproductive strategies, even those motivated by the genuine despair in the face of overwhelming public health challenges.’ This article describes the arguments and discussion raised during a session on models for increasing access to HIV testing at the 2nd National Conference on HIV/AIDS held in Durban in June 2005. It describes the legal framework for HIV testing in South Africa, frames the issues at the heart of the debate, and describes and discusses the various models of HIV testing, routine HIV testing, VCT and mandatory or compulsory HIV testing, within the context of HIV prevention and care. It concludes with recommendations.