tailieunhanh - báo cáo hóa học:" Challenges faced by health workers in providing counselling services to HIV-positive children in Uganda: a descriptive study"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Challenges faced by health workers in providing counselling services to HIV-positive children in Uganda: a descriptive study | Rujumba et al. Journal of the International AIDS Society 2010 13 9 http content 13 1 9 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access Challenges faced by health workers in providing counselling services to HIV-positive children in Uganda a descriptive study Joseph Rujumba Cissy L Mbasaalaki-Mwaka Grace Ndeezi Abstract Background The delivery of HIV counselling and testing services for children remains an uphill task for many health workers in HIV-endemic countries including Uganda. We conducted a descriptive study to explore the challenges of providing HIV counselling and testing services to children in Uganda. Methods A descriptive study was conducted in the districts of Kampala and Kabarole in Uganda. The data were collected using semi-structured individual interviews and focus group discussions with health workers who are involved in the care of HIV-positive children. Key informant interviews were conducted with the administrators of the 10 study healthcare institutions. Quantitative data were summarized using frequency tables while qualitative data were analyzed using the content thematic approach. Results Counselling children was reported to be a difficult exercise due to some children being unable to express themselves being dependent on adults for their care being fearful and requiring more time to open up during counselling. This was compounded by some caretakers unwillingness and difficulty to disclose the HIV status of their children. Other issues about the caretakers were lack of consistency in caretakers old age sickness and poverty. Health workers mentioned the following as some of the challenges they face in the delivery of HIV counselling and testing services for children lack of counselling skills failure to cope with the knowledge demand difficulty to facilitate disclosure heavy work load and lack of other support services. Institutions were found to be constrained by limited space and lack of antiretrovirals for .