Smoking prevalence, knowledge and attitudes among primary healthcare professionals: a study from Jordan

This was a questionnaire-based cross-sectional study of 400 healthcare professionals recruited from primary healthcare centres in northern Jordan between April and October 2015. The questionnaire included questions about smoking behaviour, risks, opinions and providing anti-smoking counselling. More than 80% of participants reported that smoking-free policies were not enforced at primary healthcare centres. Compared to hospitals and the general population, smoking was less prevalent among primary healthcare professionals and more prevalent in men. More than 90% of participants believed that smoking was dangerous and associated with cardiovascular and respiratory diseases. Around 92% believed that they should set a good example to patients by not smoking and advise them about smoking cessation. Only 15.3% of participants felt well prepared when counselling patients about smoking and 92.8% believed that they needed training. This study suggests that primary healthcare professionals should act as anti-smoking role models after receiving professional training

Effects of peer education on the knowledge and use of HIV counselling and testing services among young persons in Ibadan, Nigeria

Although HIV counselling and testing (HCT) service plays important roles in prevention and control of AIDS; many young Nigerians under-utilize it. A peer education intervention was implemented to promote use of HCT among secondary school students and apprentices in Ibadan; Nigeria. Baseline data were collected from 1281 students from six schools and 100 apprentice workshops in four Local Government Areas of Ibadan. A total of 897 students from four schools and apprentices from 25 workshops were assigned as experimental group while 682 students from two schools and apprentices from 25 workshops were the controls. Three intervention activities were implemented: a one-day sensitization workshop for 31 apprentice instructors and 20 secondary school teacher-supervisors; training of 75 students and 46 apprentices as Peer Educators (PE); and development of Behaviour Change Communication (BCC) materials including posters and handbills. Six months after implementing these interventions; a follow-up survey was conducted to assess the effects of the PE on young person's knowledge of HIV and HCT and reported use of HCT services. Follow-up data were collected from 760 respondents from the experimental sites and 298 from the control areas using the same questionnaire administered during the baseline survey. PE educated a total of 1;917 persons with information on HIV/HCT-related issues. In addition; at follow-up; records of use of HCT services were obtained from two HCT centres situated in the experimental sites and one from the control. Data were analysed using descriptive statistics and t-tests. The results showed significant increase in knowledge of HCT among experimental (1.3 to 7.5) (p0.05) and control groups (0.6 to 6.8) (p0.05) at follow-up. At baseline; 29.0% of the experimental and 36.0% of control knew of the location of a HCT centre; at follow-up the percentage of experimental groups who could do so increased to 62.0%; while the number dropped to 34.0% among controls. Records at HCT centres showed that a greater number (309) of experimental groups used HCT services than control (43). PE were successful in influencing behaviour of their peers to use HCT services

Conocimiento adquirido y adherencia en un diplomado sobre la salud mental para docentes orientadores / The knowledge acquired during and adherence to a postgraduate course concerned with mental health aimed at school counselors

Evaluar el desempeño académico y la adherencia después de una intervención educativa centrada en la promoción, prevención, identificación e intervención temprana de diferentes problemas y patologías mentales que se presentan en niños y adolescentes. Materiales y Métodos Estudio de intervención antes después de un diplomado, en el que a la población de docentes orientadores de Boyacá y Cundinamarca se les impartió una intervención educativa sobre salud mental y se realizó la evaluación de conocimientos antes y después de haberla recibido. Resultados Hubo un buen desempeño en la prueba académica donde el 48,5 % de la población tuvo una calificación mayor a 4,0/5,0 antes de la intervención, aunque después de esta el 61,2 % alcanzaron esta misma nota, por lo que consideramos que la intervención educativa funcionó como una herramienta para mejorar el conocimiento sobre promoción, prevención, reconocimiento e intervención temprana de salud mental en las instituciones educativas. La adherencia fue del 90,6 % para el diplomado de 120 horas. Conclusión El diplomado parece impactar en el conocimiento adquirido sobre salud mental y presenta una buena adherencia...

To evaluate the academic performance in, and adherence to, a postgraduate course focused on promotion, prevention, identification, and early intervention with regard to the different mental problems and pathologies affecting children and adolescents. Materials and Methods This was a before-and-after intervention study involving a postgraduate course. The population of school counselors from the Colombian regions of Boyacá and Cundinamarca were invited to participate in a postgraduate course that addressed mental health. Their knowledge was evaluated before and after having received it. Results The school counselors performed well on the academic test, with 48.5 % of the population obtaining a score of 4.0/5.0 before the intervention. After the course, 61.2 % achieved the same score. It was thus considered that the course functioned as a tool for improving knowledge about promotion, prevention, recognition, and early intervention with regard to mental health in educational institutions. There was a 90.6 % adherence to the 120-hour-long postgraduate course. Conclusion The postgraduate course seemed to have a positive impact in terms of the knowledge acquired about mental health, and there was good adherence to the course...

Capacitação para quê? O que pensam conselheiros de saúde da região Sudeste / Training for what? What health counselors in the Southeastern region think about the topic

Comunidade de prática (CoP) é um termo recente e que se aplica a indivíduos que compartilham um objetivo comum que pode englobar desde uma temática específica, um problema ou uma paixão, sendo o aprendizado em conjunto e o sentimento de pertença os diferenciais dessa teoria que pode refletir, positivamente, na aquisição de conhecimento como um processo participativo. Este artigo procura averiguar a pertinência da construção de uma comunidade de prática para conselheiros de saúde dentro da política do Sistema Único (SUS) de valorizar a participação popular. Nesta direção, investigamos a opinião de 108 conselheiros de saúde da região Sudeste do país e com acesso à Internet. Qual é a visão deles sobre a estruturação e capacitação dentro dos Conselhos de Saúde? E o que acreditam seja importante para melhorar sua atuação dentro dos Conselhos?.

Community of Practice (CoP) is a recent term that applies to individuals who share a common goal that can range from a specific theme, a problem or a passion, whereby learning together and the feeling of belonging to the differentials of this theory can reflect positively on the acquisition of knowledge as a participatory process. This article seeks to ascertain the relevance of building a community of practice for health counselors within the policy of the Brazilian Unified Health System (SUS) to enhance popular participation. In this respect, the opinions of 108 health counselors with Internet access in the Southeast of the country were investigated. What are their views on the structure and training within the Health Councils? And what do they consider to be important in order to enhance their performance within the Councils?.

Proposições para a formação de aconselhadores em HIV/Aids / Proposals for training counselors on HIV / AIDS

Problematiza-se a formação de aconselhadores em HIV/Aids, exigência do Ministério da Saúde, para que profissionais de saúde desenvolvam essa prática junto ao usuário que busca testagem anti-HIV. Abordar a formação é estratégico para qualificar sua prática na direção de construção de respostas mais eficazes e efetivas à Aids. Análises de manuais do ministério e de entrevistas com aconselhadores, realizadas em pesquisa de tese (em andamento), subsidiam a discussão. Destacam-se das análises dos manuais uma concepção de subjetividade-identidade, como uma marca inexorável definida pelas práticas sexuais do usuário, e tendência prescritiva e diretiva nas recomendações aos profissionais. Das análises de entrevistas, destacam-se os modos de aconselhar identificados - instrução e relação. Esses achados se somam às reflexões em torno do aconselhamento - tratado como dispositivo em saúde e como produção não material no contexto das reflexões sobre o mundo do trabalho nas sociedades capitalistas. Sugere-se que o aconselhamento tende a ser capturado por uma perspectiva mercadológica, pela íntima associação entre racionalidade científica e econômica, no campo da saúde. Esse arranjo é sustentado pela ainda hegemônica ideologia biomédica nas práticas em saúde. Para escapar dessa direção, sugere-se posicionamento crítico do aconselhador na execução de seu trabalho, evitando postura diretiva e protocolar. O aconselhamento-relação apresenta-se como modo de aconselhar alternativo, pelo uso de tecnologias leves, relações horizontalizadas, respeito às singularidades e o protagonismo do usuário nos cuidados de si. São apresentadas, finalmente, proposições (princípios e conteúdos) para a realização de processos formativos na direção do aconselhamento-relação.

This paper discusses the formation of counselors in HIV / AIDS, requirement of the Ministry of Health for health professionals to develop this practice among users seeking HIV testing. To addressing training is strategic to qualify their practice, building more efficient and effective responses to AIDS. Analyses of manuals of the ministry and interviews with advisors, conducted within a research thesis (in progress), subsidize the discussion. From the analyses of textbooks are highlighted the concept of subjectivity-identity, as a relentless brand defined by the user's sexual practices, and prescriptive and directive trend in recommendations for professionals. From the analysis of interviews, we highlight the identified advising ways - education and respect. These findings add to the reflections on the advice - treated as health device and non material production in the context of reflections on the world of labor in capitalist societies. It is suggested that counseling tends to be captured by the commodity perspective, the close association between scientific and economic rationality in the health field. This arrangement is supported by the still hegemonic ideology in biomedical health practices. To escape this direction, it is suggested critical positioning for counselors in conducting their work, avoiding directive and protocol posture. The counseling-relationship is presented as an alternative advisory way by using lightweight technologies, aligned relationships, respect for differences and the role of the user in his own care. Finally, propositions (principles and contents) are presented to conduct training processes towards relationship-advice.

Facilidades e dificuldades encontradas na realização do aconselhamento às pessoas que vivem com HTLV / Facilities and dificulteis found in the process of advising people living with HTLV / Facilidades y dificultades encontradas en la realización del asesoramiento a las personas que viven con HTLV

Trata-se de uma pesquisa qualitativa que teve como objetivo analisar a opinião dos profissionais de saúde do Centro de Testagem e Aconselhamento / Serviço de Atenção Especializada (CTA / SAE) sobre a orientação a pessoas que vivem com vírus linfotrópicos humanos tipos I e II. (HTLV I / II) e identificar as facilidades / dificuldades na realização desta avaliação. Foi realizado no município de Santo Antônio de Jesús / Bahia / Brasil, no CTA / SAE, com oito profissionais de saúde como informantes. Como estratégia de coleta de informações, utilizou-se a entrevista semiestruturada guiada por um roteiro. As informações das entrevistas foram analisadas por meio da análise de conteúdo temática proposta por Minayo. A ética fundamenta todo o processo de pesquisa, de acordo com a Resolução 196/96 do Conselho Nacional de Saúde. Os resultados mostraram que a realização do aconselhamento acaba sendo comprometida devido à restrição de informações sobre o HTLV. É necessária a realização de treinamentos para o HTLV, permitindo assim a formação de multiplicadores de informações, estimulando a realização do conhecimento da situação sorológica, favorecendo a prevenção e diminuindo o índice de infecção.

It is a qualitative research aimed to analyze the opinion of health professionals at the Testing and Counseling Center/ Specialized Attention Service (TCC/ EAS) comparing to advise provided to people living with human T-lymphotropic human type I and II (HTLV I / II) and identify the facilities/difficulties in implementing such advice. It was held in Santo Antonio de Jesus/Bahia/Brazil, in the CTA/SAE, with eight health professionals as informants. The strategy for collecting information was a semi-structured interview guided by a script. The information from the interviews was analyzed using thematic content analysis as proposed by Minayo. Ethics permeated the entire research process, according to Resolution 196/96 of the National Health Results. The results showed that the completion of counseling is usually compromised by limited information about HTLV. It is necessary to create a training program for HTLV, thus allowing the creation of multipliers of information, encouraging the knowledge of serological status, promoting prevention and reducing the infection rate.

Se trata de una investigación cualitativa dirigida a analizar la opinión de los profesionales de salud del Centro de Pruebas y Asesoramiento/Servicio de atención Especializado (CTA/SAE) frente al asesoramiento dado a las personas que viven con el virus linfotrópicos humanos tipo I y II (HTLV I/II) e identificar las facilidades/dificultades en la realización de este asesoramiento. Fue realizada en la ciudad de Santo Antonio de Jesús/Bahía/Brasil, en el CTA/SAE, teniendo como informantes ocho profesionales de salud. Como estrategia de recolección de informaciones se utilizó la entrevista semiestructurada guiada por un guión. Las informaciones de las entrevistas fueron analizadas por medio del análisis de contenido temático conforme propuesto por Minayo. La ética basa todo el proceso de la investigación, de acuerdo con la Resolución 196/96 del Consejo Nacional de Salud. Los resultados mostraron que la realización del asesoramiento acaba siendo comprometida debido a la restricción de informaciones sobre HTLV. Es necesario llevar a cabo la capacitación para el HTLV, permitiendo así formar multiplicadores de informaciones, estimulando la realización del conocimiento del estado serológico, favoreciendo la prevención y reduciendo el índice de infección.

effect of dietary counselling on the health status of end-stage renal failure patients

Chronic renal failure is becoming one of the most impacting diseases on the Egyptian population, alongside with cardiovascular and hepatic diseases, diabetes mellitus and cancers. Studies support the importance of dietary management on different aspects related to end-stage renal failure [ESRF] and other studies also suggest that active nutritional counselling can improve certain important biochemical parameters and fluid overload problems in patients on maintenance haemodialysis [HD]. To assess the effect of dietary counselling on the overall health status of ESRF patients subjected to haemodialysis, particularly their renal functions. A pretest-posttest study was conducted through several phases; Phase 1: Pre-intervention assessment using; an interview questionnaire to collect socio-demographic, nutritional knowledge and dietary pattern data; Malnutrition Inflammation Score [MIS]; Karnofsky Performance Scale [KPS] and anthropometric measurements. Phase 2: Implementation of nutritional counselling sessions communicating evidence-based practices. All patients were given one-to-one nutritional counselling over a six-month period. Phase 3: Post-intervention reassessment of patients using phase one tools. A sex-stratified random sample of about 50% of all patients attending El-Harem Centre for Dialysis [82] during the period from October, 1[st] 2008 till March, 31[st] 2009 were included. Intervention participants totalled 41 ESRF patients. In this study, 97.5% of patients were considered mildly to moderately malnourished. Multiple malnutrition problems detected among these patients were protein-energy malnutrition, hypocalcaemia, anaemia and hyperphosphataemia. Nutritional counselling sessions resulted in statistically significant changes in the Malnutrition Inflammation Score [MIS] and Karnofsky Performance Scale [KPS] of the patients, the patients' nutrition related knowledge and to some extent their dietary practice. Providing one-to-one nutritional counselling is an effective intervention that can improve the ESRF patients' nutrition related knowledge and practice as well as their compliance to the dietary guidelines for the dialysis patients, which in turn can improve their health status and daily performance

Aconselhamento em alimentação infantil: um estudo de intervenção / Infant and young child feeding counseling: an intervention study

OBJETIVO: Avaliar a efetividade do Curso Integrado de Aconselhamento em Alimentação Infantil na transformação de conhecimentos, atitudes e práticas de pediatras e nutricionistas da rede municipal de saúde de São Paulo. MÉTODOS: Estudo de intervenção randomizado com 29 profissionais no grupo intervenção e 27 no grupo controle. Entrevistadores previamente capacitados coletaram dados dos profissionais nas unidades de saúde antes da intervenção e 2 meses após. Utilizaram-se três instrumentos para avaliar o perfil do profissional, seus conhecimentos e um roteiro de observação clínica. Para análise, utilizaram-se o teste de Kruskal-Wallis para amostras independentes e o método de Tukey. RESULTADOS: Quanto ao conhecimento, observou-se melhora no grupo intervenção (p < 0,001) para o conjunto das questões e para amamentação (p = 0,004); HIV e alimentação infantil (p = 0,049); alimentação complementar (p = 0,012); e aconselhamento em alimentação infantil (p = 0,004). Quanto ao desempenho, verificou-se que, após a intervenção, houve melhora significativa no grupo intervenção em anamnese alimentar (p < 0,001). CONCLUSÕES: Este curso foi efetivo em propiciar aumento de conhecimento e melhora de desempenho na anamnese alimentar, mas o mesmo não se obteve para habilidades de aconselhamento.

OBJECTIVE: To evaluate the effectiveness of an integrated infant and young child feeding counseling course for transforming the knowledge, attitudes and practices of pediatricians and nutritionists working for the municipal health system of São Paulo, Brazil. METHODS: A randomized intervention study enrolling 29 professionals in the intervention group and 27 in the control group. Interviewers were trained in advance to collect data on the professionals working at health centers, before and 2 months after the intervention. Three research instruments were used, the first was to assess the profile of each professional, the second assessed their knowledge and the third was a clinical observation protocol. Analysis was performed using the Kruskal-Wallis test for independent samples and the Tukey method. RESULTS: The results for the knowledge questionnaire showed improvements in the intervention group (p < 0.001) for the whole questionnaire and for questions on breastfeeding (p = 0.004); HIV and infant and young child feeding (p = 0.049); complementary feeding (p = 0.012); and counseling in infant and young child feeding (p = 0.004). In terms of performance, it was observed that the intervention group had significantly improved their dietary anamnesis after the intervention (p < 0.001). CONCLUSIONS: This course effectively promoted an increase in knowledge and improvements in dietary anamnesis performance, but the same was not true of counseling skills.

Sexuality in subjects with intellectual disability: an educational intervention proposal for parents and counselors in developing countries: [review]

In developing countries, the study of intellectual disability has enormous knowledge gaps, especially in the areas of intervention, utilization of services and legislation. This article provides information not only for aiding in the potential development of sexuality in individuals with intellectual disability, but also for fostering their social integration. In Mexico and the region, in order to develop educational interventions for promoting sexual health, it is necessary to consider the following priorities: a) mental health professionals should have the knowledge or receive training for carrying out a sexual education and counseling program; b) educational interventions for subjects with intellectual disability should be adapted for the different stages of life (childhood, adolescence and adulthood); c) during childhood, educational intervention should emphasize the concept of public and private conducts; d) in adolescence, intervention should consider the actual mental age and not the chronological age of the subjects receiving intervention; e) the expression of sexuality in the adult with intellectual disability depends on the early incorporation of factors for promoting social inclusion; f) for educational interventions to be successful, it is fundamental that sexual educators and counselors, in addition to working with the clients, also work with their parents and other close family members; g) intervention programs should establish development objectives for developing in persons with intellectual disability a positive attitude towards sexuality and the improvement in self-esteem; h) in subjects with intellectual disability, their linguistic comprehension level should be taken into consideration and techniques for open discussion and non-inductive education should be used; i) social integration programs should address the needs of developing countries and their individuals, since it is not feasible to import external programs...

El estudio de la discapacidad intelectual presenta enormes lagunas de conocimiento en los países en desarrollo, sobre todo en las áreas de intervención, utilización de servicios y legislación. Este artículo proporciona información no sólo para contribuir al desarrollo potencial de la sexualidad en los individuos con discapacidad intelectual, sino también para impulsar su integración social. A fin de poder desarrollar intervenciones educativas para la promoción de la salud sexual en México y en la región, hay que considerar las siguientes prioridades: a) los profesionales de la salud mental deben tener los conocimientos o recibir capacitación a fin de poder llevar a cabo un programa de asesoramiento y educación sexual; b) las intervenciones educativas para los individuos con discapacidad intelectual deben estar adaptadas a las distintas etapas de la vida (infancia, adolescencia y edad adulta); c) durante la infancia, la intervención educativa debe enfatizar el concepto de conductas pública y privada; d) en la adolescencia, la intervención debe tomar en cuenta la edad mental real y no la edad cronológica de los individuos que reciben intervención; e) la expresión de la sexualidad en el adulto con discapacidad intelectual depende de la previa incorporación de factores promotores de inclusión social; f) para que las intervenciones educativas tengan éxito, es esencial que los educadores y asesores en lo sexual, además de trabajar con los clientes, trabajen también con sus padres y con otros miembros cercanos de la familia; g) los programas de intervención deben establecer objetivos de desarrollo para la creación de actitudes positivas hacia la sexualidad y una mejora en la autoestima de las personas con discapacidad intelectual; h) en los individuos con discapacidad intelectual se debe tomar en cuenta su nivel de comprensión lingüística y se deben utilizar técnicas para discusión abierta así como educación no inductiva; i)los programas de...

[ effectiveness of counseling programme using educational and artistic activities for developing self concept and positive behaviors for preschool blind child]

The study aimed at identifying the effectiveness of counseling programme using educational and artistic activities for developing self concept and positive activities for developing self concept and positive behaviours for pre schoolblind child. The sample was [24] blind child from the ideal centre for blinds age [4:6]. The researcher prepared three tools to the study [self concept scale-an observation checklist for positive behaviours -a programme using educational /artistic activities]. The study used The experimental method [one group]. Results showed that-there are statistically significant differences between the mean scores at the self-concept scale and the observation checklist before and after using the study programme in favor of the post test, results show also that the programme is effective

Ser clínico como educador: uma leitura fenomenológica existencial de algumas temáticas na prática de profissionais de saúde e educação / Clinical being as an educator: an esistential and phenomenological reading of the fouding thematic concerned with the health and education practices by the practicing professionals

Neste trabalho, configura-se uma pesquisa para a apresentação de uma leitura fenomenológica existencial da prática profissional em saúde e educação. Parte-se de um questionamento que, dirigindo-se à compreensão da dimensão de ser clínico, atravessou tanto a vida quanto a profissão do pesquisador. Tal empreitada requer que se atenha em temáticas básicas pertinentes a essa prática. Tendo o horizonte delineado pela ontologia fundamental de Martin Heidegger, contida em sua obra "Ser e Tempo", o desenvolvimento dos temas recorre a situações da própria prática, sobretudo, em referência ao Plantão Psicológico, uma modalidade de Aconselhamento Psicológico, por ser constituinte da experiência profissional do pesquisador em instituição de ensino em Psicologia. Na exploração desses temas, buscam-se subsídios à prática profissional especificada na antropologia filosófica proposta nessa obra. Para isso, recobram-se explicitações elucidativas dentro de cada capítulo e nos capítulos, que se constituem em ensaios. Inicialmente, apresenta-se a hermenêutica interpretativa, metodologia norteadora desse trabalho, pontuando seus pressupostos e questões peculiares cruciais. No ensaio seguinte, abordando-se a situação como manifestação da existência, discorre-se sobre questões relevantes, tais como poder-ser, facticidade, realidade, mundanidade, linguagem, interpretação. A seguir, explicitam-se as facetas da pluralidade e singularidade do eu, reportando-se à impropriedade, propriedade, solicitude, angústia, cuidado, sentido, finitude e consciência. Após, fala-se do eu como tempo e história, acontecendo em destinação. Num último ensaio, traz-se em cena a dimensão de ser clínico como educador, a qual se sustenta na determinação ontológica de ser-em do eu, expondo sua condição de ser afetado, compreender e falar; novamente, são retomados, entre outros, os assuntos da angústia, interpretação...

Aconselhamento aplicado ao assistir em amamentação: uma análise da proposta oficial / Counseling applied when attending in breast-feeding an analysis of the proposal official

A política pública em amamentação, no final da década de 90 passou a valorizar o aconselhamento Rogeriano como uma estratégia de treinamento de profissionais de saúde. Esta proposta tem como o objetivo desenvolver as habilidades de relacionamento interpessoal para a assistência em amamentação, visando minimizar as dificuldades enfrentadas pela mulher e pelos profissionais frente às demandas subjetivas e singulares que emergem dela. Tal iniciativa representa um inegável avanço à proposta oficial do Ministério da Saúde representando um importante avanço no campo de atenção à mulher em processo de amamentação, sobretudo por valorizar as suas demandas subjetivas, bem como pelo respeito à singularidade. O presente estudo teve como objetivo identificar e analisar as falhas na concepção do Curso de Aconselhamento que impedem a ação transformadora esperada deste ato educacional a partir da análise das concepções e os referenciais teóricos contemplados no curso.A análise documental desta pesquisa foi realizada a partir de documentos oficiais utilizados na implementação do Curso de Aconselhamento da proposta do MS, que são: o Guia do Coordenador, o Manual do Participante e o Guia do Treinador.Ao analisar as concepções e os referenciais teóricos comtemplados no Curso de Aconselhamento em Amamentação do Ministério da Saúde, tornou-se evidente que, apesar da proposta buscar uma nova abordagem, centrada no sujeito, o enfoque dado a amamentação termina por reduzir a ação do profissional como um ato de assistir, em função da excessiva valorização das questões técnicas.Como também a concepção pedagógica demonstra ser incompatível com a ação transformadora pretendida no modelo proposto.

Prevention and control of HIV/AIDS.

HIV/AIDS in children has emerged during third phase of HIV epidemic as a result of high level of infection in women of child bearing age. Now it is being detected at an alarming rate. Various methods of HIV/AIDS transmission, prevalence of HIV in multitransfused, modes of prevention and control of HIV infection in children, antenatal care of HIV positive women, infant feeding options, safe blood along with other intervention have been reviewed.

Guía nacional de consejería en ETS y VIH/SIDA / National guide on STD and HIV/AIDS counselling

Contiene: 1. Las enfermedades de transmisión sexual (ETS); 2. Virus de inmunodeficiencia humana y Síndrome de inmunodeficiencia adquirida (VIH/SIDA); 3. Consejería; 4. Consejería en ETS; 5. Consejería en VIH/SIDA; 6. Consejería en mujeres y niños; 7. Consejería en GEPETS

Counselling as a strategy in HIV/AIDS prevention and care : the report of a workshop; 23-25 June 1992

This report presents the major themes of the workshop; as they emerged from papers presented; and discussions which took place. The first section discusses the meaning of counselling; as well as the different types of counselling which exist. Section two looks at the place of counselling as a strategy in the overall national programmes against HIV/AIDS; and the settings in which it takes place. Section three deals with what emerged as a major component of the counselling strategy: training. The fourth section looks at some of the innovatory strategies of non-governmental organizations (NGOs) in counselling for HIV/AIDS. In section five; the constraints faced by those dealing with HIV/AIDS counselling are discussed; while section six deals with the controversial issue of confidentiality and its relationship to counselling

Counselling for prevention and care : a manual for HIV/AIDS counsellors

Counselling was established as one of the major components of the National AIDS Control Programme (NACP) in the Medium Term Plan (MTP) running from 1989 to 1993. The overall aim of counselling is to help initiate and maintain appropriate behaviour change in the general population and certain target groups. In the absence of a cure or vaccine for the Human Immunodeficiency Virus (HIV) which causes the Acquired Immune Deficiency Syndrome (AIDS); counselling has assumed great importance both as a prevention and a care strategy. Counselling enables individuals; their families and the community at large to deal and cope with AIDS-related problems effectively

Psychosocial shared care therapy for PWAs (Philly Lutaya Initiative Model)

Finding out one's own serostatus is a problem but it is a greater problem when one tests HIV+. The immediate feeling is loneliness; who to tell next? What will be the implication to my family? It becomes another sickness. In Uganda; a self help project focusing on shared care for PWA has been set up under the umbrella of Philly Lutaya Initiative (PLI). Description: PLI was set up four years ago with the following objectives:1. To give AIDS a human face. 2. Bring together PWAs to share experiences and support each other. 3. Build working capacity among PWAs. 4. Educate the community through life experienced. Many members of Philly Lutaya have pernalised the feeling of being HIV+ i.e. copping and acceptance of the problem. Being HIV+ has been used as an entry point to draw attention to educate the community; minimise stigma and descrimination. The sensitised communities have developed positive attitudes to PWAs and this gives positive people continously upheld the morale of PWAs. If funds can allow; more PWAs initiatives should be implemented in other districts of the country