The feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: a case study

SOURCE: AIDS and Behavior
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2010
TITLE AUTHOR(S): S.Dewing, C.Mathews, N.Schaay, A.Cloete, L.Simbayi, M.Chopra
KEYWORDS: CAPE TOWN, HIV/AIDS, HIV/AIDS COUNSELLING, HIV/AIDS PREVENTION, RISK BEHAVIOUR, SEXUAL BEHAVIOUR
DEPARTMENT: HIV/AIDS, STIs and TB (HAST)
Print: HSRC Library: shelf number 6434

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Abstract

This case study with one lay adherence counsellor assessed the implementation of Options for Health, a sexual risk-reduction intervention based on Motivational Interviewing (MI), in an antiretroviral clinic in Cape Town, South Africa. In most cases Options was not delivered with fidelity and less than one-third of intended recipients received it; the counsellor often forgot to do Options, was unsure how to deal with particular cases and felt that there was not always time to do Options. Options was not implemented in a way that was consistent with MI. Revisions to the implementation plan and training programme are required.