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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
close this folderCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
View the document9.1 Introduction
View the document9.2 Providing HIV related counselling
View the document9.3 The counsellor’s role
View the document9.4 Pre-test counselling
View the document9.5 Post-test counselling
Open this folder and view contents9.6 Adherence Counselling
View the document9.7 Adherence Monitoring - Role of the Care and Treatment Team
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

9.3 The counsellor’s role

The counsellor has a number of functions to perform, including:

Determining what the client already knows about HIV/AIDS.

Developing an individualized risk assessment and risk reduction plan by taking proper history on the individual’s behaviour, and work with them to understand associated risks.

Facilitating the counselling process so that clients define how their life styles are linked to risk behaviours, and the potentials for changing. The counsellor should also work with the individual or group to work out a plan towards the intended modified behaviour. This process requires support of partner, family, colleagues and community and the counsellor must explore ways of involving them without putting the client at risk of stigma and discrimination.

Determining the feelings and concerns of the client. Those who know that they are infected may fear discrimination and isolation, loss of job or housing, interruption of education and financial problems. They may have concerns about their future and that of their families, physical course of the disease and hospitalisation. They may even have feelings of loss and bereavement.

Identifying the person’s strengths and resources and capitalize on them in encouraging them to continue to live productive lives as much as they are able to.

Referring the person for services that the counsellor or the health facility is unable to provide, such as financial, legal, education and other material support.

Promoting disclosure to identify a treatment assistant, prepare clients for ART and assist in treatment adherence (see section 0)

Promoting the formation of client support groups

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