Barriers to Provider-Delivered Sexual Behavior Counseling for Youth Living With HIV/AIDS in the Democratic Republic of the Congo

Barriers to Provider-Delivered Sexual Behavior Counseling for Youth Living With HIV/AIDS in the Democratic Republic of the Congo

In this study, the authors aimed to understand providers' role in delivering HIV transmission prevention counseling to youth living with HIV (YLWH). Fourteen in-depth interviews were conducted with providers in Kinshasa, DRC. Providers' lack of knowledge and comfort in talking to youth abo...

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Bibliographic Details
Published in:Journal of HIV/AIDS & social services Vol. 12; no. 3-4; pp. 294 - 313
Main Authors: Parker, Lisa, Maman, Suzanne, Pettifor, Audrey, Chalachala, Jean Lambert, Edmonds, Andrew, Golin, Carol Elaine, Moracco, Kathryn, Behets, Frieda
Format: Journal Article
Language:English
Published: United States Taylor & Francis Group 01-01-2013
Subjects:
Acquired Immune Deficiency Syndrome
Birth Control
Counseling
Human immunodeficiency virus
Knowledge
low-resource settings
positive prevention
Prevention
provider-delivered counseling
Religious Beliefs
Sexuality
Values
Youth
youth living with HIV/AIDS
Low-resource Settings
Provider-delivered Counseling
Youth Living with HIV/AIDS
Positive Prevention
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Summary:In this study, the authors aimed to understand providers' role in delivering HIV transmission prevention counseling to youth living with HIV (YLWH). Fourteen in-depth interviews were conducted with providers in Kinshasa, DRC. Providers' lack of knowledge and comfort in talking to youth about sex because of cultural and religious beliefs about sexuality, coupled with confusion about legal issues related to youth and contraception, made it difficult for them to effectively counsel youth. For providers to deliver effective prevention counseling to YLWH, clinics should follow adolescent-friendly clinic standards, provide counseling in an adolescent-friendly style, and institute an effective referral system for additional prevention services. HIV prevention services can be improved through the creation of an adolescent-friendly environment and by providing "values clarification" and skill-based trainings so that providers are able to assess the role of their own beliefs and learn new skills.
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ISSN:1538-1501
1538-151X
DOI:10.1080/15381501.2012.748585