Shortcomings of adherence counselling provided to caregivers of children receiving antiretroviral therapy in rural South Africa

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dc.contributor.authorCoetzee, Bronwyneen_ZA
dc.contributor.authorKagee, Ashrafen_ZA
dc.contributor.authorBland, Ruthen_ZA
dc.date.accessioned2016-09-12T09:24:07Z
dc.date.available2016-09-12T09:24:07Z
dc.date.issued2016-07
dc.descriptionCITATION: Coetzee, B., Kagee, A. & Bland, R. 2016. Shortcomings of adherence counselling provided to caregivers of children receiving antiretroviral therapy in rural South Africa. AIDS Care, 28:sup2:60-65, doi:10.1080/09540121.2016.1176675.
dc.descriptionThe original publication is available at http://www.tandfonline.com
dc.description.abstractIn order to achieve optimal benefits of antiretroviral therapy (ART), caregivers of children receiving ART are required to attend routine clinic visits monthly and administer medication to the child as prescribed. Yet, the level of adherence to these behaviours varies considerably in many settings. As a way to achieve optimal adherence in rural KwaZulu-Natal, caregivers are required to attend routine counselling sessions at HIV treatment clinics that are centred on imparting information, motivation, and behavioural skills related to medication administration. According to the information-motivation-behavioural skills model, information related to adherence, motivation, and behavioural skills are necessary and fundamental determinants of adherence to ART. The purpose of the study was to observe and document the content of adherence counselling sessions that caregivers attending rural clinics in KwaZulu Natal receive. We observed 25 adherence counselling sessions, which lasted on average 8.1 minutes. Counselling typically consisted of counsellors recording patient attendance, reporting CD4 count and viral load results to caregivers, emphasising dose times, and asking caregivers to name their medications and dosage amounts. Patients were seldom asked to demonstrate how they measure the medication. They were also not probed for problems regarding treatment, even when an unsuppressed VL was reported to a caregiver. This paper calls attention to the sub-optimal level of counselling provided to patients on ART and the urgent need to standardise and improve the training, support, and debriefing provided to counsellors.en_ZA
dc.description.versionPublisher's versionen_ZA
dc.format.extent7 pagesen_ZA
dc.identifier.citationCoetzee, B., Kagee, A. & Bland, R. 2016. Shortcomings of adherence counselling provided to caregivers of children receiving antiretroviral therapy in rural South Africa. AIDS Care, 28:sup2:60-65, doi:10.1080/09540121.2016.1176675.
dc.identifier.otherdoi:10.1080/09540121.2016.1176675
dc.identifier.urihttp://hdl.handle.net/10019.1/99648
dc.language.isoen_ZAen_ZA
dc.publisherTaylor & Francis Online
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectAntiretroviral agents -- Therapyen_ZA
dc.subjectHIV-positive children -- Treatmenten_ZA
dc.subjectHIV-positive children -- Counselling ofen_ZA
dc.titleShortcomings of adherence counselling provided to caregivers of children receiving antiretroviral therapy in rural South Africaen_ZA
dc.typeArticleen_ZA
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