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M9490714.TXT
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1994-09-24
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Document 0714
DOCN M9490714
TI Perceptions of the appropriate HIV/AIDS counsellor in Arusha and
Kilimanjaro regions of Tanzania: implications for hospital counselling.
DT 9411
AU Lie GT; Biswalo PM; Research Center for Health Promotion/Center for
International; Health, University of Bergen, Norway.
SO AIDS Care. 1994;6(2):139-51. Unique Identifier : AIDSLINE MED/94339205
AB The objective of the study is to identify key characteristics of an
HIV/AIDS counsellor who would prove to be culturally acceptable for the
particular problems associated with HIV/AIDS in Arusha and Kilimanjaro,
Tanzania. HIV/AIDS counselling in the hospitals is recommended by the
Tanzanian Ministry of Health and by WHO. There was a need to check
whether theories of counselling, developed in Western societies, would
be valid in an African context. Few research reports exist on
counselling in Africa. No previous studies have been conducted to
identify locally important characteristics relevant for the Tanzanian
HIV/AIDS hospital counsellor. A qualitative research approach is used.
Methods of data collection are interviews and focus groups. A
phenomenological and hermeneutical mode of analysing the data is
utilized. In spite of differences in the cultural context, the data fit
Western theories on client-centred counselling. Informants were more
concerned with the social consequences of the disease than with the
technical facts of AIDS. Stigma and fear of rejection are seen as major
problems of HIV/AIDS. The findings indicate that confidentiality is
central and that hospital counsellors must balance the fact-giving
approach with a person-centred approach, exploring the client's problem
conception and identifying who in the client's network can give the
further necessary psycho-social support.
DE Acquired Immunodeficiency Syndrome/*PSYCHOLOGY/THERAPY Adaptation,
Psychological Adolescence Adult AIDS Serodiagnosis/PSYCHOLOGY
Comparative Study *Counseling *Cross-Cultural Comparison *Developing
Countries Female Human HIV
Infections/*PSYCHOLOGY/THERAPY/TRANSMISSION Knowledge, Attitudes,
Practice Male Middle Age Nondirective Therapy *Patient Care Team
*Professional-Patient Relations Support, Non-U.S. Gov't Tanzania
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).