HIV testing ( VCT or HCT)

The Voluntary Counseling Testing (VCT)(also known as HCT HIV counselling and testing) project started in October 2008 with three counselors, two who were previously Home Based Care Givers, and one who previously volunteered with the orphan programme, having recently completed a BA (General) degree, majoring in Psychology and Sociology.

The team travels around the district in a mobile unit, targeting the wider community, with special emphasis on the youth. In consultation with traditional leaders, sites and dates are identified for community campaigns, which are then advertised with notices beforehand. VCT services are also provided to the youth in schools. Access to schools has been arranged with principals and the local inspectorate. IOC is in the process of signing an Memorandum of Understanding with the district Department of Education.

In order to create a male-friendly environment, we opted to have two male counselors. Counselors have received Advanced training in HIV/AIDS counseling .They therefore understand legalities and issues of HIV Testing, including the human dignity and autonomy that goes with the consent and confidentiality. The counselors are accompanied by a drama group consisting of three people. This group performs a role-play around issues related to HIV, testing, gender issues, and dealing with being HIV positive. The VCT team uses Mondays for debriefing following the week before and preparing for the week ahead.

The programme plans to provide VCT services to 5,000 clients in 2009. On testing days there is a high demand for testing. The team returns to testing sites a week after the initial testing and counseling services have been provided, and provides follow-up counseling to clients. This works particularly well in schools where all clients are provided with this service, irrespective or testing results. During these follow-up sessions we conduct a sexual risk behaviour audit, in order determine how clients manage their sexual behaviour and provide support. Counselors also provide information on treatment options. In cases where clients have problems dealing with anger, hopelessness, denial and blame, we refer them to our social worker or to the local public hospital.