Description of Comprehensive PPTCT Counsellors Training The Backbone of PPTCT Services in India
Solomon, E.; Visnegarwala, F.; Philip, P.; Pappachen, J.S.; Alexander, G.
Journal of Health Management 14(3): 369-374
2012
ISSN/ISBN: 0972-0634 DOI: 10.1177/0972063412457522Document Number: 643610
Counselling prior to and after HIV testing is an important component of Prevention of Parent to Child Transmission (PPTCT) services. ASHA Foundation, a non-governmental organization (NGO), has been providing PPTCT services since 2002. This includes training of counsellors. The training workshop of 12-days duration comprises of an overview of HIV/AIDS counselling skills, pre- and post-test counselling in the context of PPTCT, supportive counselling for HIV-positive women and their families, universal precautions and recording and documentation. We present the data on paired pre- and post-workshop score results on knowledge of PPTCT among 85 trained counsellors using the National AIDS Control Organization (NACO) questionnaire. The mean pre-test score was 16.6 and post-test was 26.9 from a maximum of 39, with a mean percentage change of 26.5 per cent, for the questions focused on PPTCT, which was significantly different from the mean percentage change of 13.5 per cent in the non-PPTCT questions (p < 0.05). This showed that training improved their knowledge in PPTCT considerably. Studies to evaluate attitudes, skills and cost effectiveness of a holistic model of PPTCT training need to be undertaken, especially in the wake of the new PPTCT, World Health Organization (WHO) guidelines.