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AIDS Behav. 2018 Oct;22(10):3345-3356. doi: 10.1007/s10461-018-2145-y.

Empowering Lay-Counsellors with Technology: Masivukeni, a Standardized Multimedia Counselling Support Tool to Deliver ART Counselling.

Author information

1
HIV Mental Health Research Unit, Department of Psychiatry and Mental Health, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa. hetta.gouse@uct.ac.za.
2
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University Medical Center, New York, USA.
3
Center for Teaching and Learning (CTL), Columbia University, New York City, USA.
4
Centre for Higher Education Development, University of Cape Town, Cape Town, South Africa.
5
Department of Health, People Development Centre, Western Cape Government, Cape Town, South Africa.
6
HIV Mental Health Research Unit, Department of Psychiatry and Mental Health, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.

Abstract

Lay-counsellors in resource-limited settings convey critical HIV- and ART-information, and face challenges including limited training and variable application of counselling. This study explored lay-counsellors and Department of Health (DoH) perspectives on the utility of a multimedia adherence counselling program. Masivukeni, an mHealth application that provides scaffolding for delivering standardized ART counselling was used in a 3-year randomized control trail at two primary health care clinics in Cape Town, South Africa. In this programmatic and descriptive narrative report, we describe the application; lay-counsellors' response to open-ended questions regarding their experience with using Masivukeni; and perspectives of the City of Cape Town and Western Cape Government DoH, obtained through ongoing engagements and feedback sessions. Counsellors reported Masivukeni empowered them to provide high quality counselling. DoH indicated strong support for a future implementation study assessing feasibility for larger scale roll-out. Masivukeni has potential as a counselling tool in resource-limited settings.

KEYWORDS:

Antiretroviral treatment adherence; HIV counselling and testing; HIV/AIDS; Lay-counsellors; Masivukeni; Sub-Saharan Africa

PMID:
29779161
DOI:
10.1007/s10461-018-2145-y
[Indexed for MEDLINE]

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