versão On-line ISSN 2223-6279
versão impressa ISSN 0379-8577
Curationis vol.35 no.1 Pretoria Jan. 2012
Catherine H. Thurling; Candice Harris
Department of Nursing, University of the Witwatersrand, South Africa
South Africa's high prevalence of human immunodeficiency virus (HIV) infected women requires a comprehensive health care approach to pregnancy because of the added risk of their HIV status. As a result of the shortage of health care workers in South Africa, lay counsellors play important roles in the prevention of mother to child transmission of HIV (PMTCT).
There is no standardization of training of lay counsellors in South Africa, and training varies in length depending on the training organisation.
The study aimed to investigate the training of lay counsellors by analysing their training curricula and interviewing lay counsellors about their perceptions of their training.
A two phase research method was applied. Phase one documented an analysis of the training curricula. Phase two was semi-structured interviews with the participants. Purposive sampling was undertaken for this study. The total sample size was 13 people, with a final sample of 9 participants, determined at the point of data saturation.
The research was qualitative, descriptive and contextual in design. The curricula analysed had different styles of delivery, and the approaches to learning and courses varied, resulting in inconsistent training outcomes. A need for supervision and mentorship in the working environment was also noted.
The training of lay counsellors needs to be adapted to meet the extended roles that they are playing in PMTCT. The standardization of training programmes, and the incorporation of a system of mentorship in the work environment, would ensure that the lay counsellors are adequately prepared for their role in PMTCT.
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Bailey, C., 2007, A Guide to Qualitative Field Research, 2nd edn., Pine Forge Press, California. [ Links ]
Beard, C., Wilson, J., 2007, Experiential learning: A best practice handbook for educators and trainers. 2nd edn., Logan page Limited, United Kingdom. [ Links ]
Bhattacharyya, K., le Ban K. & Winch, P., Tien M., 2001, 'Community health workers. Incentives and Disincentives. How they affect Motivation, Retention and Sustainability', Basics II, viewed October 2010, from http://www.aed.org/Publications/upload/CommunityHealthWorkers.pdf. [ Links ]
Campbell, C., Gibbs, A., Maimane S., Nair Y., 2008, 'Hearing community voices: grassroots perceptions of an intervention to support health volunteers in South Africa', Journal of Social Aspects of HIV/AIDS 5(4). 162 -177 [ Links ]
Campbell, C., & Scott K., 2009, Retreat from Alma Ata? The WHO's report on Task Shifting to community health workers for AIDS care in poor countries, Global Public Health, Routledge. [ Links ]
Daniels, K., Nor, B., Jackson D., Ekström E. & Doherty, T., 2010, Supervision of community peer counsellors for infant feeding in South Africa: an exploratory qualitative study. Human resources for Health, viewed 29 October 2010, from http://www.human-resources-health.com/content/8/1/6. [ Links ]
Henning, E., 2004, Finding your way in qualitative research, Van Schaik Publishers, Pretoria. [ Links ]
IRIN PlusNews, 2009, Kenya: Can lay counsellors fill the health gap? viewed 16 August 2009, from http://www.plusnews.org/Report.aspx?ReportId=85692. [ Links ]
Lehman, U. & Sanders, D. 2007, Community health workers: what do we know about them? The state of the evidence on programmes, activities, costs and the impact on health outcomes of using community health workers. Geneva department of Human Resources for Development. [ Links ]
Lincoln, Y. & Guba E., 1985, Naturalistic Inquiry, Sage Publications, California. [ Links ]
Marshall, C. & Rossman, G., 1995 Designing Qualitative research. 2nd edn., Sage publications, California. [ Links ]
Mellish, J.M., Brink, H. & Paton, F., 1997, Teaching and learning, the practice of nursing, Heinemann, Johannesburg. [ Links ]
Meyer, S. & Van Niekerk, S., 2008, Nurse Educator in Practice, Juta, Cape Town. [ Links ]
Morris, M.B., Tambatamba Chapula, B., Chi, B., Mwango, A., Chi H., Mwanza J., 2009, Use of task shifting to rapidly scale-up HIV treatment services: experiences form Lusaka, Zambia, Biomed Central Health Services Research, viewed 28 September 2009, from http://www.biomedcentral.com/content/pdf/1472-6963-9-5.pdf. [ Links ]
Mothers2Mothers, 2006, Annual report, viewed 30 August 2010, from http://www.aidstar-one.com/sites/default/files/g3p_documents/78/M2M-2005_2006_Annual_Report.pdf. [ Links ]
Nieswiadomy, R.M., 2008, Foundation of nursing research, 5th edn., Pearson, Prentice Hall, New Jersey. [ Links ]
Schneider, H., Hlope, H. & Van Rensburg, D., 2008, Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects. Health policy and Planning Access, published April 3, 2008. [ Links ]
Shenton, K., 2004, 'Strategies for ensuring trustworthiness in Qualitative research', Education for Information 22(2004) 63-75, viewed 20 October 2010, from http://www.angelfiYe.com/theforce/shu_cohort_viii/images/Trustworthypaper.pdf. [ Links ]
Van Dyk, A., 2008, HIV/AIDS Care and Counseling A multidisciplinary approach, 4th edn., Pearson Education, South Africa. [ Links ]
USAID, 2009, Aids Epidemic Update/Sub Saharan Africa, viewed 25 October 2010, from http://data.unaids.org/pub/Report/2009/JC1700_Epi_Update_2009_en.pd. [ Links ]
WHO, 2007, Taking Stock: Task shifting to tackle health worker shortages. Health Systems and Services, WHO Press Geneva, viewed October 2010 http://www.who.int/healthsystems/task_shifting_booklet.pdf. [ Links ]
WHO, 2008, Task Shifting: rational redistribution of tasks among health workforce teams: global recommendations and guidelines. WHO Press Geneva, viewed, October 2010 http://www.who.int/healthsystems/TTR-TaskShifting.pdf [ Links ]
7 York Road, Parktown 2193, South Africa
Received: 26 Sep. 2011
Accepted: 12 Mar. 2012
Published: 5 June 2012