Positive Prevention: HIV Risk Reduction for People Living with HIV/AIDS

2009 ◽  
pp. 273-286
Author(s):  
Seth C. Kalichman ◽  
Leickness C. Simbayi
Keyword(s):  
Risk Reduction ◽  
Hiv Risk ◽  
People Living With Hiv ◽  
Hiv Risk Reduction ◽  
Positive Prevention ◽  
Living With Hiv ◽  
Hiv Aids

Counsellor-delivered HIV risk reduction intervention addresses safer sex barriers of people living with HIV in KwaZulu-Natal, South Africa

2011 ◽  
Vol 26 (12) ◽  
pp. 1623-1641 ◽  
Author(s):  
Deborah H. Cornman ◽  
Sarah Christie ◽  
Lindsay M. Shepherd ◽  
Susan MacDonald ◽  
K. Rivet Amico ◽  
...  
Keyword(s):  
South Africa ◽  
Risk Reduction ◽  
Hiv Risk ◽  
Safer Sex ◽  
People Living With Hiv ◽  
Hiv Risk Reduction ◽  
Kwazulu Natal ◽  
Risk Reduction Intervention ◽  
Living With Hiv

scholarly journals Challenges Faced by People Living with HIV/AIDS in Cape Town, South Africa: Issues for Group Risk Reduction Interventions

2010 ◽  
Vol 2010 ◽  
pp. 1-8 ◽  
Author(s):  
Allanise Cloete ◽  
Anna Strebel ◽  
Leickness Simbayi ◽  
Brian van Wyk ◽  
Nomvo Henda ◽  
...  
Keyword(s):  
South Africa ◽  
Risk Reduction ◽  
Cape Town ◽  
People Living With Hiv ◽  
Gender Based Violence ◽  
Fear Of Rejection ◽  
Gender Based ◽  
And Gender ◽  
Living With Hiv ◽  
Hiv Aids

This paper presents the findings of an exploratory study to investigate the challenges faced by people living with HIV/AIDS (PLWHA) in communities in Cape Town, South Africa. The primary goal of the study was to gather data to inform the adaptation of a group risk reduction intervention to the South African context. Qualitative methods were used to examine the experiences of PLWHA. Eight focus group discussions (FGDs) were conducted with 83 HIV-positive participants and 14 key informants (KIs) involved in work with PLWHA were interviewed. Findings revealed that AIDS-related stigma was still pervasive in local communities. This was associated with the difficulty of disclosure of their status for fear of rejection. Also notable was the role of risky behaviours such as lack of condom use and that PLWHA considered their HIV/AIDS status as secondary to daily life stressors like poverty, unemployment, and gender-based violence. These findings have implications for the adaptation or development of behavioural risk reduction interventions for PLWHA.

scholarly journals Computer-Based Counseling Program (CARE+ Kenya) to Promote Prevention and HIV Health for People Living With HIV/AIDS: A Randomized Controlled Trial

2019 ◽  
Vol 31 (5) ◽  
pp. 395-406
Author(s):  
Ann E. Kurth ◽  
John E. Sidle ◽  
Nok Chhun ◽  
John A. Lizcano ◽  
Stephen M. Macharia ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Risk Reduction ◽  
Controlled Trial ◽  
Hiv Treatment ◽  
Transmission Risk ◽  
People Living With Hiv ◽  
Randomized Controlled ◽  
Computer Based ◽  
Living With Hiv ◽  
Hiv Aids

In countries experiencing the dual burden of HIV disease and health care worker shortages, information and communication technology tools offer the potential to help support HIV treatment adherence and secondary HIV transmission risk reduction for people living with HIV/AIDS. We conducted a randomized controlled trial (September 1, 2011–July 12, 2012) with follow-up through April 2013. Participants were recruited from two clinics affiliated with the Academic Model Providing Access to Healthcare program in western Kenya. A total of 236 participants were enrolled, randomly assigned to intervention (n = 118) or risk-assessment only control (n = 118) and followed up for 9 months. Both arms had > 0.5 log10 reduction in viral load over time (p = .0007), a clinically relevant finding. A computer-based counseling tool is feasible and acceptable in a high-volume East African HIV setting and provides evidence-based ART adherence and risk reduction support that may extend health workforce deficits.

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