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 Related Articles
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Objective: To explore behaviour change, baseline risk behaviour, perception of risk, HIV disclosure and life events in health centre-based voluntary counselling and testing (VCT) clients.
Design and setting: Single-arm prospective cohort with before–after design at three (one urban and two rural) government health centres in Kenya; study duration 2 years, 1999–2001.
Subjects: Consecutive eligible adult clients.
Main outcome measures: Numbers of sexual partners, partner type, condom use, reported symptoms of sexually transmitted infection, HIV disclosure and life events.
Results: High rates of enrolment and follow-up provided a demographically representative sample of 401 clients with mean time to follow-up of 7.5 months. Baseline indicators showed that clients were at higher risk than the general population, but reported a poor perception of risk. Clients with multiple partners showed a significant reduction of sexual partners at follow-up (16% to 6%; p<0.001), and numbers reporting symptoms of sexually transmitted infection decreased significantly also (from 40% to 15%; p<0.001). Condom use improved from a low baseline. Low rates of disclosure (55%) were reported by HIV-positive clients. Overall, no changes in rates of life events were seen.
Conclusion: This study suggests that significant prevention gains can be recorded in clients receiving health centre-based VCT services in Africa. Prevention issues should be considered when refining counselling and testing policies for expanding treatment programmes. |
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Objectives: To explore the feasibility and acceptability of translating a successful voluntary counselling and testing (VCT) service model from Kenya to African communities in London.
Methods: Qualitative study with focus group discussions and a structured workshop with key informants. Five focus group discussions were conducted in London with 42 participants from 14 African countries between August 2006 and January 2007. A workshop was held with 28 key informants. Transcripts from the group discussions and workshop were analysed for recurrent themes.
Results: Participants indicated that a community-based HIV VCT service would be acceptable to African communities in London, but also identified barriers to uptake: HIV-related stigma, concerns about confidentiality, and doubts about the ability of community-based services to maintain professional standards of care. Workshop participants highlighted three key requirements to ensure feasibility: (a) efficient referrals to sexual health services for the newly diagnosed; (b) a locally appropriate testing algorithm and quality assurance scheme; (c) a training programme for VCT counsellors.
Conclusions: Offering community-based VCT with rapid HIV tests appears feasible within a UK context and acceptable to African communities in London, provided that clients’ confidentiality is ensured and appropriate support is given to the newly diagnosed. However, the persistence of concerns related to HIV-related stigma among African communities suggests that routine opt-out testing in healthcare settings may also constitute an effective approach to reducing the proportion of late diagnoses in this group. HIV service models and programmes from Africa constitute a valuable knowledge base for innovative interventions in other settings, including developed countries. |
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More than 60 per cent of adults with a high genetic risk of cancer are declining offers for potentially lifesaving testing and counselling, according to new research presented in Adelaide today. |
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MANGALORE: Five hundred aspiring Haj pilgrims from Dakshina Kannada and Udupi districts will be counselled by religious leaders at the Town Hall here on November 12. |
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Many people find psychotherapy to be helpful to them at some point in their lives. Psychotherapy offers a safe and judgement free environment where you can talk express your emotions and explore your thoughts with a skilled professional. Your Therapist will provide the understanding and informed perspective that you need to help you understand your situation and feel happier about yourself and your life. At Gyanchand Hunt Shanta Gyanchand and Machel Hunt can offer you confidential and professional Therapy and Counselling for a range of issues. We offer Psychosexual and Relationship therapy to straight bisexual and gay couples as well as individuals. At Gyanchand Hunt we will do all we can to ensure that you obtain the most suitable form of therapy for you and your situation using a multidisciplinary approach and drawing from a wealth of knowledge in the field of Psychotherapy. At Gyanchand Hunt you can find the safety trust and space to discover you and your relationships full potential. Many people find psychotherapy to be helpful to them at some point in their lives. Psychotherapy offers a safe and judgement free environment where you can talk express your emotions and explore your thoughts with a skilled professional. Your Therapist will provide the understanding and informed perspective that you need to help you understand your situation and feel happier about yourself and your life. At Gyanchand Hunt Shanta Gyanchand and Machel Hunt can offer you confidential and professional Therapy and Counselling for a range of issues. We offer Psychosexual and Relationship therapy to straight bisexual and gay couples as well as individuals. At Gyanchand Hunt we will do all we can to ensure that you obtain the most suitable form of therapy for you and your situation using a multidisciplinary approach and drawing from a wealth of knowledge in the field of Psychotherapy. At Gyanchand Hunt you can find the safety trust and space to discover you and your relationships full potential. Psychosexual and Relationship Therapist (Central London) w.gyanchand.org Shanta Gyanchand is a Psychosexual and Relationship Therapist offering professional confidential and sympathetic counselling for a range of emotional interpersonal and sexual issues. Using a multi-disciplinary approach and with a practical understanding of diverse cultural backgrounds she is offering consultations to couples and individuals. She offers therapy for many different issues that arise regarding sexuality relationships and personal matters including Erectile difficulties Premature ejaculation Orgasm problems Relationship marital difficulties Communication problems Pain during before intercourse Compulsive sexual behaviour Low libido Body image difficulties Sexuality issues Fetish and lifestyle issues Gender issues Disability issues Victim support Child Abuse recovery (for adult survivors) As well as a variety of related subjects. Please consult the webpage for contact details such as phone number etc w.gyanchand.org Consultations Initial consultation £25 £50 per one hour session (individuals and couples) thereafter |
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The star flanker took to the rugby field with a selection of new teammates yesterday - the South Auckland Kiwis, from Mt Richmond Road special school. |
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Many people find psychotherapy to be helpful to them at some point in their lives. Psychotherapy offers a safe and judgement free environment where you can talk express your emotions and explore your thoughts with a skilled professional. Your Therapist will provide the understanding and informed perspective that you need to help you understand your situation and feel happier about yourself and your life. At Gyanchand Hunt Shanta Gyanchand and Machel Hunt can offer you confidential and professional Therapy and Counselling for a range of issues. We offer Psychosexual and Relationship therapy to straight bisexual and gay couples as well as individuals. At Gyanchand Hunt we will do all we can to ensure that you obtain the most suitable form of therapy for you and your situation using a multidisciplinary approach and drawing from a wealth of knowledge in the field of Psychotherapy. At Gyanchand Hunt you can find the safety trust and space to discover you and your relationships full potential. Psychosexual and Relationship Therapist (Central London) w.gyanchand.org Shanta Gyanchand is a Psychosexual and Relationship Therapist offering professional confidential and sympathetic counselling for a range of emotional interpersonal and sexual issues. Using a multi-disciplinary approach and with a practical understanding of diverse cultural backgrounds she is offering consultations to couples and individuals. She offers therapy for many different issues that arise regarding sexuality relationships and personal matters including Erectile difficulties Premature ejaculation Orgasm problems Relationship marital difficulties Communication problems Pain during before intercourse Compulsive sexual behaviour Low libido Body image difficulties Sexuality issues Fetish and lifestyle issues Gender issues Disability issues Victim support Child Abuse recovery (for adult survivors) As well as a variety of related subjects. Please consult the webpage for contact details such as phone number etc w.gyanchand.org Consultations Initial consultation £25 £50 per one hour session (individuals and couples) thereafter |
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"I wish to express my deep concern at the events in Portlaoise involving the mis-diagnosis of a number of women who had been tested for the presence of cancer." "These events are very traumatic for the women involved and for their families and I wish to express my sincere sympathy for the considerable distress and hurt caused." "The HSE will carry out the essential task of providing the women with all necessary treatment, services and counselling as a matter of urgency. [click link for full article] |
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CKS (formerly PRODIGY) have a guideline on pre-conceptual counselling [1], this reports:"Test women planning pregnancy for immunity to varicella if they do not have a definite history of chickenpox or shingles, and vaccinate if the test is negative and they are eligible for the vaccine. Women are eligible for varicella vaccine include healthcare workers who may come into direct contact with infected patients and healthy, susceptible close contacts of immunocompromised patients. (Source: NLH Question Answering Service) |
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Q: I've endured a seven-year relationship with my spouse, who has a very nasty, short temper, loves to argue, and won't go to counselling. |
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