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Journal of HIV/AIDS & Social Services Volume 12, 2013 - Issue 3-4: HIV/AIDS in Adolescents and Emerging Adults: Domestic and International Perspectives on Intervention Development, Treatment, and Prevention
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Articles

Barriers to Provider-Delivered Sexual Behavior Counseling for Youth Living With HIV/AIDS in the Democratic Republic of the Congo

Lisa Parker Futures Group, Chapel Hill, North Carolina, USACorrespondence[email protected]
,
Suzanne Maman Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
,
Audrey Pettifor Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
,
Jean Lambert Chalachala Kinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo
,
Andrew Edmonds Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
,
Carol Elaine Golin Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA; Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA
,
Kathryn Moracco Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
&
Frieda Behets Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
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Pages 294-313 | Published online: 05 Sep 2013
 
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Abstract

In this study, the authors aimed to understand providers' role in delivering HIV transmission prevention counseling to youth living with HIV (YLWH). Fourteen in-depth interviews were conducted with providers in Kinshasa, DRC. Providers' lack of knowledge and comfort in talking to youth about sex because of cultural and religious beliefs about sexuality, coupled with confusion about legal issues related to youth and contraception, made it difficult for them to effectively counsel youth. For providers to deliver effective prevention counseling to YLWH, clinics should follow adolescent-friendly clinic standards, provide counseling in an adolescent-friendly style, and institute an effective referral system for additional prevention services. HIV prevention services can be improved through the creation of an adolescent-friendly environment and by providing “values clarification” and skill-based trainings so that providers are able to assess the role of their own beliefs and learn new skills.

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