title: Lay counsellor-based risk reduction intervention with HIV positive diagnosed patients at public HIV counselling and testing sites in Mpumalanga, South Africa.
abstract: OBJECTIVE
  To evaluate the feasibility, fidelity, and effect of a human immunodeficiency virus (HIV) risk reduction intervention delivered to HIV-infected patients by lay counsellors during routine HIV counselling and testing (HCT) public service in Mpumalanga, South Africa.
  
  
  METHODS
  A total of 488 HIV-infected patients, aged 18 years and older, receiving HCT service at clinics in Mpumalanga, received an "Options for Health" intervention delivered by clinic lay counsellors. Intervention lay counsellors implemented a brief risk reduction intervention at on average 2.3 sessions to help patients reduce their unprotected sexual behaviour. Questionnaires were administered at baseline and 4 months following the intervention to assess HIV risk behaviour in previous 3 months.
  
  
  RESULTS
  A significant increase in AIDS knowledge, behavioural intentions and risk reduction efficacy among participants at follow-up was found. Participants at 4-month follow-up reported a significant reduction of multiple partners, unprotected sex, alcohol or drug use in a sexual context, and transactional sex. In addition, sexual abstinence increased and alcohol use decreased, in the past 3 months.
  
  
  CONCLUSIONS
  A lay counsellor-delivered HIV prevention intervention targeting HIV-infected patients seems to be feasible to implement with fidelity in the South African HCT setting and promising at reducing risk behaviour.
authors.affiliation: Health Promotion Research Unit, Social Aspect of HIV/AIDS and Health, Human Sciences Research Council, Pretoria, South Africa. KPeltzer@hsrc.ac.za
authors.forename: Karl
authors.initials: K
authors.lastname: Peltzer
authors.forename: Cily
authors.initials: C
authors.lastname: Tabane
authors.forename: Gladys
authors.initials: G
authors.lastname: Matseke
authors.forename: Leickness
authors.initials: L
authors.lastname: Simbayi
mesh_terms: D000328:Adult; D003376:Counseling; D005240:Feasibility Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006679:HIV Seropositivity; D006801:Humans; D008297:Male; D010379:Peer Group; D040242:Risk Reduction Behavior; D012725:Sexual Behavior; D013019:South Africa; D011795:Surveys and Questionnaires; D055815:Young Adult