The feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: a case study.
This case study with one lay adherence counsellor assessed the implementation of Options for Health, a sexual risk-reduction intervention based on Motivational Interviewing (MI), in an antiretroviral clinic in Cape Town, South Africa. In most cases Options was not delivered with fidelity and less than one-third of intended recipients received it; the counsellor often forgot to do Options, was unsure how to deal with particular cases and felt that there was not always time to do Options. Options was not implemented in a way that was consistent with MI. Revisions to the implementation plan and training programme are required.
Dewing
Sarah
S
Health Systems Research Unit, Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town, 7505, South Africa. sarah.dewing@mrc.ac.za
Mathews
Catherine
C
Schaay
Nikki
N
Cloete
Allanise
A
Simbayi
Leickness
L
Chopra
Mickey
M
D000554:Ambulatory Care Facilities; D003376:Counseling; D005240:Feasibility Studies; D015658:HIV Infections / Q000188:drug therapy / Q000517:prevention & control*; D006801:Humans; D007407:Interviews as Topic; D009042:Motivation; D010349:Patient Compliance; D040242:Risk Reduction Behavior; D012725:Sexual Behavior; D013019:South Africa