title: The emergence and evolution of HIV counselling in Zambia: a 25-year history.
abstract: HIV-related counselling practices have evolved since emerging in Zambia in 1987. Whereas, initially, the goal of HIV counselling was to provide psychological support to the dying and their families, as knowledge about HIV grew, counselling objectives expanded to include behavioural change, encouraging safer sexual practices, encouraging disclosure, convincing people to test, treatment adherence and shaping HIV-positive people's sexual and reproductive choices. This paper highlights a number of key shifts in counselling practices in Zambia over the last 25 years, demonstrating the relationship between those shifts, changes in medical technology, (inter)national political will and the epidemiological maturity of the disease.
authors.affiliation: a Amsterdam Institute for Social Science Research, University of Amsterdam , Amsterdam , Netherlands.
authors.forename: Joseph
authors.initials: J
authors.lastname: Simbaya
authors.forename: Eileen
authors.initials: E
authors.lastname: Moyer
mesh_terms: D003376:Counseling / Q000266:history*; D015658:HIV Infections / Q000266:history / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D036301:Qualitative Research; D015024:Zambia