title: Barriers to Provider-Delivered Sexual Behavior Counseling for Youth Living with HIV/AIDS in the Democratic Republic of the Congo.
abstract: OBJECTIVE
  The study aimed to understand providers' role in delivering HIV transmission prevention counseling to youth living with HIV (YLWH).
  
  
  METHODS
  We conducted 14 in-depth interviews with providers in Kinshasa, DRC.
  
  
  RESULTS
  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.
  In order 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Futures Group, Chapel Hill, U.S.
authors.forename: L
authors.initials: L
authors.lastname: Parker
authors.affiliation: Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, U.S.
authors.forename: S
authors.initials: S
authors.lastname: Maman
authors.affiliation: Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, U.S.
authors.forename: A
authors.initials: A
authors.lastname: Pettifor
authors.affiliation: Kinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo.
authors.forename: J L
authors.initials: JL
authors.lastname: Chalachala
authors.affiliation: Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, U.S.
authors.forename: A
authors.initials: A
authors.lastname: Edmonds
authors.affiliation: Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, U.S. ; Department of Medicine, University of North Carolina School of Medicine.
authors.forename: C E
authors.initials: CE
authors.lastname: Golin
authors.affiliation: Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, U.S.
authors.forename: K
authors.initials: K
authors.lastname: Moracco
authors.affiliation: Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, U.S.
authors.forename: F
authors.initials: F
authors.lastname: Behets
keywords: Low-resource Settings; Positive Prevention; Provider-delivered Counseling; Youth Living with HIV/AIDS