Assessment of the Quality of Pre and Post HIV Counseling and Testing and improvement of VCT Services, the case study of Moshi Municipality

Moshi, Ambuya G. (2017) Assessment of the Quality of Pre and Post HIV Counseling and Testing and improvement of VCT Services, the case study of Moshi Municipality. Masters thesis, The Open University of Tanzania.

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Abstract

The study focused on assessing the quality of provision of pre and post HIV counseling to improve the VCT services among the selected health facility in Moshi Municipality. The consideration of this area of the study was coherently driven up by some facts existing in VCTs. Specifically the objectives of study were to identify the VCT provider‟s level of knowledge on pre and post HIV/AIDS counseling, to assess the VCT sites level of acceptability and responsiveness to the clients, and to evaluate the quality of VCT services in relation to health facility and infrastructure available in Moshi Municipal. The study presented various literature focused on assessing the quality of VCT services in pre and post HIV counseling sites. In addition, the study looked at the theoretical and conceptual frameworks which together stipulate the validity and explicit of empirical literature in relation to the current study. Personality theory was considered more appropriate in this study. The study used interview and observation checklist to collect data from the field. The findings indicated that only 30% of the VCT sites had VCT policy along with the National Guideline for VCT. While, 70% of the VCT sites in Moshi Municipal have neither a policy nor guideline that facilitates VCT services, however, these sites had less than two members of staff except 30% of the VCT sites had more than two members of staff. The following recommendations if put in place will contribute to the improvement of VCT quality services in Moshi Municipal. The recommendations include training for all VCT service providers on counseling and testing, ensuring availability of national guidelines for voluntary counseling and testing along with policies and IEC to all VCTs, ensuring availability of testing kits and enough supplies.

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