Table 1.
Content of counseling provided in the South Africa HIV/AIDS Antenatal Post-test Support Study (SAHAPS) as compared to standard WHO/CDC HIV Counseling and Testing
| SAHAPS (counseling provided by nurse-midwives) | WHO/CDC HIV Counseling & Testing (counseling provided by lay counselors) |
|---|---|
| Video prior to meeting with counselor to prepare women for decisions that they will have to make | NA |
| Pre-test counseling session | Pre-test counseling session |
| Information on PMTCT | Information on PMTCT |
| Prepare women for test | Prepare women for test |
| Risk assessment | NA |
| Discuss implications of results | NA |
| Post-test counseling session | Post-Test counseling session |
| Delivery of results | Delivery of results |
| Identify sources of support | Identify sources of support |
| Sexual risk reduction | Sexual risk reduction |
| Referral for partner testing | Referral for partner testing |
| For HIV positive women | For HIV positive women |
| Information on PMTCT (Infant feeding and ARV) | Information on PMTCT |
| Discuss disclosure plans | Discuss disclosure plans |
| Structured discussion tool assessing violence | NA |
| Disclosure role plays | NA |
| Mediated disclosure option offered | NA |
| 1st Postpartum counseling session (6 weeks pp) | NA |
| Revisit risk reduction decisions/experiences | |
| Introduction/referral to legal services | |
| For HIV positive women | |
| Infant feeding counseling | |
| Revisit disclosure decisions/experiences | |
| 2nd Postpartum counseling session (10 weeks pp) | NA |
| Revisit risk reduction decisions/experiences | |
| Family planning counseling | |
| For HIV positive women | |
| Revisit infant feeding decisions/experiences | |
| Revisit disclosure decisions/experiences | |
| Access to ongoing support groups in the clinic | NA |
| Access to onsite legal services | NA |