Voluntary Counseling Test ( VCT )

 Voluntary Counseling Test ( VCT )

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Decision after being given information

Definition of Voluntary Counseling Test ( VCT ) :The process of pre- testing counseling , post- testing counseling , voluntary HIV testing and confidential nature and even earlier to help people know their HIV status . Pre- testing counseling provides knowledge about HIV and the benefits of testing , testing for decision making , and planning on HIV issues to be faced . Post- testing counseling helps a person to understand and accept the status ( HIV + ) and refers to support services .
Voluntary Counseling Test ( VCT ) : the entrance is important for the prevention and treatment of HIV
Counseling HIV / AIDS " maintained dialogue between counselor and client confidentiality " .

    Counseling helps people know their status early , emphasizing the aspects of behavioral changes , increased capacity to deal with stress , problem-solving skills .
    HIV counseling also emphasizes on HIV -related issues such as how to live with HIV , HIV Prevention into pairs , and the issues of sustainable HIV .
Counseling is not :

    Notify or direct
    advise
    make gossip
    implement interrogation
    Making recognition
    pray
Important elements in the VCT

    available time
    Acceptance of the client and the client berorintasi
    The Easy Reach ( Accessibility )
    Confidentiality ( comfort )
Who called HIV counselor ?

    Full-time counselor with a background of psychology and psychological scientists ( psychiatrists , family therapists , applied psychology ) who have training VCT with WHO standards .
    Professionals from among nurses , social workers , and doctors .
    Community - based and PLWHA who are already trained
( Peer ) .
HIV counselors

    Counselors Association ( Lay Counselor )
        Departing from peer needs
        Close to community
        Further promote VCT and counseling support .
    Professional Counselors ( Professional Counselor )
        Pre and post- counseling
        Psychosocial Issues
    Senior counselor / coach ( Senior Counselor )
        Providing support for counselors and case management officers
        Assist, supervise and provide technical assistance to the counselor
PRE TEST PHASE COUNSELLING

    reason Test
    Knowledge of HIV testing & benefits
    Repair misconceptions know about HIV / AIDS
    Assessment of personal risk of HIV transmission
    Information about HIV test
    Discussion about possible results out
    Capacity to face the results / impact results
    Needs and potential support - personal risk reduction plan
    An understanding of the importance of re- test .
    Giving time to consider .
    Decision after being given information .
    Make follow-up plans .
    Facilitate and signing of Informed Consent
POST- TEST COUNSELLING

    Knowing Counselors Physicians & Results To Help And Support Advanced Diagnosis .
    The results are given in a sealed envelope .
    Results Presented With Clear And Simple
    Give Time To React
    Checks Understanding Test Results
    Meaning Discussion of Test Results
    The impact of personal , family , social towards PLHIV , to whom and how to tell .
    Personal risk reduction plan
    Handle emotional reactions .
    Are immediately available support ?
    Follow-up care and support services to case management or support services available in the area .
FLOW VCT
Individual pre - testing counseling - Check Blood dg Rapid Testing - Receive Post- Test results and counseling - counseling support and referral services Health & MK - Referral to support processes that are running , including the Support Group .

testing for decision making

Definisi Voluntary Counseling Test (VCT):
Proses konseling pra testing, konseling post testing, dan testing HIV secara sukarela yang bersifat confidential dan secara lebih dini membantu orang mengetahui status HIV. Konseling pra testing memberikan pengetahuan tentang HIV & manfaat testing, pengambilan keputusan untuk testing, dan perencanaan atas issue HIV yang akan dihadapi. Konseling post testing membantu seseorang untuk mengerti & menerima status (HIV+) dan merujuk pada layanan dukungan.

Voluntary Counseling Test (VCT) : Merupakan pintu masuk penting untuk pencegahan dan perawatan HIV

Konseling HIV/AIDS “ Dialog yang terjaga kerahasiaan antara konselor dan klien ".

• Konseling membantu orang mengetahui statusnya lebih dini, menekankan kepada aspek perubahan perilaku, peningkatan kemampuan menghadapi stress, ketrampilan pemecahan masalah.
• Konseling HIV juga menekankan pada issue HIV terkait seperti bagaimana hidup dengan HIV, Pencegahan HIV ke pasangan, dan issue-issue HIV yang berkelanjutan.

Konseling Bukanlah :

• Memberitahu atau mengarahkan
• Menasehati
• Membuat gosip
• Melaksanakan interogasi
• Membuat pengakuan
• Mendoakan

Elemen Penting dalam VCT

• Tersedia waktu
• Penerimaan klien dan berorintasi kepada klien
• Mudah di Jangkau (Accessibility)
• Confidentiality ( rasa nyaman)

Siapa yang disebut Konselor HIV?

• Full time counselor yang berlatar belakang psikologi&ilmuwan psikologi (psychiatrists, family therapist, psikologi terapan) yang sudah mengikuti pelatihan VCT dengan standart WHO.
• Profesional dari kalangan perawat, pekerja sosial, & dokter.
• Community-based dan PLWHA yang sudah terlatih (Peer).

Konselor HIV

1. Konselor Dasar (Lay Counselor)
   • Berangkat dari kebutuhan sebaya
   • Dekat dengan komunitas
   • Lebih mempromosikan VCT dan konseling dukungan.
2. Konselor Profesional (Profesional Counselor)
   • Pre dan post konseling
   • Issue Psikososial
3. Konselor Senior/pelatih (Senior Counselor)
   • Memberikan dukungan untuk konselor dan petugas managemen kasus
   • Mendampingi, supervisi dan memberikan bantuan teknis kepada konselor

TAHAPAN KONSELING PRE TEST

• Alasan Test
• Pengetahuan tentang HIV & manfaat testing
• Perbaikan kesalahpahaman ttg HIV / AIDS
• Penilaian pribadi resiko penularan HIV
• Informasi tentang test HIV
• Diskusi tentang kemungkinan hasil yang keluar
• Kapasitas menghadapi hasil / dampak hasil
• Kebutuhan dan dukungan potensial - rencana pengurangan resiko pribadi
• Pemahaman tentang pentingnya test ulang.
• Memberi waktu untuk mempertimbangkan.
• Pengambilan keputusan setelah diberi informasi.
• Membuat rencana tindak lanjut.
• Memfasilitasi dan penandatanganan Informed Consent

KONSELING PASCA TEST

• Dokter & Konselor Mengetahui Hasil Untuk Membantu Diagnosa Dan Dukungan Lebih Lanjut.
• Hasil diberikan dalam amplop tertutup .
• Hasil Disampaikan Dengan Jelas Dan Sederhana
• Beri Waktu Untuk Bereaksi
• Cek Pemahaman Hasil Test
• Diskusi Makna Hasil Test
• Dampak pribadi , keluarga , sosial terhadap odha , kepada siapa & bagaimana memberitahu.
• Rencana pribadi penurunan resiko
• Menangani reaksi emosional.
• Apakah segera tersedia dukungan ?
• Tindak lanjut perawatan & dukungan ke layanan managemen kasus atau layanan dukungan yang tersedia di wilayah.

ALUR VCT

Konseling Individual pra-testing - Periksa Darah dg Rapid Testing - Terima hasil & konseling Pasca Tes - Konseling Dukungan dan rujukan pelayanan Kesehatan & MK - Rujukan untuk dukungan proses yang sedang berjalan, termasuk Support group.

http://kpa-provsu.org/vct.php