Document Type : Original Article

Authors

Iranian Research Center for HIV /AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Background and aims: Behavioral counseling centers are the main health organizations which
are responsible for providing treatment and care for the patients living with HIV (PLWH). HIVpositive
patients receive services through a unique counseling process called voluntary counseling
and confidential testing (VCCT). Although there are reports regarding VCCT evaluation from other
countries, not such an evaluation was found in Iran until this study, to the best of our knowledge. The
study was performed to fulfill this necessity.
Methods: Using consecutive method sampling, 314 subjects were sampled from the patients referred
to Behavioral Counseling Center of Imam Khomeini hospital, Tehran, Iran. A combination of process
and output evaluation of VCCT was performed in the biggest Behavioral Counseling Center of Iran at
Imam Khomeini hospital, Tehran, Iran. Data were analyzed using descriptive statistics (percentages
and averages).
Results: Participants’ response rate was 95.54%. Two shortcomings were found in the counseling
process. Cronbach alpha reliability coefficient for this scale was 0.899, which was a desirable
reliability for the questionnaire. As the main finding of the study, 48.33% of patients were not using
antiretroviral medications regularly. An average number of patients (2.88) had HIV related stigma and
fear of disclosure. In a quantitative study before testing in the study, it has been found that HIV patients
did not have adequate information about their disease.
Conclusion: Defects in the consultation process for the patients with HIV infection in the hospital were
concluded. The quantity of consulting services for patients was in low level; therefore it is essential to
improve consulting services for health promotion of the HIV patients.

Keywords

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