Lawrence Estelle, Struthers Patricia, van Hove Geert
School of Public Health, University of the Western Cape, South Africa.
Department of Health, Provincial Government of the Western Cape, South Africa.
South Afr J HIV Med. 2015 Nov 5;16(1):390. doi: 10.4102/sajhivmed.v16i1.390. eCollection 2015.
HIV counselling and testing (HCT) is an essential element in the response to the HIV epidemic. There are still major research gaps about the best ways to provide HCT, especially to the youth, and school-based HCT is a model that has been suggested. To make HCT youth friendly and to enhance access to the service, the particular needs of the youth need to be addressed.
To explore the expressed needs of students about school-based HCT service provision.
The study was conducted in 6 secondary schools in Cape Town where a mobile HCT service is provided by a non-governmental organisation. In each school, two mixed-gender focus groups were held, one with grades 8 and 9 students and one with grades 10 and 11. A total of 91 students aged 13-21 were involved. The focus groups were conducted in the students' home language. All groups were audio-recorded, transcribed verbatim and translated into English.
Content data analysis was done and the following themes emerged: (1) Where the students want HCT to be done, (2) How they want HCT to be done and (3) Who should do the counselling. Most students want HCT to be provided in schools that their fears and expressed needs are taken into account. They raised concerns regarding privacy and confidentiality, and expressed the need to be given information regarding HCT before testing is done. They wanted staff providing the service to be experienced and trained to work with youth, and they wanted students who tested positive to be followed up and supported.
To increase youth utilisation of the HCT service, their expressed needs should be taken into account when developing a model for school-based HCT.
艾滋病毒咨询与检测（HCT）是应对艾滋病毒流行的关键要素。关于提供HCT的最佳方式，尤其是针对青少年的方式，仍存在重大研究空白，而校内HCT是一种被提议的模式。为使HCT对青少年友好并增加服务可及性，需要关注青少年的特殊需求。
探讨学生对校内HCT服务提供的明确需求。
该研究在开普敦的6所中学开展，由一个非政府组织提供流动HCT服务。在每所学校，分别组织了两个混合性别的焦点小组，一个由8年级和9年级学生组成，另一个由10年级和11年级学生组成。共有91名年龄在13至21岁的学生参与。焦点小组以学生的母语进行。所有小组均进行了录音，逐字转录并翻译成英文。
进行了内容数据分析，出现了以下主题：（1）学生希望在哪里进行HCT，（2）他们希望如何进行HCT，以及（3）谁应该进行咨询。大多数学生希望在学校提供HCT，同时他们的恐惧和明确需求也应得到考虑。他们对隐私和保密表示担忧，并表示在进行检测前需要获得有关HCT的信息。他们希望提供服务的工作人员有经验且经过与青少年合作的培训，并且希望对检测呈阳性的学生进行跟进和支持。
为提高青少年对HCT服务的利用率，在制定校内HCT模式时应考虑他们的明确需求。
