Efficacy of HIV-prevention counseling of clients In Anambra State of Nigeria

Abstract

The study focused on the efficacy of HIV-prevention counseling of clients in Anambra State of Nigeria. 
Three research questions and three null hypotheses guided the study. A sample of 207 nurses selected 
from Tertiary, Secondary and Primary levels of Health Care Institutions were used for the study. The 
instrument for data collection was checklist titled Client-centered HIV-Prevention Counseling Scale 
(CHCS). Statistical weighted mean was used to answer the research questions, and Analysis of 
Variance (ANOVA) was adopted in testing the null hypotheses at 0.05 level of significance. The result 
showed that the HIV-prevention counselors in Comprehensive Health Centres (Primary Level) adhered 
mostly to the elements of HIV-prevention counseling and also possessed the best counseling skills, 
while the counselors in Voluntary Agency Hospitals (Secondary Level) were best in ensuring high 
quality HIV-prevention counseling. Significant differences existed in the mean scores of the counseling 
strategies and quality HIV-prevention counseling between the providers in tertiary, secondary and 
primary levels of Health Care delivery. Recommendations were given based on the findings.