An Assessment of the Quality of HIV Counseling and Testing Service Delivery in Private Health Units in Kampala District; A Case Study of Makindye Division

TABLE OF CONTENT

DECLARATION

APPROVAL ii

DEDICATION iii

ACKNOWLEDGEMENT iv

TABLE OF CONTENT v

LIST OF TABLES vii

LIST OF ABBREVIATIONS viii

ABSTRACT ix

CHAPTER ONE 1

BACKGROUND TO THE STUDY 1

1.0 Introduction 1

1.1 Background of the Study 1

1.2 Statement of the Problem 3

1 .3 The purpose of the study 3

1 .4. Objectives of the study 3

1 .4.1- General objective 3

1 .4.2 Specific objective 4

1 .5 Research questions 4

1.6. Scope of the study 4

1.6.1 Content scope 4

1.6.2 Geographical scope 4

1.6.3 Time scope 4

1.7. Significance of the study 4

1.8. Conceptual frame work 4

1.9 Definition of the key terms s

CHAPTER TWO 7

LITERATURE REVIEW 7

2.0 Introduction 7

2.1 Factors affecting HIV/AIDS testing and counseling 7

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2.2 Key Elements of Quality for HIV Counseling .11

2.3 Key Elements of Quality for HCT Infrastructure 12

2.4 Barriers to HCT 12

CHAPTER THREE 16

METHODOLOGY 16

3.0 Introduction 16

3.1 Research Design 16

3.2 Survey population 16

3.3 Sampling methods 16

3.4 Sample Size 16

3.5 Sampling Procedure 17

3.6 Data collection instruments 17

3.6.1 Questionnaire 17

3.6.2 Interview Guide 17

3.7. Source of data 17

3.7 Data processing, analysis and presentation 17

3.8DataAnalysis 18

3.9 Ethical Considerations 18

3.10 Limitations of the Study 18

CHAPTER FOUR 20

DATA PRESENTATION, INTERPRETATION AND ANALYSIS 20

4.0 Introduction 20

4.1 Demographic characteristics of Respondents 20

Table 3 Respondents by terms of service 21

Table 4 Respondents by work experience permanent basis 22

Table 5: Respondents by Levels of Education 22

4.2 The findings on the level ofadherence to counseling and testing 23

4.3 The factors influencing acceptance of VCT for HIV are considered under attitudinal beliefs, social

influence, self-efficacy, awareness, and risk of infection with HIV 24

Attitudinal beliefs 24

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Social influence .25

Self-efficacy, barriers and supports 25

Awareness 26

4.4 The findings on the possible ways of improving the quality of HCT service 26

CHAPTER FIVE 29

SUMMARY, CONCLUSION AND RECOMMENDATIONS 29

5.0 Introduction 29

5.1 Summary of the Findings 29

5.2 Conclusion 31

5.3 Recommendations 31

5.4 Areas for Further research 32

REFERENCES 33

Appendix II: Time frame or work plan 43

Appendix III: Budget for the research study 44