Voluntary Counselling and Testing (VCT) programmes are regarded as an important strategy in the management of the HIV/AIDS pandemic worldwide. Such programmes, however, often have limited success due to various problems such as the existence of attitudes and beliefs that act as psychosocial barriers. This article, which presents a study of attitudes towards VCT in South Africa, attempts to ascertain the reasons for people's continued resistance to VCT programmes. A semi-structured questionnaire was used to survey the views of 1422 people. The results indicate that while the research participants, in principle, were not opposed to VCT, they professed a deep mistrust of health-care professionals, and feared discrimination and rejection by the latter, their sexual partners, and their communities. Participants did not know how to disclose their HIV-positive status, and were concerned about testing that did not include treatment and/or follow-up support, as well as their ability to deal with the ensuing psychological turmoil in the event of testing HIV-positive. The authors proposed various suggestions concerning how to improve VCT services in South Africa.
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