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
ABSTRACT The topic of the study was an assessment of the quality of HIV counseling and testing service delivery in private health units. The study had the following objectives to determine the level of adherence to counseling and testing guidelines by HCT, nature of health facility infrastructure factors that affect quality of HCT service delivery and to identify possible ways to improve the quality of HCT services in the private health units in Kampala. The study used the Morgan formula for determining the sample size out of the total population of which 85 were selected as a representative sample for the purpose of this study. These guided the study and determined the data that the researcher collected from the field through interviews and questionnaires. The study used an exploratory research design to explore into issues concerning the practice of desertification and rural development in Makindye division, simple random sampling was used to select a representative sample from the study population, where a sample size of 80 respondents was selected for the study. Data were collected from both primary and secondary sources using documentation, interviews and questionnaires, collected data was analyzed qualitatively using thematic analysis to generate related data into tables that helped the researcher in discussing the findings. The findings indicated that there are HIV counseling and testing services in Makindye division, the quality of the services is still wanting, and geographical scope is still a challenge however, the service providers are determined to keep improving its quality.