Lay counsellors' experiences of delivering HIV counselling services in public health facilities in a Eastern Cape province district of South Africa

The study examined experiences of lay counsellors who provide HIV counselling services to identify potential HIV counselling needs. Qualitative and quantitative interview data were collected from 74 lay counsellors from a sample of Eastern Cape Province district's health facilities (n=74). Results indicated that lay counsellors experienced medium to high job stress, but with relatively high job satisfaction. They utilized a number of techniques and concepts in the counselling process. Lay counsellors experienced role conflicts when working in a health team and perceived to receive poor support and supervision. In addition, they reported little job training and lack of career pathing. Formalization of their role in HIV prevention and on career pathing could improve effectiveness.