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Aim: The aim of the study was to investigate perceptions of young adults regarding HIV Counselling and Testing (HCT) and the factors contributing to either negative or positive perceptions towards the programme. This article is a report of a concept analysis of young adults' perceptions of HCT that were collected during the study. Background: Perception forms the core of HIV Counselling and Testing (HCT) use by young adults, because it is from these perceptions that young adults will decide to follow an HCT programme or not, depending on how they perceive the programme. HCT as an entry point in HIV and AIDS services should be accessible and young adults' perceptions towards the programme be promoted in order to assist them to develop positive perceptions towards the programme, which will enhance its uptake. Data sources: A literature search was undertaken using internet search engines, different journals, websites and electronic literature indexes. A sample of 60 documents met the criteria. The inclusion criterion was any article addressing perceptions in psychology, social sciences, nursing and education were reviewed. Review method: A concept analysis was conducted according to the steps of Rodger andKnafl (2000); Walker and Avant (2005) and Wilson (1963). Results: Perception has been defined as a constructive process that relies on a top-down processing. This entails that people make inferences about what they see and try to make a best guess as to what the object is all about. Attributes for perception were defined as intensity and physical dimension of stimulus, past experiences, and attention factors such as readiness to respond to the stimulus, motivation and emotional state of the subject. Consequences include increasedHCTuptake by young adults, a positive lifestyle, a reduction in the spreading of HIV and AIDS and lowered HIV statistics amongst young adults. Conclusion: The study findings related to HCT and perceptions paved the way towards a further understanding of HCT as an entry programme in HIV/AIDS services or programmes in relation to young adults. The ability of young adults to use their auditory senses to hear the nurses talk about HCT and HIV, the ability to see the attitudes displayed by HCT counsellors, and their perceptions with regard to lack of privacy, together with a lack of treatment for HIV made young adults to perceive HCT programme as being of less importance to them.

Counselling and testing services for HIV have long been a component of HIV prevention and care programmes in developed countries and have proved to be a cost-effective way of reducing risky behaviours. It is, therefore, important to document the perceptions of voluntary counselling and testing counsellors towards the use of counselling and testing amongst young adults. The purpose of the study was to describe the perceptions of these counsellors dealing with young adults in Vhembe District, Limpopo Province, where the study was conducted. Two themes emerged from the findings of the voluntary counselling and testing counsellors, namely that they feel that the programmes are inaccessible to young adults and that there are difficulties which might impact on the programmes’ efficacy. The findings of this study should contribute to the reduction of HIV by promoting voluntary counselling and testing uptake by young adults.

Counselling and testing services for HIV have long been a component of HIV prevention and care programmes in developed countries and have proved to be a cost-effective way of reducing risky behaviours. It is, therefore, important to document the perceptions of voluntary counselling and testing counsellors towards the use of counselling and testing amongst young adults. The purpose of the study was to describe the perceptions of these counsellors dealing with young adults in Vhembe District, Limpopo Province, where the study was conducted. Two themes emerged from the findings of the voluntary counselling and testing counsellors, namely that they feel that the programmes are inaccessible to young adults and that there are difficulties which might impact on the programmes’ efficacy. The findings of this study should contribute to the reduction of HIV by promoting voluntary counselling and testing uptake by young adults. Berading- en toestingsdienste vir HIV is lankal reeds ‘n geintegreerde deel van die voorkoming en versorgingsprogramme van HIV in ontwikkelde lande en dit is bewys dat dit ’n koste-effektieve manier is om gevaarlike gedrag te verminder. Dit is dus belangrik om die persepsies van vrywillige berading en toesting deur beraders ten opsigte van die gebruik van beraders onder jong volwassenes, te staaf. Die doel van hierdie studie was om die persepsies van hierdie beraders wat met jong volwassenes in die Vhembe distrik, Limpopo provinsie, werk, te beskryf. Twee temas het uit die bevindinge te voorskyn gekom, naamlik: dat die programme ontoeganglik vir jong mense is, en dat daar moontlike probleme is wat op die doeltreffenheid van die programme inslaan. Die bevindinge van hiedie studie behoort ’n bydrae te maak tot die vermindering van HIV deur die vrywillige berading en toesting by jong mense aan te beveel.