Zahroh Shaluhiyah
Faculty of Public Health, Diponegoro University

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Counselling Approaches for Adults Living with HIV in Healthcare Settings: A Scoping Review Amelia Febrina; Zahroh Shaluhiyah; Antono Suryoputro
Journal of Educational, Health and Community Psychology VOL 15 NO 3 SEPTEMBER 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.vi.32827

Abstract

This scoping review mapped counselling approaches for adults living with HIV in healthcare and linked community settings. Scopus, PubMed, and ScienceDirect were searched up to 27 December 2025 for English-language original studies published between January 2021 and December 2025. Following predefined screening procedures, 14 studies were included. Data were independently charted by three reviewers and synthesised using narrative and thematic approaches. Four categories were identified: intensive adherence counselling, task-shared psychological care, peer-supported differentiated service delivery, and digitally mediated counselling. The studies most frequently reported improvements in ART initiation, medication-taking behaviour, retention, acceptability, and linkage to care, whereas evidence for sustained viral suppression was less consistent. More favourable outcomes were commonly reported when counselling was integrated with peer support, medication access, service redesign, or digital follow-up. Implementation barriers included stigma, inadequate privacy, staff workload, workforce shortages, incomplete referrals, and weak continuity with clinical care. Interpretation is limited by heterogeneous designs and outcomes, multicomponent interventions, English-language restrictions, limited database coverage, and the absence of formal quality appraisal. Future studies should standardise counselling content, exposure, fidelity, and outcomes and use longer follow-up periods.
Multilevel Determinant of Delays Along the TB Care Pathway in Low and Middle-Income Countries: A Scoping Review Sheila Puspitaningtyas; Zahroh Shaluhiyah; Ratih Indraswari
Journal of Educational, Health and Community Psychology VOL 15 NO 3 SEPTEMBER 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.vi.32839

Abstract

Tuberculosis (TB) diagnostic delay remains a major challenge in low- and middle-income countries (LMICs). To map multilevel determinants of TB diagnostic delay across the TB care pathway in LMICs and identify the stages at which they contribute to delay. A scoping review was conducted using the Arksey and O’Malley framework. PubMed/MEDLINE, Scopus, ProQuest, and ScienceDirect were searched for English-language empirical studies published within the past five years. Determinants were categorized into individual, sociocultural, socioeconomic, and health system factors and mapped across four stages adapted from Scott et al.’s Model of Pathways to Treatment. 13 studies from seven LMICs were included. Individual and sociocultural determinants were prominent in the early stages, socioeconomic factors became more relevant at first consultation, while health system determinants were more prominent at diagnosis. TB diagnostic delay is a multilevel and stage-specific process, requiring integrated interventions across the TB care pathway.