A model for improving pastoral support and care for church members living with human immunodeficiency virus and/or acquired immunodeficiency syndrome in Limpopo province

Abstract

Background: Human immunodeficiency virus (HIV) continues to be a major public health issue, with high infection rates and significant mortality. The role of churches in HIV prevention has been largely debated, particularly concerning the use of condoms.
Aim: The model’s objective was to assist pastors in enhancing support and care for individuals living with HIV, ultimately improving their quality of life.
Setting: This study, using a qualitative phenomenological approach, explored Christian practices that can aid in combating HIV and/or acquired immunodeficiency syndrome (AIDS) and proposed a model aimed at addressing HIV and/or AIDS among Christians in Thulamela churches.
Methods: Data were collected using a semi-structured interview guide. Thematic analysis revealed four major themes: pastors’ experiences regarding HIV and/or AIDS, pastors’ knowledge of HIV and/or AIDS, pastors’ attitudes towards HIV and/or AIDS and pastors’ practices concerning HIV and/or AIDS.
Results: The findings highlighted challenges in pastoral care because of a lack of knowledge and training, alongside negative attitudes and practices towards people living with HIV. A model was developed to combat HIV and/or AIDS, improve pastoral care and counselling, enhance the quality of life for people living with HIV and reduce new HIV infections among church members. The model’s development was guided by the Context, Input, Process and Output (CIPO) theory system.
Conclusion: The research findings underscore the importance of integrating people living with HIV in HIV and/or AIDS prevention efforts within church settings and enhancing pastoral care and counselling
Contribution: These findings may be applicable to similar settings in sub-Saharan Africa and other developing regions.