Voluntary Counselling and Testing for HIV in the dental setting: Knowledge, attitudes and practices of oral health care workers in eThekwini district, KwaZulu-Natal





rapid HIV testing, dental workplace, oral health care workers


Oral health care workers are frequently at the forefront in recognizing oral manifestations of the Human Immunodeficiency Virus (HIV) and can therefore play a key role in screening and early detection of HIV in dental patients. This study assessed oral health care workers’ knowledge, attitudes and possible practices in Voluntary Counselling and rapid HIV testing (VCT) in the dental workplace in eThekwini district, KwaZulu-Natal so as to determine their understanding and support for these services. This was a cross-sectional, descriptive study. A total of 120 questionnaires were distributed to oral health workers located in private and public dental settings in eThekwini district. One hundred (n=100) completed questionnaires were retrieved, yielding a response rate of 83%. The majority of participants (82%) reported that HIV testing and counselling did not occur in their workplace. Participants (87%) also indicated to have not been trained to perform HIV testing. Sixty-six participants (66%) reported willingness to implement HIV testing in their respective dental workplace. Less than half of the study population (41%) were “unsure” regarding the accuracy of rapid HIV testing. Participants reported inadequate knowledge and practice of VCT. Participants had positive attitudes towards VCT implementation in the dental setting, provided that adequate training and support was available from the Kwa-Zulu-Natal Department of Health. Rapid HIV testing, dental workplace, oral health care workers.


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UNAIDS. HIV and AIDS in South Africa. Avert Organization. 2019 [cited 16 September 2020]. Available from: https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/south-africa.

Low M, MacDonell S. Graphs that tell the story of HIV in South Africa’s provinces. Spotlight. 2019 [cited 16 September 2020]. Available from: https://www.spotlightnsp.co.za/2019/08/05/graphs-that-tell-the-story-of-hiv-in-south-africas-provinces/.

National Department of Health of South Africa. National HIV Testing Services Policy: 2016. 2015; 23.

Campo J, Cano J, del Romero J, et al. Role of the dental surgeon in the early detection of adults with underlying HIV infection/AIDS. Med Oral Patol Oral Cir Bucal. 2012; 17(3).

Galane M. Knowledge, attitude and practices regarding HIV/AIDS among dental students at Medunsa oral health centre. University of Limpopo; 2012.

Coogan MM, Greenspan J, Challacombe SJ. Oral lesions in infection with human immunodeficiency virus. World Health Organization Bulletin. 2005; 83(9): 700 -6.

Berberi A, Aoun G. Oral lesions associated with human immunodeficiency virus in 75 adult patients: a clinical study. Journal of the Korean Association Oral Maxillofacial Surgeons. 2017; 43(6): 388.

Bradley ELP, Vidot DC, Gaul Z, Sutton MY, Pereyra M. Acceptability of oral rapid HIV testing at dental clinics in communities with high HIV prevalence in South Florida. PLoS One. 2018. Available from: https://doi.org/10.1371/journal.pone.0196323.

Austin C. Rapid HIV Testing in the Dental Office. DentistryiQ. 2009. Available from: http://cdeworld.com/courses/20185-Rapid_HIV_Testing_in_the_Dental_Office.

Santella A, Conway DI, Watt RG. The potential role of dentists in HIV screening. British Dental Journal. 2016; 220(5): 229-33.

Bhayat A, Yengopal V, Rudolph M. Predictive value of group I oral lesions for HIV infection. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology. 2010; 109(5): 720-3.

Agbelusi GA, Eweka OM, Umeizudike KA, Okoh M. Oral manifestations of HIV. IntechOpen. 2013. doi: 10.5772/52941.

Abe E, Kolude B, Adeyemi B. HIV testing in dental practice: perception and attitude of dentists in Southwestern Nigeria. African Journal of Medicine and Medicinal Science. 2014; 43(1): 201- 8.

Parish CL, Siegel K, Liguori T et al. HIV testing in the dental setting: perspectives and practices of experienced dental professionals. AIDS Care. 2017; 30(3): 347-52.

Gumede S. Knowledge, Attitudes and Perceptions of Health Care Users Towards HIV Self-Testing At Selected Gateway Clinics At eThekwini District, Kwazulu-Natal. AIDS Research and Treatment. 2017; 15(1):103-9.

Ramphoma KJ, Naidoo S. Knowledge, attitudes and practices of oral health care workers in Lesotho regarding the management of patients with oral manifestations of HIV/AIDS. SADJ. 2014; 69(10):446,448-53.

Moodley D, Moodley P, Ndabandaba T, Esterhuizen T. Reliability of HIV rapid tests is user dependent. South African Medical Journal. 2008; 98(9): 707-11.

Siegel K, Abel SN, Pereyra M, et al. Rapid HIV testing in dental practices. Am J Public Health. 2012; 102(4): 625-32.

Mwisongo A, Peltzer K, Mohlabane N, Tutshana B. The quality of rapid HIV testing in South Africa: An assessment of testers’ compliance. African Health Sciences. 2016; 16 (3): 646-54.

WHO. Scaling up HIV testing and counselling in the WHO European Region as an essential component of efforts to achieve universal access to HIV prevention, treatment, care and support policy framework. 2010: 4.

Hansoti B, Hill SE, Whalen M, et al.. Patient and provider attitudes to emergency department-based HIV counselling and testing in South Africa. South African Journal of HIV medicine. 2017; 18(1).

Bassett IV, Giddy J, Nkera J, et al. Routine Voluntary HIV Testing in Durban, South Africa: The experience from an outpatient department. Journal of acquired immune deficiency syndromes. 2007; 46(2): 181- 6.

Dimba EAO, Yengopal V, Joshua E, Thavarajah R, Balasundaram S. Access and management of HIV-related diseases in resource-constrained settings: a workshop report. Oral Diseases. Wiley Online Library. 2016; 22 (S1):206-210.

Mohamed N, Mathiba OP, Mulder R. Oral status of HIV-infected children aged 12 years or younger who attended a Paediatric Infectious Diseases Clinic in Cape Town. Clinical and Experimental Dental Research. 2019; 6(1): 75-81.

Santella AJ, Schlub TE, Schifter M, Tolani M, Hillman RJ. Australian dentists’ perspectives on rapid HIV testing. Australian Dental Journal. 2015; 61(3).

Pollack HA, Pereyra M, Parish CL, et al. Dentists’ Willingness to Provide Expanded HIV Screening in Oral Health Care Settings: Results From a Nationally Representative Survey. American Journal of Public Health. 2014; 104(5): 872-80.

Hutchinson MK, van Devanter N, Phelan J, et al. Feasibility of implementing rapid oral fluid HIV testing in an urban University Dental Clinic: a qualitative study. BMC Oral Health. 2012; 12(1).

Dhanya RS, Hegde V, Anila S, et al. Knowledge, Attitude, and Practice towards HIV Patients among Dentists. J Int Soc Prev Community Dent. 2017; 7(2):148-53.

South African National Aids Council (SANAC). The National Strategic Plan (NSP) 2017- 2022. 2016. [cited 22 September 2020]. Available from: http://nsp.sanac.


UNAIDS. Ending Aids: Progress Towards the 90-90-90 Targets. Joint United Nations Programme on HIV/AIDS. 2017. [cited 22 September 2022] Available from: https://www.unaids.org/en/resources/documents/2017/20170720_Global_AIDS_update_2017.

Patton L, Santos V, McKaig R, Shugars D. Education in HIV risk screening, counseling, testing, and referral: survey of U.S. dental schools. Journal of Dental Education. 2002; 66(10): 1169-77.

Greenberg BL, Glick M, Julie FH, Kantor ML. Dentists’ attitudes toward chairside screening for medical conditions. Journal of the American Dental Association. 2010; 141: 52-62.

Singh S, Pottapinjara S. Dental undergraduate students’ knowledge, attitudes and practices in oral health self-care: A survey from a South African university. African Journal of Health Professional Education. 2017; 9(2): 83-7.

Ahamed S, Moyin S, Punathil S, et al. Evaluation of the oral health knowledge, attitude and behavior of the preclinical and clinical dental students. Journal of International Oral Health. 2015; 7(6): 65-70.




How to Cite

Balwanth, S., & Singh, S. (2021). Voluntary Counselling and Testing for HIV in the dental setting: Knowledge, attitudes and practices of oral health care workers in eThekwini district, KwaZulu-Natal. South African Dental Journal, 76(1), 6–11. https://doi.org/10.17159/2519-0105/2021/v76no1a1

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