The objective of this study was to see how HIV affected counsellors in
their personal and professional lives and how they coped. A total of
101 people who were currently working as HIV counsellors were intervie
wed. Of these, 70 had a relative who had died of HIV, but few had been
able to discuss HIV with them. Seventy-two worried about their HIV st
atus but only 24 had had a test. Fifty-three counsellors did not want
to know their status. Women counsellors worried because of the sexual
behaviour of their partners and often felt unable to discuss HIV with
them. Although nearly all were in favour of promoting condoms as prote
ction against HIV transmission only 27 had ever used one. Many HIV cou
nsellors found it difficult to discuss sexual behaviour with their cli
ents. HIV counsellors in Zambia worry about HIV in their personal live
s and need continuing confidential support to help them cope with thei
r own worries as well as the anxieties created by the job itself. They
need more help and training in discussing issues around sexual behavi
our with their clients. Women counsellors, in particular, need support
in dealing with their personal sexual life.