MODULE TWO: COUNSELLING - FHI 360 Center for Global Health ...

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Everywhere I was asked about this virus, but I just gave one answer, "See me the way you want to see me." In my family, I am the eldest of four daughters. Our father died in October 1992. We are left with my mother who is not working. My younger sister is in her first year at The Teachers College. Most of my family refuses to recognize me as a human being. The only person who gives me support and courage is my mother. One day I had a quarrel with my younger sister. She stood by the front door shouting; "Do you think you are a human being? You've got AIDS! You are going to die!" Not knowing what to say, I just replied that I wonder what her situation is. She just said she doesn't have AIDS. NB (P.S.) You have not heard me talking about condoms. We're facing a big problem with our Nigerian boyfriends and men. They DON'T want to use condoms. They interpret it, as if you have had sex with another man. If you don't want him to feel that you have been having sex with another man, then you don't ask him to use a condom. Session 8-Pg.7
Feelings and Emotions of HIV-positive Women •Fear of disclosure: After receiving positive results, many women feel overwhelmed with the burden of disclosure. The decision about who to tell can be a very difficult one. A woman often learns her HIV status before her partner learns his. The positive test result often comes as a shock to women, especially if they have been faithful and committed to their partner. Often the male partners blame the women for HIV because they do not want to accept responsibility for it themselves. For this reason, many women fear rejection and abuse, and as a result, they choose to live in silence with the knowledge of their status. Partner abuse following disclosure of HIV is quite common, so this fear is very real and valid. Feelings of betrayal: A woman may feel betrayed by her partner, which could turn into anger. Despite this anger, she may still feel powerless to confront him. Feelings of inadequacy and helplessness: The woman may feel totally immobilized by the knowledge of her status. This may be caused by poverty, hopelessness about the lack of treatment, and the burdens of caring for her family. Fear of rejection and abandonment: Many women are rejected and/or abandoned by their partners once they disclose their status. While this is devastating for any woman, it can be especially difficult for women with children, who must now raise and support them alone. Self-blame: The woman may feel guilty about her status, especially if she has infected a child. Grief: The woman may grieve over the loss of her “old body”, including her health, body image, sexuality and child bearing potential. In addition, she may experience the loss of her partner or child to AIDS. Stress: HIV can be both physically and mentally stressful, especially if the woman cannot reveal her status to other people who might be able to support her. Differences with Men How is counselling women about HIV different from counselling men? Both of them have similar needs in terms of information and referrals. There are some ways that women experience the disease differently, however, and these can create unique counselling needs: Session 8-Pg.8
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MODULE TWO: COUNSELLING
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• Discussed special issues relati
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HOTLINES IN THE CONTEXT OF HIV/AIDS
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SESSION 2 Self-Awareness CONTEXT AN
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VALUES AND ATTITUDES REGARDING HIV/
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HANDOUT Self-Awareness Attitudes An
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HANDOUT Attitudes Exploration Read
Page 15 and 16: SESSION 3 Counselling Process CONTE
Page 17 and 18: with the HIV/AIDS, both in terms of
Page 19 and 20: Following is a summary of the TASO
Page 21 and 22: COUNSELING SELF-ASSESSMENT EVALUATI
Page 23 and 24: SESSION 4 Counselling Skills CONTEX
Page 25 and 26: “hoax clients”. In other words,
Page 27 and 28: •Questioning and Probing Asking q
Page 29 and 30: ___________________________________
Page 31 and 32: done in a way that does not make th
Page 33 and 34: SESSION 5 Practice-Counselling Proc
Page 35 and 36: 5. You are a man in your 30s who wa
Page 37 and 38: I have knowledge about issues relev
Page 39 and 40: #1 TO TEST OR NOT TO TEST? The aim
Page 41 and 42: If a person did engage in a risk be
Page 43 and 44: A negative result can mean one of t
Page 45 and 46: For positive results: •Treatment
Page 47 and 48: OBSERVATION CHECKLIST: INTEGRATED S
Page 49 and 50: Session 6 - Pg. 12
Page 51 and 52: •A caller is talking non-stop. Sh
Page 53 and 54: they feel frustrated with the conve
Page 55 and 56: • Stay centred on the client. Rem
Page 57 and 58: Special Guidelines 1 •Suicide If
Page 59 and 60: DIFFICULT MOMENTS ROLE-PLAY Followi
Page 61 and 62: Anxiety about bodily changes (Am I
Page 63 and 64: ___________________________________
Page 65: • Women are more susceptible to S
Page 69 and 70: 3. Explore options for self-disclos
Page 71 and 72: ARE YOUNG PEOPLE DIFFERENT TODAY? 2
Page 73 and 74: Grieving Process of Family and Frie
Page 75 and 76: •There may be considerable anger,
Page 77 and 78: 3. Help the caller to express his/h
Page 79 and 80: CAUSES AND EFFECTS OF STRESS The ai
Page 81 and 82: •Talk to others Share your feelin
Page 83 and 84: BURNOUT The aim of this activity is
Page 85 and 86: Dealing with Burnout Burnout can be
Page 87 and 88: The counsellors also need to have a
Page 89 and 90: HANDOUT HIV/AIDS Information Post-T
Page 91 and 92: 14. What is one reason that women a
Page 93 and 94: Guidelines for Giving Feedback Part
Page 95 and 96: 8. A 21-year old boy calls the YEF
Page 97 and 98: Uses Encouragers and praise to fost
Page 99 and 100: 6. Which topics made you uncomforta
Page 101 and 102: GENDER AND DEVELOPMENT ACTION NIGER
Page 103 and 104: RIGHTS TION CENTRE CENTRE FOR THE R
Page 105 and 106: LAGOS STATE GENRAL HOSPITAL org TEL
Page 107 and 108: HEALTH MATTERS INC. PLANNED PARENTH
Page 109 and 110: ORGANIZATION ADDRESS CONTACT PERSON
Page 111 and 112: P.O.BOX 742 BAYELSA STATE. 7. BENUE
Page 113 and 114: WOMEN AND AIDS NIGERIA CHAPTER (SWA
Page 115 and 116: SOCIETY FOR FAMILY HEALTH GOMBE STA
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Society for Women and AIDS in Niger
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FEDERATION OF MUSLIM WOMEN ASSOCIAT
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CHRISTIAN ASSOCIATION OF NIGERIA Ch
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MODULE TWO: COUNSELLING - FHI 360 Center for Global Health ...

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