Nutrition and HIV/AIDS: A Training Manual - Linkages Project

EXERCISE 6====================================================The following case studies will help students integrate aspects of nutritional careand support for HIV-infected pregnant and lactating women or adolescents in orderto provide appropriate interventions. The following activities support the role-play:• Field visits to antenatal clinics• Field visits to VCT clinics• Field visits to PMTCT clinics• Mother support groups• Open class discussion with a counselor or counselors working with pregnant orlactating HIV-infected women• Other activities appropriate for the topic areaTASK 1: Ask students to role-play the following case study illustrating nutritionalcare and support of an HIV-positive pregnant woman. One student should take therole of the pregnant women and another, the role of the nutritional counselor.Rachael is a 30-year-old school teacher in the second trimester of her pregnancywith her first child. During her antenatal visit, she tested positive for HIV. She liveswith her husband, who has not been tested. She has not disclosed her status to himor anyone else. Her husband was recently laid off work, and Rachael tells you thather income is just enough to cover their basic needs. She usually eats one main meala day and may have one to two snacks throughout the day. At present Rachael isasymptomatic.Students should discuss the following questions about counseling Rachael. Answersare provided.172