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

EXERCISE 7==============================================================Use the case studies in this exercise for students to practice counseling on infantfeeding and PMTCT. Although this module focuses on the Ndola DemonstrationProject, country-specific case studies can be developed to use in its place. For thismodule, names for the role-play were selected arbitrarily. Modify the names and anyother aspects (i.e. foods described) of the following case studies as appropriate forcountry and community contexts.Refer to slide 31: Counseling on Infant Feeding, slide 32: Informed Choice, Handout6.2 PMTCT Decision-Making Algorithm, and LINKAGES infant feeding guidelines.TASK 1: Case study for counseling pregnant and lactating women in areas of high HIVprevalence (including PMTCT)In the following exercise, students will have the opportunity to practice assessmentand counseling skills for the care and support of pregnant and lactating women whoare either HIV-infected or of unknown status but live in areas of high HIVprevalence. Specifically, students will practice helping women make an informedchoice of infant feeding options and counsel them on PMTCT.Divide the students into pairs and give each pair one of the following case studies.One student plays the part of health worker or counselor, and the other studentplays the part of father or mother. The questions provided are intended forguidance. Students should be encouraged to formulate additional questions toenhance the counseling session. Once the session is complete, the entire class maydiscuss each case study from the points of view of the health worker and client.All case studies should be prefaced with the following information. One out of everyfive people in Zambia between the ages of 15 and 49 is infected with HIV, andapproximately 25,000 Zambian infants will become infected with HIV each yeareither in utero, during labor and delivery, or through breastfeeding. Theseroprevalence rate of the three districts where counselors are working are 25.6percent in Kabwe, 41 percent in Livingston, and 28 percent in Ndola.210