Facilitator Guide - EngenderHealth

It is difficult to assess adherence levels based on a person's socioeconomic or literacystatus. However, there are some tools, which can guide us in this process. Askparticipants to name a few ways to monitor adherence. Write down the responseson the flip chart. These should include :-• Counting pills• Whether the person is following up with the clinic• Asking the client open-ended question about taking pills• Checking with family members or friends who come with the client3. Refer to handout A for this session and ask volunteers to read it. Allow ten minutes.Activity B :30 minutesMini role plays to assess and monitor adherence (10 minutes)Facilitator Guide1. Divide the participants in small groups (3 to 5 people each), depending on the totalnumber of your group. Ideally each small group should not have more than 4 people.Assign a few sub-issues of point 3 in the Handout above to each group. Their task is todevelop mini role-plays of no more than 2 minutes addressing the issues they have beenallocated. The list of ASSESS questions in the handout from the session on open-endedquestion may be useful. Demonstrate with your co-trainer the sample role-play below.4Provider : "What problems are you facing to take the pills at work?"Adherence to Treatment for HIVClient : "I don't want the people there to think that there's something wrong with me.I don't want them to see me take the pills every day. They may ask questions."Provider : "I understand your concern, many people who use ART feel like you. I can showyou how to make a very small bag with just the pills you need to take during theday. You could take them in the toilet, or any other place where you can be alonejust for five minutes. Would that help you?"Activity C: Mini role-plays (10 minutes)1. Ask participants to remain in their small groups. Invite a few of them to perform theirmini role-plays, and after each one invite one or two comments.120