Facilitator Guide - EngenderHealth

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4SECTION 4SUPPORTING CLIENTS ON ARTSession 4.8: Final Counseling PracticeTrainer's Resource ‘A’ : Feedback GuidelinesPlease note: The feedback session for the role-play with a client initiating ART has to beconducted excluding the sections underlined.The feedback session for the role-play with a client using ART has to be conducted usingALL sections below, except those marked with*.As a general principle, we always start a feedback discussion by first asking the 'client':• How did you feel playing the 'client'?Ask the 'counselor':Facilitator Guide4Adherence to Treatment for HIV• How did you feel playing the 'counselor'?Next we elicit feedback on what was done well. First we ask the 'client':• What did the 'counselor' do well to help you express your main need/concernfor your visit?• What did the 'counselor' do well to help you feel comfortable to initiateART? *• What did the counselor do well to help you identify your adherence problemsand possible solutions?Next we ask the 'counselor':• What do you think you did well? Why? How?Then we ask the group:• Which elements of the 4 A's did the 'counselor' address well, and how?124
Now we elicit feedback on what could be improved. First we ask the ‘client’:• What could the 'counselor' have done better to help you feel morecomfortable to initiate ART? *• What could the 'counselor, have done better to help you feel more confidentabout your motivation or ability to adhere to treatment?Then we ask the 'counselor':• What would you do differently? Why?Then we ask the group:• What could the 'counselor' have done better to help the 'client' feel morecomfortable to initiate ART? Why? How? *• What could the 'counselor' have done better to help the 'client' feel moreconfident about his/her motivation or ability to adhere to treatment?How? Why?Adherence to Treatment for HIVFacilitator Guide4125
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Adherence to Treatment for HIVA Tra
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© 2006 EngenderHealth Society.F-6/
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TABLE OF CONTENTSPREFACEi - iiACKNO
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PREFACEWith funding from the Global
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ACKNOWLEDGEMENTSWe acknowledge with
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ABBREVIATIONSARTCD4GFATMIVDUMSMNNRT
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ABOUT THE FACILITATOR GUIDEThe Faci
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The steps give detailed, step-by-st
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This symbol indicatespoints to be c
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ABOUT THE PARTICIPANT MANUALThe Par
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SCHEDULE FOR DAY 1Session Title and
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Facilitator Guide1Adherence to Trea
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1 SECTION 1Facilitator GuideSession
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1SECTION 1Facilitator GuideSession
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Facilitator Guide1As the drugs redu
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1SECTION 1Facilitator GuideFACTS AB
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Activity A :Facilitator Guide20 min
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Facilitator Guide5. On a chart writ
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2SECTION 2HIV, AIDS AND CHRONIC CAR
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6. Explain thatGood chronic care is
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• Rapid treatment scale-up in res
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Activity A :15 minutes1. Adherence
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2. Facilitate a brief discussion (1
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• Therefore in a client-centered
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Case Study #2Satish, a person livin
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2. Give instructions to each group,
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one category of clients. Ask some p
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2SECTION 3THE ELEMENTS OF COUNSELIN
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Negative nonverbal cues• Reading
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Page 83: minutes. The "observer" will facili
Page 87 and 88: 3SECTION 3THE ELEMENTS OF COUNSELIN
Page 89 and 90: 5. Empathy: Ask participants to def
Page 91 and 92: 3. Conclusions: Ask participants: W
Page 95 and 96: 2. Brainstorm "Closed" and "Open-en
Page 97 and 98: Why should we do this? (Possible an
Page 103 and 104: Gender and Sexuality1. It is more a
Page 105 and 106: Sexual Behavior1. It is acceptable
Page 107 and 108: 2. Often counselors have very large
Page 109 and 110: 3SECTION 4SUPPORTING CLIENTS ON ART
Page 111 and 112: Activity B15 minutes1. Facilitate a
Page 115 and 116: 8. Clap every 30 seconds, and if yo
Page 117 and 118: 2. Prepare four risk-level cards, u
Page 119 and 120: Key Messages• Prevention and care
Page 122 and 123: SCHEDULE FOR DAY 4Session Title and
Page 124 and 125: Steps1. Explain that in this sessio
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Page 128 and 129: 2. Before the session, you will hav
Page 130 and 131: It is difficult to assess adherence
Page 136 and 137: 4SECTION 5EVALUATION AND CLOSURESes
Page 138 and 139: Closing the Training1. Closing of t
Page 140 and 141: 4SECTION 5EVALUATION AND CLOSURESes
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Page 144 and 145: 16. What drug combination are recom
Page 146 and 147: 136Notes
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Facilitator Guide - EngenderHealth

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