Facilitator Guide - EngenderHealth

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Facilitator Guide1Adherence to Treatment for HIVAs the CD4 levels decline, the risk of getting opportunistic infectionsincreases.We will now briefly go through the WHO adult HIV clinical stages, using Handout ‘C’.2. Before the session, tape pieces of flip chart paper/news papers together so that theyare long enough to cover a person's height. Lay the paper on the floor. Ask for avolunteer to lie down on the floor over the paper and draw an outline of his or her body.3. Hang the outline of the body up on the wall in front of the group or lay it down on thefloor so that everyone can see it. Or ask the group to stand around the body map forthe next part of this exercise.4. Once again stress that the purpose of this course is not to provide an in-depth clinicalunderstanding of these conditions; rather, we are reviewing this basic informationbecause counselors, as members of the team managing a client, need to be aware ofthese clinical stages.5. Ask for volunteers to read the signs and symptoms in each clinical stage. Explain thatwe are going to take turns identifying parts of the body that are affected by HIVinfection in different stages including Opportunistic Infections (OI). Ask the firstvolunteer to draw or label parts that are affected. As each sign, symptom or an OI isidentified; describe this and what it could be caused by. Symptoms such as fever,fatigue and weakness which are generalized and not necessarily focused to a specificpart of the body should be listed on one side on the large sheet.6. Conclusion: Emphasize that participants should read these handouts in their owntime because these materials contain simple messages to explain complex clinicalissues to clients. In addition, participants should familiarize themselves with the signsand symptoms for WHO adult HIV clinical stages included in these handouts.22
1 SECTION 1FACTS ABOUT HIV, AIDS AND ARTSession 1.4 : The Impact of HIV on the Immune SystemTrainer's resource : Find your match ExercieseFacilitator GuideNote for the trainer: You can select, adapt, and add more sentences depending on the needs and sizeof your group. These sentences are provided as examples.1HIV is a retroviral that attacks….AIDS is a syndrome. A syndrome is…Every healthy person has a strong bodydefense against diseases called……the immune system.…several conditions or illnesses. In the case ofHIV infection, this happens because the virusweakens the immune system.…the immune system, of which the whiteblood cells are an important part.Adherence to Treatment for HIVA lymphocyte is a type of white blood cell.Some types of lymphocytes have…HIV attacks mostly CD4 cells and thisis why…When a person gets infected with HIV…During the first few (approximately five)years of HIV infection…During the first few (approximately five)years of HIV infection…During the first years of HIV infection……a tag/mark on its surface called CD4.…the number of CD4 cells is a goodway of checking how much of the immunesystem is still working.…the virus will start attacking the immunesystem.….the immune system still functionswell.…the person will have no symptoms,or only minor symptoms like skin diseases or alittle weight loss.…a lot of people do not know that they areHIV-positive.23
Page 1 and 2: Adherence to Treatment for HIVA Tra
Page 3 and 4: © 2006 EngenderHealth Society.F-6/
Page 5 and 6: TABLE OF CONTENTSPREFACEi - iiACKNO
Page 7 and 8: PREFACEWith funding from the Global
Page 9 and 10: ACKNOWLEDGEMENTSWe acknowledge with
Page 11 and 12: ABBREVIATIONSARTCD4GFATMIVDUMSMNNRT
Page 13 and 14: ABOUT THE FACILITATOR GUIDEThe Faci
Page 15 and 16: The steps give detailed, step-by-st
Page 17 and 18: This symbol indicatespoints to be c
Page 19 and 20: ABOUT THE PARTICIPANT MANUALThe Par
Page 22 and 23: SCHEDULE FOR DAY 1Session Title and
Page 24 and 25: Facilitator Guide1Adherence to Trea
Page 26 and 27: 1 SECTION 1Facilitator GuideSession
Page 38 and 39: 1SECTION 1Facilitator GuideSession
Page 40 and 41: Facilitator Guide1As the drugs redu
Page 42 and 43: 1SECTION 1Facilitator GuideFACTS AB
Page 44 and 45: Activity A :Facilitator Guide20 min
Page 46 and 47: Facilitator Guide5. On a chart writ
Page 48: Facilitator Guide1Adherence to Trea
Page 51 and 52: 2SECTION 2HIV, AIDS AND CHRONIC CAR
Page 53 and 54: 6. Explain thatGood chronic care is
Page 55 and 56: • Rapid treatment scale-up in res
Page 57 and 58: Activity A :15 minutes1. Adherence
Page 59 and 60: 2. Facilitate a brief discussion (1
Page 61 and 62: • Therefore in a client-centered
Page 63 and 64: Case Study #2Satish, a person livin
Page 67 and 68: 2. Give instructions to each group,
Page 71 and 72: one category of clients. Ask some p
Page 75 and 76: 2SECTION 3THE ELEMENTS OF COUNSELIN
Page 77 and 78: Negative nonverbal cues• Reading
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minutes. The "observer" will facili
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3SECTION 3THE ELEMENTS OF COUNSELIN
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5. Empathy: Ask participants to def
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3. Conclusions: Ask participants: W
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2. Brainstorm "Closed" and "Open-en
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Why should we do this? (Possible an
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Gender and Sexuality1. It is more a
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Sexual Behavior1. It is acceptable
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2. Often counselors have very large
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3SECTION 4SUPPORTING CLIENTS ON ART
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Activity B15 minutes1. Facilitate a
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8. Clap every 30 seconds, and if yo
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2. Prepare four risk-level cards, u
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Key Messages• Prevention and care
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SCHEDULE FOR DAY 4Session Title and
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Steps1. Explain that in this sessio
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2. Divide the participants into thr
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2. Before the session, you will hav
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It is difficult to assess adherence
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4SECTION 5EVALUATION AND CLOSURESes
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Closing the Training1. Closing of t
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4SECTION 5EVALUATION AND CLOSURESes
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16. What drug combination are recom
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136Notes
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Facilitator Guide - EngenderHealth

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