Facilitator Guide - EngenderHealth

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Facilitator Guide1Adherence to Treatment for HIVAfter many years, HIV infection usuallycauses...These diseases are called…Usually, it takes about 7-10 years afterHIV infection…One of the most common opportunisticinfection associated with HIV is TB…Pulmonary TB symptoms usually include…More than 50% of people with pulmonaryTB…… the immune system to becomeweak and the person will be vulnerable todiseases that normally would be resisted bythe body.…opportunistic infections (OI) because theytake advantage of a weakened immunesystem.…before the person becomes verysick (AIDS), if he/she is not on ART.…because "sleeping" or latent TB canbe reactivated due to a weak immunesystem.…persistent cough, fever, and loss ofweight.…will not have a positive sputum test.A negative sputum result for TB in an HIV+person does not exclude TB. Further testswould be needed.24
1 SECTION 1Session 1.5 : Introduction to HIV Care and SupportTrainer's notesFACTS ABOUT HIV, AIDS AND ARTFacilitator GuideObjectives1By the end of this session participants will• Understand how ART delays the progression of HIV infection.• Identify the advantages and challenges of ART.• Understand the implications of ART in combating the HIV/AIDS epidemic.MethodologyLecture, brainstorm, group discussion, and presentation.Recommended TimeAdherence to Treatment for HIV60 minutesMaterials• Flip chart and markers• Participant's manual Session 1.5-Handout ‘A’: Antiretroviral Treatment• Flip chart on advantages• Flip chart on challengesActivity A20 minutes1. Explain that we now have basic information about HIV and want to talk more abouthow HIV-positive people can stay healthy. Ask the group to brainstorm a list ofbehaviours that HIV-positive people can adopt that will help them livelonger. The list may include the following:• Eat well, at regular intervals• Get plenty of rest• Stop smoking and drinking alcohol• Exercise• Keep a positive mental attitude• Start taking antiretroviral drugs when recommended by doctor25
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
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Page 42 and 43: 1SECTION 1Facilitator GuideFACTS AB
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Page 46 and 47: Facilitator Guide5. On a chart writ
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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
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Page 63 and 64: Case Study #2Satish, a person livin
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Page 75 and 76: 2SECTION 3THE ELEMENTS OF COUNSELIN
Page 77 and 78: Negative nonverbal cues• Reading
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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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