Facilitator Guide - EngenderHealth

2SECTION 2HIV, AIDS AND CHRONIC CARESession 2.2 : Adherence to HIV TreatmentTrainer’s resource ‘A’ : Adherence Case StudiesFacilitator Guide2Adherence to Treatment for HIVCase Study #1Devi, a person living with HIV who has quit treatmentDevi came to know of her status in early 2002. After a few months she approacheda doctor who advised her against beginning ART due to its toxicity. She thenwent to another doctor who started her on ART; her CD4 was 200 at that time.In a few months, her CD4 count went up and she started feeling better.During this time, she met other PLHA and families of people on ART who haddied. Many of these people gave Devi incorrect messages about ART, which wasa result of their own misunderstanding or limited knowledge. After theseconversations, Devi thought that people on ART died earlier. Therefore, aftertaking ART for a year, she discontinued.Devi did not consult her doctor before stopping. However, the doctor had neverconveyed the consequences of discontinuing the medication.Discussion Questions• What were the main reasons for Devi stopping her treatment?• What could have been done in order to prevent this fromhappening?52