Facilitator Guide - EngenderHealth

Key Messages• Managing any chronic condition requires the clients' informed andactive participation, especially when the client has to makepotentially difficult decisions such as disclosure of the disease, theneed to change behaviors, and commitment to long and complextreatments, such as in the case of HIV/AIDS.Facilitator Guide2Adherence to Treatment for HIV• It is very difficult for anybody to make and sustain commitmentslike these without knowledge, skills and support to feel in chargeof their own health care.• Self-management means the client taking responsibility for his/herown health care.• A critical issue for successful client self-management is to establisha partnership between the care team and the client that the clienttrusts and believes in.• Provision of good HIV chronic care requires teamwork.• Clinical teams may work together differently depending where theyare located in order to ensure adequate compliance with nationalguidelines, supervision, case review, and accountability for overallclinical responsibility for the chronic HIV care delivered by the team.58