Facilitator Guide - EngenderHealth

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3. Provide the following definition of counseling:Counseling is a process to help an individual identify problems, examine potentialsolutions, and help make decisions that are best for the individual.4. Ask the group to think about the issues we have discussed so far in the workshop.Ask them to identify some issues where they could offer counselling topeople living with HIV.If participants have a difficult time identifying issues, make the following suggestions:• Helping clients develop strategies to take pills regularly• Encouraging clients to practice safer sexFacilitator Guide• Helping clients disclose their HIV status to their partner• Helping clients make decisions about starting ART• Helping clients manage side effects• Challenging misconceptions about ART35. Tell participants that you will be introducing some key concepts of interpersonalcommunication that are the foundation for effective counselling.Adherence to Treatment for HIV6. Inform the group that a major part of communication does not involve any wordsat all. This is called nonverbal communication. Explain that there is positive nonverbalcommunication and negative nonverbal communication. Ask participants to raisetheir hand and to quickly call out some examples of both positive and negativenonverbal communication. Some examples could include the following:Positive nonverbal cues• Leaning towards a client• Smiling• Avoiding nervous mannerisms• Presenting interested facial expressions• Maintaining eye contact• Making encouraging gestures such as nodding one's head66
Negative nonverbal cues• Reading from a chart• Glancing at one's watch• Yawning• Looking out of the window• Fidgeting• Frowning• Not maintaining eye contact7. Tell the group you want to play a game to better understand non-verbalcommunication. Explain that you will walk around the room and when you stop andstand in front of a participant, that person should give you a positive nonverbal cue.After a few examples, repeat the game but now ask participants to show a negativenonverbal cue.8. Summarize the game activity by explaining thatFacilitator Guidea good relationship with a client is often based not only on what theclients hear, but also on what they observe and sense about thecounselor.39. Explain that another effective communication skill is verbal encouragement. This letsthe client know that the provider is interested and paying attention. Ask participantsto give examples of things that providers can say to encourage a client whiletalking. Examples include :• Yes.• I see.• Right.Adherence to Treatment for HIV• OK.• Really? Tell me more about that.• That's interesting.10. Another part of verbal encouragement involves asking questions. These require thatthe person answering the question must reply with a full answer rather than asimple "yes" or "no."67
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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
Page 26 and 27: 1 SECTION 1Facilitator GuideSession
Page 32 and 33: Facilitator Guide1Adherence to Trea
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: 2SECTION 3THE ELEMENTS OF COUNSELIN
Page 79 and 80: 2SECTION 3THE ELEMENTS OF COUNSELIN
Page 83: minutes. The "observer" will facili
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 113 and 114: 3SECTION 4SUPPORTING CLIENTS ON ART
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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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 4SUPPORTING CLIENTS ON ART
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4SECTION 4SUPPORTING CLIENTS ON ART
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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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