Final Facilitator Guide - EngenderHealth

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Section 2Where does HIV come from?Nobody knows where HIV came from, exactly how it works, or howto cure it. When HIV first appeared in each country, people blamedHIV on certain communities. Often, people think the fault lies withpeople from “other places” or those who look and behave “differently.”This leads to problems of blame and prejudice. It also means thatmany people believe that only people in those groups are at risk forHIV infection and that “it can’t happen to me.” Confusion aboutwhere HIV comes from and whom it affects also makes many peoplewilling to deny that it even exists.How many people are infected with HIV in the world and in India?UNAIDS estimates that in 2005 there were 4.03 crores* people livingin the world with HIV. NACO estimates that in India there are 53lakhs* people living with HIV.Facilitator’s Guide1Adherence to Treatment for HIVHow is HIV transmitted?Getting infected with HIV does not happen as easily as gettingmeasles or influenza. For example, viruses like measles and influenzaare transmitted by air, when having social contacts with infectedpeople. HIV needs “transport” to get into the body of a person. This”transport” can be blood, semen, vaginal fluid, or breast milk. As aconsequence, the virus can be transmitted through the following:• Unprotected sexual intercourse• Transfusion with blood or blood products• Using shared unsterile needles, syringes and cutting objects• From a mother who is HIV-positive to her baby during pregnancy,delivery or breast feeding* 4.03 crores = 40.3 million* 53 lakhs = 5.3 million25
Section 2ImportantFacilitator’s Guide1Adherence to Treatment for HIVThe presence of sexually transmitted infections(discharge, ulcers) increases the risk of acquiring andtransmitting HIV. This is because people with a sexuallytransmitted infection have a higher concentration ofHIV in the genital mucosa and/or because the entry ofthe virus is facilitated due to the presence of lesions inthe mucosa.How HIV is not transmittedHIV is NOT transmitted by :• Other body fluids like tears, saliva, sweat, and urine• Personal contacts : kisses on the mouth, hugging, shaking hands• Social contacts : during work, in school, at a cinema, theatre,restaurant, or sauna• Air or water : sneezing, coughing, swimming pool/ponds,swimming in the sea• Objects : pens, toilets, towels, sheets, soap• Insects : mosquito bites or other insects26
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 CONTENTSPREFACEACKNOWLEDGE
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: The Facilitator Guide consists of:
Page 15 and 16: How to use the facilitator guideThe
Page 17 and 18: This symbol indicatesthe questions
Page 19 and 20: 8This box should becut and pasteona
Page 21: This symbolindicates the triggerque
Page 24 and 25: 1SECTION 1Section 1INTRODUCTIONS AN
Page 28 and 29: Section 1Then read out this definit
Page 32 and 33: Section 1Summarize the results as f
Page 34 and 35: Section 22. During the discussion,
Page 38 and 39: 1SECTION 2Section 2HIV AND ANTIRETR
Page 40 and 41: Section 210. You cannot contract HI
Page 42 and 43: Section 2The list may include the f
Page 44 and 45: Section 2• If you do not take you
Page 46 and 47: Section 2Steps1. Ask the group if t
Page 48: Section 26. Tell the group that to
Page 52 and 53: 2SECTION 3Section 3RESISTANCE AND A
Page 56 and 57: Section 3most appropriate. Creativi
Page 58 and 59: Section 34. Provide 15 minutes for
Page 60 and 61: Section 3Case Study #2Devi, a perso
Page 64 and 65: Section 37. Finish the session by r
Page 66 and 67: Section 32. Ask for a volunteer to
Page 68 and 69: 2SECTION 4Section 4PREVENTION PRACT
Page 70 and 71: Section 4Reasons include• Parents
Page 72: Section 4Case Study #2Usha, A women
Page 76 and 77: 3SECTION 4Section 4POSITIVE PREVENT
Page 78 and 79: Section 45. After all four role pla
Page 80 and 81: Section 4Group ThreeReinfectionYou
Page 82 and 83: 3SECTION 4Section 4POSITIVE PREVENT
Page 84 and 85: Section 4pouch is called the inner
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Section 4Choose four or five that y
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3SECTION 4Section 4POSITIVE PREVENT
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Section 4HIV status. Disclosing one
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Section 53. After, provide the foll
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Section 5Some examples could includ
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Section 57. Tell the group that we
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Section 5and have them draw or writ
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Section 5Characteristics of a Poor
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Section 52. Ask for six volunteers.
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3SECTION 5Section 5COUNSELING ON AD
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Section 55. Begin a discussion with
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SCHEDULE FOR DAY 4Day Four : Care a
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Section 53. They should write their
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Section 54. Adherence to treatment
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Section 5III.Issues specific to men
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Section 54SECTION 5COUNSELING ON AD
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Section 64SECTION 6CARE AND SUPPORT
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Section 64SECTION 6CARE AND SUPPORT
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Section 6(List these tasks on the f
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Section 73. Assign each group one o
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Section 73. Review Handout 7.2 : He
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Section 82. Participants will now d
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Section 84SECTION 8SERVICES FOR PLH
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Section 94SECTION 9SKILLS FOR PEER
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Section 97. After all groups are fi
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Section 9• A good relationship wi
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Section 9bottle with the label so t
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Section 10110CLOSINGSESSION 10.1 :
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Section 104 SECTION 10CLOSINGSESSIO
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Section 104 SECTION 10CLOSINGSESSIO
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Section 10As you go around the circ
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12. Number of people living with HI
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13. HIV cannot be transmitted by :
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150Notes
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Final Facilitator Guide - EngenderHealth

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