Final Facilitator Guide - EngenderHealth

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2SECTION 3Section 3RESISTANCE AND ADHERENCESESSION 3.1 : RESISTANCETrainer’s notesObjectives• To understand the meaning of ART resistance.• To understand how resistance occurs and how to prevent it.MethodologyDiscussing picture charts, group activityRecommended Time30 minutesMaterials• Flip chart and markersFacilitator’s Guide2Adherence to Treatment for HIV• Participant’s manual Session 3.1—Handout ‘A’ : ART ResistanceSteps1. Ask if anyone in the group knows what ART resistance is ?After taking answers, clarify thatART resistance is the ability of HIV in a person body to multiply& destroy CD4 cells and ART medication that he or she takesdoes not work anymore for the person.41
Section 3Explain thatART resistance occurs when people do not take theirmedication regularly.Facilitator’s Guide2Adherence to Treatment for HIV2. To help people understand the concept of resistance, take themthrough Handout ‘A’.3. After this, check for understanding with the group. Allow forquestions until everyone’s understanding is confirmed.4. Explain thatWhen the ART resistance of HIV in a person’s bodybecomes too strong we call this “treatment failure.”At this point the person will become sick again. Sometimes anew regimen of a different medicine can be provided that canbattle the HIV that is resistant to other drugs. However, thereare only a few drug regimens, so HIV can eventually becomeresistant to all drugs.5. If time allows, ask someone in the group to share howthey would explain resistance to someone who was about tostart ART.6. Conclude the session with the following key message :When a person living with HIV does not adhere, he/she will develop treatment failure and become sickagain. If a person who is on ARV medicines forgetsmore than two or more pills per month, there arechances that resistance will develop!42
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 36 and 37: Section 2Where does HIV come from?N
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 54 and 55: 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 62 and 63: 2SECTION 3Section 3RESISTANCE AND A
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 84 and 85: Section 4pouch is called the inner
Page 86 and 87: Section 4Choose four or five that y
Page 90 and 91: Section 4HIV status. Disclosing one
Page 92 and 93: Section 53. After, provide the foll
Page 94 and 95: Section 5Some examples could includ
Page 96 and 97: Section 57. Tell the group that we
Page 98 and 99: Section 5and have them draw or writ
Page 100 and 101: 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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