Final Facilitator Guide - EngenderHealth

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2SECTION 3Section 3RESISTANCE AND ADHERENCESESSION 3.2 : ADHERENCETrainer’s notesObjectives• To understand what adherence is and how it prevents resistance.• To explore reasons for poor adherence.MethodologyVenn diagrams, group activity, gallery walkRecommended Time60 minutesMaterials• Colored construction paper, cut into different sized circles• ScissorsFacilitator’s Guide2Adherence to Treatment for HIV• Markers• Tape• Flip chart paperSteps1. Explain that we are now going to discuss the concept ofadherence. Ask the participants if anyone can tell us whatadherence is? Allow for responses and correct anymisconceptions. Explain that adherence means strictly followinga person’s ART schedule.43
Section 322. Give the group the summarized meaning of adherence :Adherence means taking medicines daily as advised andfollowing up regularly at the clinic.Facilitator’s Guide2Adherence to Treatment for HIV3. Ask the group to explain why adherence is so important in orderfor ART to be effective. (Answer : to prevent the developmentof drug-resistant HIV in the body, which causes treatment failure.Poor adherence causes resistance.)4. Tell the group that there are a lot of reasons for poor adherenceto ART. Tell the participants that they are going to have a chanceto explore these reasons by working on a project.5. Divide participants into small groups of four or five people.6. Provide each group with cut shapes of colored paper, additionalpaper, scissors, flip chart paper, markers, and tape. Tell thegroups that they will be asked to describe the reasons why somepeople do not adhere to ART by using the materials they havebeen given. They can use the materials to make any visualrepresentation they like; they can make a flowchart, VennDiagram, or any other type of picture. They can write or drawon their chart as they wish. The chart could include any of thefollowing, but is not limited to:• Reasons why people stop using ART• Reasons people forget to take their treatment on time• Reasons why people don’t take the right amount of theirmedication• Other factors that hinder consistent use of ART44Explain that there are no “rules” for this activity. Groups canrepresent their current situation in whatever way they feel is
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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 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 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
Page 102 and 103: 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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