Final Facilitator Guide - EngenderHealth

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2SECTION 4Section 4PREVENTION PRACTICES FOR PLHASESSION 4.1 : PREVENTION OF PARENT-TO-CHILDTRANSMISSIONObjectivesMethodologyTrainer’s notes• To understand what can be done to prevent parent-to-childtransmission (PPTCT) of HIV.• To explore barriers to PPTCT programs being effective.Discussing picture chartsRecommended TimeMaterials60 minutesFacilitator’s Guide2Adherence to Treatment for HIV• Participant’s manual Session 4.1—Handout ‘A’ : Reducing PPTCT• Facilitator’s guide Session 4.1—Trainer resource ‘A’ : Case studies/PPTCTSteps1. Explain that this session will look at how to prevent HIV transmissionduring and after pregnancy from a mother to her child.2. First, tell the group that there are three different times when amother can transmit HIV to a child. HIV can be transmitted :1) when the baby is still growing in the uterus 2) during delivery3) while breastfeeding.57
Section 43. Explain that we now know many ways to reduce the risk of HIVbeing transmitted on from a mother to child. Take the participantsthrough Handout ‘A’. The diagrams are designed to share theinformation below in an easy-to-understand format. Refer to thischart while explaining the diagrams in the handout.Facilitator’s Guide2Adherence to Treatment for HIV4. While showing the handouts, explain the difference between theone pill shown in the first four diagrams (single dose nevirapine),and the group of pills shown in the final diagram (triple ART).Explain that it is recommended thatMost HIV-positive pregnant women receive one dose ofthe drug nevirapine at the onset of labor. The newbornshould also receive a dose of nevirapine 2 to 3 days afterdelivery. However, if a pregnant woman has a CD4 countof 200 or less, then a woman should start ARTimmediately during her pregnancy. Pregnant womenalready on ART should continue their ART regimen. Ifthe woman is on efavirenz, then she will be asked to stoptaking it or change the combination if she is consideringpregnancy.5. The final page of the handout stresses the importance of exclusivebreastfeeding or exclusive bottle-feeding. Explain thatParents may not be able to exclusively bottle-feed, eventhough this reduces the risk of HIV transmission.Ask the group why bottle-feeding may not be possible?58
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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 CONTENTSPREFACEACKNOWLEDGE
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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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The Facilitator Guide consists of:
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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 64 and 65: Section 37. Finish the session by r
Page 66 and 67: Section 32. Ask for a volunteer to
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.
Page 104 and 105: 3SECTION 5Section 5COUNSELING ON AD
Page 106 and 107: Section 55. Begin a discussion with
Page 109 and 110: SCHEDULE FOR DAY 4Day Four : Care a
Page 111 and 112: Section 53. They should write their
Page 113 and 114: Section 54. Adherence to treatment
Page 115 and 116: Section 5III.Issues specific to men
Page 117 and 118: 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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