Final Facilitator Guide - EngenderHealth

Section 42SECTION 4PREVENTION PRACTICES FOR PLHASESSION 4.1 : PREVENTION OF PARENT-TO-CHILDTRANSMISSIONFacilitator’s Guide2Adherence to Treatment for HIVTrainer’s resource ‘A’ : Case Studies: Parent-To-Child TransmissionCase Study #1Sindu, A woman living with HIV/AIDS.It has been six years that she has been married and she hastwo children, aged 5 and 2 years respectively. During her firstdelivery she was not aware of her positive status as her husbandand in-laws chose not to tell her. She was surprised by thediscrimination that she faced at the hospital and the rude remarkspassed by some junior doctors. She discovered her status onlyafter she delivered and her mother-in-law would not let herbreastfeed. She was put on the Prevention of Parent to ChildTransmission program without her knowledge.By the time she decided to have her second child, she had beenpart of a support group where she had received information onprevention methods and heard other success stories from otherHIV-positive mothers. “In the network,” Sindu says, “we areconstantly learning about living a positive and healthy life; thisI feel is very important. The medical facility is needed only whenI am not well.”Discussion Questions• Why do you think her family did not tell Sindu abouther HIV status?• Why did the doctors treat her rudely? How could theirbehavior be changed in this respect?• What were the advantages she realized from joiningthe support group?60