Final Facilitator Guide - EngenderHealth

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3SECTION 4Section 4POSITIVE PREVENTION PRACTICESSESSION 4.2 : PREVENTION OF HIV TRANSMISSION TOPARTNERSObjectivesTrainer’s notesMethodology• To understand the role PLHA play in preventing transmissionto others.• To explore the concept of reinfection of HIV.• To explore the issue of sero-discordancy.Brainstorm, role-playsRecommended TimeMaterials45 minutes• Flip chart paper• Markers• Facilitator’s guide Session 4.2—Training resource ‘A’ : Preventionrole-playsFacilitator’s Guide3Adherence to Treatment for HIVSteps1. Explain that we are now going to discuss what an HIV-positiveperson needs to know about HIV prevention.2. Begin the session by asking the following question: “Why shouldan HIV positive person worry about safer sex if he or sheis already infected?”65
Section 4Write responses from the participants on a flip chart. Make sure thefollowing issues are mentioned :• A person’s partner could still be HIV-negative, so the couple couldstill prevent a new infection.• HIV-positive people need to disclose their HIV status to sexualpartners and engage in safe sex in order to prevent passing theirinfection to others.Facilitator’s Guide3Adherence to Treatment for HIV• A person can become reinfected with a different type of HIV froma partner. This can make a person’s immune system weaker.• A person can become reinfected with a drug resistant HIV virus.3. Explain that we are going to spend some time looking at issuesrelated to the four bullets above : 1) discordancy* of HIV status incouples; 2) disclosure; 3) HIV reinfection and 4) transmission ofdrug resistant strain. To do this, divide the participants into foursmall groups.4. Pass out role-play cards : Prevention role-plays. Alternatively, youcan give the assignment to the group verbally using the trainer’sresource ‘A’ as a guide. Allow each group 10 minutes to preparetheir role-play. Inform them that they will only be given two minutesto perform in front of the group.* Discordant couple : when one person in HIV positive and otherin negetive.66
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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
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This symbol indicatesthe questions
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8This box should becut and pasteona
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This symbolindicates the triggerque
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1SECTION 1Section 1INTRODUCTIONS AN
Page 26 and 27: 1SECTION 1Section 1INTRODUCTIONS AN
Page 28 and 29: Section 1Then read out this definit
Page 30 and 31: 1SECTION 1Section 1INTRODUCTIONS AN
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 68 and 69: 2SECTION 4Section 4PREVENTION PRACT
Page 70 and 71: Section 4Reasons include• Parents
Page 72: Section 4Case Study #2Usha, A women
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
Page 86 and 87: Section 4Choose four or five that y
Page 88 and 89: 3SECTION 4Section 4POSITIVE PREVENT
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
Page 119 and 120: Section 64SECTION 6CARE AND SUPPORT
Page 121 and 122: Section 64SECTION 6CARE AND SUPPORT
Page 123 and 124: Section 6(List these tasks on the f
Page 125 and 126: 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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