Final Facilitator Guide - EngenderHealth

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treatment effectively. Our work aims to build the capacity of service providersand of grass roots support systems to respond to these needs and to adapt experiencesand learning to continue to innovate and improve services for people living with HIV .This four-day curriculum expresses our commitment to achieve these aims. It engagesthe peer educators in a meaningful dialogue with their audiences to engender asense of ownership of their health and their well-being and motivate them to sustaintreatment adherence. The curriculum makes complex information understandableand accessible to the audience, and this helps to remove a critical barrier to personalempowerment around what are often perceived to be daunting treatment issues.The curriculum focuses both on individual effort involved in adherence to therapyand self care, as well as on providing guidance on health seeking behavior and ways ofaccessing support. This curriculum also recognizes the critical role of a person livingwith HIV in the prevention of further HIV transmission, in preventing the developmentof ART resistance and in reducing the transmission from parentto children.The enormous effort of the scientific community to understand the HIV virus and tofind a cure for the disease is bringing about rapid changes in the body of knowledgein this field. We hope that these efforts will soon result in a cure for the disease. Weare aware that over time new research may make some of the content in this editionoutdated or irrelevant. Therefore we encourage the users of this manual to pro-activelycomplement our materials with technical updates from other sources, as necessary.We hope that this curriculum will equip the peer educators to support people livingwith HIV in their efforts to access quality ART services and the necessary care andsupport that will enhance their quality of life and their right to health.Jyoti VajpayeeCountry DirectorEngenderHealth Societyii
ACKNOWLEDGEMENTSWe acknowledge with gratitude Andrew Levack, EngenderHealth primary writerof the manual assisted by Dr. Vijayabhaskar Reddy Kandula and Geetha Venugopal.Our special appreciations are due to Charlotte Storti for her detailed editorial reviewof the English version of the curriculum.The manual follows National AIDS Control Organization (NACO) and World HealthOrganization (WHO) guidelines on HIV treatment and its contents are adaptedfrom WHO’s Integrated Management of Adult Illnesses for HIVTreatment - WHO Basic ART Clinical Training Course 2004. Weacknowledge WHO for allowing us to adapt the IMAI Manual and their continuedsupport during the curriculum development process.We thank Family Health International for allowing us to use concepts andillustrations from the ‘ART Basics Flip Chart’ and ‘ART Side Effects Flip Chart’developed by them. We thank the International Training and Education Centreon HIV (ITECH) for allowing us to use concepts and illustrations from theirbrochures ‘Tips for ART Adherence’ and ‘HIV and ART’ in some sessions.A series of three consultative workshops were conducted for assessing trainingneeds in August 2005 by EngenderHealth Society in consultation withAnjali Gopalan and her team from Naz Foundation, we acknowledge theircontribution in content development. We appreciate the participation and inputsof representatives from Tamilnadu State AIDS Control Society (TNSACS),Karnataka State AIDS Control Society (KSACS), Andhra Pradesh State AIDS ControlSociety (APSACS), Maharashtra State AIDS Control Society (MSACS), NagalandState AIDS Control Society (NSACS), Manipur State AIDS Control Society (MSACS),Mumbai Districts AIDS Control Societies (MDACS) and NGOs from the GFATMACT project states in content development.EngenderHealth Society gratefully acknowledges the contribution of the partnerorganizations of Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM)iii
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: PREFACEWith funding from the Global
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 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
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2SECTION 3Section 3RESISTANCE AND A
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Section 37. Finish the session by r
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Section 32. Ask for a volunteer to
Page 68 and 69:
2SECTION 4Section 4PREVENTION PRACT
Page 70 and 71:
Section 4Reasons include• Parents
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Section 4Case Study #2Usha, A women
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3SECTION 4Section 4POSITIVE PREVENT
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Section 45. After all four role pla
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Section 4Group ThreeReinfectionYou
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Page 84 and 85:
Section 4pouch is called the inner
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Section 4Choose four or five that y
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Section 4HIV status. Disclosing one
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Section 53. After, provide the foll
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Section 5Some examples could includ
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Section 57. Tell the group that we
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Section 5and have them draw or writ
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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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