Adherence to Antiretroviral Therapy in Adults: A Guide for Trainers

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Adherence to Antiretroviral Therapy in Adults: A Guide for Trainers

Adherence to Antiretroviral Therapy in Adults: A Guide for Trainers

was developed by the Horizons Program/Population Council,

International Centre for Reproductive Health, and the Coast Province

General Hospital for the Antiretroviral Therapy Program in Mombasa,

Kenya.

The manual is designed for health workers, including physicians,

clinical officers, and adherence nurse counselors, who work in

antiretroviral therapy (ART) programs and have received some

training on antiretroviral medications. The manual consists of four

modules to be conducted over four sessions of approximately two

hours each. The sessions can be conducted separately or as part of a

comprehensive ART training program. For example, in Mombasa, the

first module was introduced on day two of a five-day ART training

course, with each additional module covered on days two, three,

four, and five.

Module 1 provides a background to adherence issues and is relevant

for all health workers involved in ART service delivery. Modules 2,

3, and 4 focus on adherence management of patients on ART and are

designed for adherence nurse counselors, but physicians may also

benefit from attending, particularly the Module 2 session. The

objective for each session is given at the beginning of each module.

The methodology, the materials required, the expected duration of

the session, and the handouts are noted in the margin at the

beginning of each exercise. Training handouts include patient

materials, counseling checklists, pill charts, and medication

demonstration charts being used in the Mombasa ART program.

The manual is based on a number of sources in the United States and

elsewhere, incuding best practices from the New York State Medical

Services, experiences from the Whitman Clinic in Washington

DC and the INOVA Juniper Program in Virginia, training programs

developed by the University of Florida, and the WHO VCT Counseling

Manual for Asia. The manual has been developed in close

collaboration with implementing partners, keeping in mind field

realities and the sociocultural environment of Mombasa, a coastal

province in Kenya.

Horizons/Population Council, International Centre for Reproductive

Health, and Coast Province General Hospital, Mombasa, Kenya.

Adherence to antiretroviral therapy in adults: A guide for trainers.

Nairobi: Population Council. (PDF, 1 MB)

http://www.popcouncil.org/horizons/mombasatrngmnl.html.

[A pdf copy is available with the moderator]