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How rehabilitation can help people living with HIV in Sub-Saharan Africa : an evidence-informed tool for rehab providers

Canadian Working Group on HIV and Rehabilitation
University of Toronto
University of Zambia
March 2015

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The aim of this e-module (or pdf) is to enhance knowledge about HIV care among rehabilitation providers in Sub-Saharan Africa (SSA) to help address the needs of people living with HIV. The resource is divided into 5 sections: the role of rehabilitation in the context of HIV in SSA; what rehabilitation providers need to know about HIV in SSA; rehabilitation interventions that can help people living with HIV in SSA; what rehabilitation providers need to know about caring for children and youth living with HIV in SSA; concepts and tools for measuring rehabilitation outcomes in HIV in SSA. This current resource is a comprehensive adaptation of the 2014 Canadian e-Module for rehabilitation providers in Sub-Saharan Africa which was developed from "A Comprehensive Guide for the Care of Persons with HIV Disease (Module 7)", published by Health Canada and the Wellesley Central Hospital, Toronto, Canada, published in 1998.

Seizing the opportunity on AIDS and health systems

OOMMAN, Nandini
BERNSTEIN, Michael
ROSENZWEIG, Steven
August 2008

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This is a comparison of donor interactions with national health systems in Mozambique, Uganda, and Zambia - specifically: the health information systems, the supply chain systems for essential medicines, and human resources for health. It focuses on the US President’s Emergency Plan for AIDS Relief, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank’s Africa Multi-Country AIDS Program

Task shifting : rational redistribution of tasks among health workforce teams : global recommendations and guidelines

WORLD HEALTH ORGANIZATION (WHO)
2008

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These guidelines and 22 recommendations are designed to support for countries that face a high HIV burden and acute shortages within the health workforce. Task shifting involves the rational redistribution of tasks among health workforce teams. Specific tasks are moved, where appropriate, from highly qualified health workers to health workers with shorter training and fewer qualifications in order to make more efficient use of the available human resources for health. The key elements that must be in place if the approach is to prove safe, efficient, effective, equitable and sustainable, cover the need for consultation, situation analysis and national endorsement, and for an enabling regulatory framework. They specify the quality assurance mechanisms, including standardised training, supportive supervision, and certification and assessment, that will be important to ensure quality of care

Sexual and reproductive health for HIV-positive women and adolescent girls : mannual for trainers and programme managers

BELL, Emma
PERCHAL, Paul
2006

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This manual is designed to provide information and structure for a four-day training and a two-day planning workshop that will enable programme managers and health workers in resource-constrained settings to offer comprehensive, non-judgemental, and quality care and support to HIV-positive women and adolescent girls in the local context. The manual also encourages male involvement and promotes a holistic approach to integrated sexual and reproductive health (SRH) counselling and programme planning that links SRH and HIV and AIDS services

Antiretroviral treatment in Zambia : a study of the experiences of treatment users and health care workers

INTERNATIONAL HIV/AIDS ALLIANCE
March 2004

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This is a report detailing the main themes that emerged from research in Zambia testing the effect of a package of community education and referral interventions to expand health and ARV literacy, achieve better health-seeking behaviour, improve equity of access, boost ARV adherence and improve prevention for people with HIV. In Zambia, the ARV treatment programme in public health institutions has started scale-up, aiming as a first goal to reach 10,000 people. Zambia's central board of health (CBoH) commissioned an operations research project through the Alliance and Horizons. The research sought to understand how health seeking behaviour, particularly for VCT, adherence to ARV treatment, prevention for people with HIV and equity of access to ART treatment programmes can be improved. Eleven themes emerged from these in-depth interviews and form the main body of the report. Information needs and misinformation about HIV/AIDS and ARVs cross-cut most themes. Key actions to support improvements in policy and advocacy in support of people living with HIV in Zambia are listed at the end

Reducing stigma and discrimination related to HIV and AIDS : training for health care workers. Trainer's manual

ENGENDERHEALTH
Ed
2004

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This manual is aimed at reducing stigma and discrimination in health care settings. Health workers' fears are based on real risks of medical transmission, due to lack of information and training and poor precaution practices. This manual uses participatory training methodologies to change health care workers' attitudes and provide practical information around patient rights and safe work environment. It covers a broad range of topics, including: stigma and discrimination, right to privacy and confidentiality, HIV transmission, standard precaution practices, post-exposure prophylaxis, and HIV testing

HIV/AIDS care and treatment : a clinical course for people caring for people living with HIV/AIDS [participant manual]

IMPLEMENTING AIDS PREVENTION AND CARE PROJECT (IMPACT)
2004

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The "HIV/AIDS Care and Treatment Participant Guide" presents new knowledge and skills for delivering and organising clinical care and treatment services for people living with HIV/AIDS. The course is divided into 7 modules covering HIV prevention and care issues; managing patients with HIV related diseases; managing women and children with HIV; antiretroviral therapy; supporting people with HIV/AIDS; managing patients on antiretroviral treatment; and TB, women, children and post-exposure prophylaxis. A facilitator's guide accompanies this manual

HIV/AIDS care and treatment : a clinical course for people caring for people living with HIV/AIDS [facilitator's guide]

IMPLEMENTING AIDS PREVENTION AND CARE PROJECT (IMPACT)
2004

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The "HIV/AIDS Care and Treatment Participant Guide" presents new knowledge and skills for delivering and organising clinical care and treatment services for people living with HIV/AIDS. The course is divided into 7 modules covering HIV prevention and care issues; managing poatients with HIV related diseases; managing women and children with HIV; antiretroviral therapy; supporting people with HIV/AIDS; managing patients on antiretroviral treatment; and TB, women, children and post-exposure prophylaxis. A participant manual accompanies this manual

Adherence to antiretroviral therapy in adults : a guide for trainers

HORIZONS. Population Council
2004

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Successful HIV therapy requires 95% adherence. As antiretrovirals are becoming more widely available and an increasing number of ARV programmes are launched in developing countries, HIV patients need to be helped to strictly follow a treatment plan. This manual, one of the first adherence training tools developed in Africa, has been designed for health professionals in the province of Mombasa, but can be adapted to other contexts. It consists of four modules, each including Power Point presentations, suggested activities and additional informative material. Module 1 provides basic information on adherence, highlighting the consequences of non-adherence. Module 2 deals with all aspects of patient preparation for adherence and module 3 aims to provide trainees with specific skills in preparatory counseling for patients prior initiating ARV treatment. Finally, module 4 is designed to help health care providers assist patients during treatment

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