HIV COUNSELLING AND TESTING (HCT) TRAINING COURSE - AIDS Information Centre

About Course

Course content: Integrated HIV care, management and treatment counseling
Modality of training: Classroom, practical and community interface (new approach/ practical)
Duration: 2 weeks classroom and 2 week practicum

Objective of the training

To Provide Training On General HIV Care And Treatment of PLHIVs
Support PLHIVs to adopt and maintain prevention strategies that reduce the transmission of HIV/STI in their communities.
To provide knowledge on the National HIV testing algorithm
To provide knowledge on the different HIV prevention interventions

Understand the fundamentals of HIV care, treatment, and prevention
Apply the national HIV testing algorithm in clinical and community settings
Deliver effective HIV counselling and support to individuals and groups
Promote positive prevention strategies among PLHIV
Conduct HIV/STI risk reduction education
Implement community-level interventions for HIV support
Address psychosocial needs of PLHIV through client-centered care
Identify and link clients to appropriate HIV prevention and treatment services

Course Content

Module 1: Overview of HIV
At the end of this session participants will be able to: Understand the global and national trends of the HIV pandemic. Discuss basic facts about HIV and AIDS. Describe the natural history about HIV/AIDS Discuss HIV transmission

Important Course Links
Origin of HIV
History of HIV in Uganda
History of the epidemic
HIV/ AIDS Global Statistics
HIV and AIDS in Uganda: Statistics
HIV Prevalence Rates (UNAIDS 2021)
DRIVERS OF THE HIV EPIDEMIC
HIV and AIDS: Key and Priority Populations
BASIC FACTS OF HIV AND AIDS
Characteristics of HIV
PRINCIPLES OF HIV INFECTION
Exit & Sufficiency
Survival & Entry
HIV Types and Sub-types
MAIN DIFFERENCES BETWEEN HIV 1 AND HIV 2
AIDS
Differences between HIV and AIDS
How to make a diagnosis of (AIDS)
FLUIDS THAT HABOUR HIV
HIV in Body Fluids
Modes of Transmission
Co – factors (Risks) to HIV transmission
HIV is not spread through:
REFERENCES
Natural History of HIV
Stages of HIV Progression
Natural history of HIV/AIDS in Adults: Seroconversion
Natural history of HIV/AIDS in Adults: Asymptomatic
Natural history of HIV/AIDS in Adults: Symptomatic
Natural history of HIV/AIDS in Adults: Progression to AIDS
Natural history of HIV/AIDS in Adults: Summary
Stages of HIV Progression: Summary
Natural history of HIV/AIDS in Adults: Progression to AIDS
Natural History of Paediatric HIV
HIV PROGRESSION GRAPH
Forms of progression
Factors that determine the rate of HIV disease progression

Module 2: Laboratory and Clinical Diagnosis of HIV
By the end of this session participants will be able to: Correctly test for HIV in adults and in children Describe the effect of HIV on the immune system Make a clinical diagnosis of HIV and AIDS Make a presumptive diagnosis of HIV in children

Basic Terms
Structure of HIV
Laboratory diagnosis of HIV : Introduction
Laboratory diagnosis of HIV: HIV ANTIBODY TESTING
Laboratory diagnosis of HIV: Testing Algorithm using Rapid Antibody Tests (Blood)
HIV TESTING ALGORITHM
Laboratory diagnosis of HIV: Self Testingusing Rapid Antibody Tests (HIVST)
Uganda HIV self testing strategy (HIVST)
Laboratory diagnosis of HIV: Window Period
Common Causes of False HIV Positive Antibody Test Results
Laboratory diagnosis of HIV: Virologic Tests
Other Virologic tests for HIV
PRACTIAL SESSION ON RAPID TESTING

00:00
The Immune System
What are Opportunistic Infections (OIs)?
OPPORTUNISTIC INFECTIONS
Clinical Staging of HIV
WHO Clinical Stage
WHO STAGE ONE
WHO STAGE 2
WHO STAGE 3
WHO STAGE 4
TUBERCULOSIS (TB)
Discovery of TB
Global TB Statistics
What is tuberculosis (TB)?
Transmission of TB
Factors that increase likelihood of TB transmission
Populations at most risk for contracting TB
TB infection vs. TB disease
TB/HIV Co-Infection
What are the symptoms of TB?
What are the physical signs of TB?
Making a Diagnosis of TB
How long is TB treatment?
What happens if you do not take your treatment?
How do you take care of yourself when you have TB?
How do you keep TB from spreading?
TB SCREENING ALGORITHM FOR ADULTS

Module 3: HIV Prevention
At the end of this session participants will be able to explain; HIV combination prevention strategies; a) Structural, b) Behavioral and c) Biomedical HIV prevention Elimination of Mother to Child Transmission of HIV Understanding PrEP and PEP as biomedical HIV interventions

Prevention of HIV & AIDS
Prevention of HIV & AIDS: Behavioral interventions
Prevention of HIV & AIDS: Biomedical interventions
Prevention of HIV & AIDS: Structural interventions
HIV PREVENTION: ELIMINATION OF MOTHER TO CHILD TRANSMISSION (eMTCT)
Stages of Mother to Child Transmission of HIV
Factors that influence MTCT at different stages
Factors that influence MTCT at different stages
FOUR PRONGED APPROACH TO eMTCT
Prong 1: Preventing HIV infection among women of reproductive age (Primary prevention)
PMTCT during PREGNANCY
PMTCT DURING BREAST FEEDING
PMTCT: CRITERIA FOR ARTIFICIAL FEEDING
HIV PREVENTION: Pre Exposure Prophylaxis (PrEP)
HIV PREVENTION: Introduction to Post Exposure Prophylaxis (PEP)

Module 4: Antiretroviral Therapy
By the end of this session, participants will be able to: Discuss the goal of ART Understand how ARVs work Understand basic ART management

Module 5: HIV Services Delivery Modules
By the end of the presentation the participants should be able to: Explain HTS Testing modalities Know the facility testing modalities Know the community testing modalities Understand HTS Screening tool Understand HTS Circular 2020

HIV SERVICE DELIVERY MODELS
HIV TESTING MODALITIES
HIV TESTING MODALITIES
Community-based HIV Testing Modalities
Facility-based testing modalities – Definition and data capture
Facility-based testing modalities
Facility-based testing modalities
Facility-based testing modalities
Facility-based testing modalities
Facility-based testing modalities
Screening for HIV Testing in Adolescents and Adults
HTS Screening Tool for children
M&E Tools

Module 6: Gender Based Violence
By the end of this session the participants will be able to: Define Gender Based Violence List the different forms of GBV Manage of GBV survivors Discuss the GBV referral pathway

Module 7: HIV Counselling
At the end of this session participants will be able to; Define counseling. Know the Counseling Ethics Explain the Principles of counseling Know the counseling process Know Pre and post test counseling Know the qualities of a good counselor

THE COUNSELLING CONCEPT
When to counsel
Qualities of a good counsellor
Dealing With Some of the Most Common Emotions
The following are some guidelines on what counsellors should not do.
PROFESSIONAL ETHICS IN COUNSELLING
PRINCIPLES OF COUNSELLING
THE COUNSELING PROCESS
ADHERENCE
Causes of non-adherence: Patient related
Causes Of Non-adherence: Health System or Health Care Worker related
5A’s for adherence preparation support

Module 8: Community Mobilisation and Engagement
By the end of this session, participants should be able to: Define community mobilization Mention the different ways of community mobilization Explain why we need to do community mobilization Mention key stakeholders to be engaged in the community mobilization process Explain the different roles of peer mobilizers in community mobilization

Practical
This is the Practical sessions for 2 weeks

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" Good health & well being for all "​

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About Course

What Will You Learn?

Course Content

Module 1: Overview of HIV At the end of this session participants will be able to: Understand the global and national trends of the HIV pandemic. Discuss basic facts about HIV and AIDS. Describe the natural history about HIV/AIDS Discuss HIV transmission

Important Course Links

Origin of HIV

History of HIV in Uganda

History of the epidemic

HIV/ AIDS Global Statistics

HIV and AIDS in Uganda: Statistics

HIV Prevalence Rates (UNAIDS 2021)

DRIVERS OF THE HIV EPIDEMIC

HIV and AIDS: Key and Priority Populations

BASIC FACTS OF HIV AND AIDS

Characteristics of HIV

PRINCIPLES OF HIV INFECTION

Exit & Sufficiency

Survival & Entry

HIV Types and Sub-types

MAIN DIFFERENCES BETWEEN HIV 1 AND HIV 2

AIDS

Differences between HIV and AIDS

How to make a diagnosis of (AIDS)

FLUIDS THAT HABOUR HIV

HIV in Body Fluids

Modes of Transmission

Co – factors (Risks) to HIV transmission

HIV is not spread through:

REFERENCES

Natural History of HIV

Stages of HIV Progression

Natural history of HIV/AIDS in Adults: Seroconversion

Natural history of HIV/AIDS in Adults: Asymptomatic

Natural history of HIV/AIDS in Adults: Symptomatic

Natural history of HIV/AIDS in Adults: Progression to AIDS

Natural history of HIV/AIDS in Adults: Summary

Stages of HIV Progression: Summary

Natural history of HIV/AIDS in Adults: Progression to AIDS

Natural History of Paediatric HIV

HIV PROGRESSION GRAPH

Forms of progression

Factors that determine the rate of HIV disease progression

Module 2: Laboratory and Clinical Diagnosis of HIV By the end of this session participants will be able to: Correctly test for HIV in adults and in children Describe the effect of HIV on the immune system Make a clinical diagnosis of HIV and AIDS Make a presumptive diagnosis of HIV in children

Basic Terms

Structure of HIV

Laboratory diagnosis of HIV : Introduction

Laboratory diagnosis of HIV: HIV ANTIBODY TESTING

Laboratory diagnosis of HIV: Testing Algorithm using Rapid Antibody Tests (Blood)

HIV TESTING ALGORITHM

Laboratory diagnosis of HIV: Self Testingusing Rapid Antibody Tests (HIVST)

Uganda HIV self testing strategy (HIVST)

Laboratory diagnosis of HIV: Window Period

Common Causes of False HIV Positive Antibody Test Results

Laboratory diagnosis of HIV: Virologic Tests

Other Virologic tests for HIV

PRACTIAL SESSION ON RAPID TESTING

The Immune System

What are Opportunistic Infections (OIs)?

OPPORTUNISTIC INFECTIONS

Clinical Staging of HIV

WHO Clinical Stage

WHO STAGE ONE

WHO STAGE 2

WHO STAGE 3

WHO STAGE 4

TUBERCULOSIS (TB)

Discovery of TB

Global TB Statistics

What is tuberculosis (TB)?

Transmission of TB

Factors that increase likelihood of TB transmission

" Good health & well being for all "

Module 1: Overview of HIV
At the end of this session participants will be able to: Understand the global and national trends of the HIV pandemic. Discuss basic facts about HIV and AIDS. Describe the natural history about HIV/AIDS Discuss HIV transmission

Module 2: Laboratory and Clinical Diagnosis of HIV
By the end of this session participants will be able to: Correctly test for HIV in adults and in children Describe the effect of HIV on the immune system Make a clinical diagnosis of HIV and AIDS Make a presumptive diagnosis of HIV in children

Module 4: Antiretroviral Therapy
By the end of this session, participants will be able to: Discuss the goal of ART Understand how ARVs work Understand basic ART management

Module 5: HIV Services Delivery Modules
By the end of the presentation the participants should be able to: Explain HTS Testing modalities Know the facility testing modalities Know the community testing modalities Understand HTS Screening tool Understand HTS Circular 2020

Module 6: Gender Based Violence
By the end of this session the participants will be able to: Define Gender Based Violence List the different forms of GBV Manage of GBV survivors Discuss the GBV referral pathway

Module 7: HIV Counselling
At the end of this session participants will be able to; Define counseling. Know the Counseling Ethics Explain the Principles of counseling Know the counseling process Know Pre and post test counseling Know the qualities of a good counselor