TC for PMTCT Support Tools

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Presentation transcript:

TC for PMTCT Support Tools Omotayo Bolu, MBBS, MSc Centers for Disease Control and Prevention, Global AIDS Program PMTCT Team

Development Process Tools were developed with input from several agencies, partners, graphic consultant, and field staff Field-tested in Botswana, Kenya, and Nigeria Tools easy to use, helpful in understanding PMTCT issues and made providers’ work easier Request to increase content on HIV sero-discordance, develop brochures and separate post-delivery/ postpartum tools Suggested changes on some graphics Tools were tailored to ANC, L&D and Post-Delivery Settings Flipcharts Wall charts Brochures Reference guide CD-ROM (for adapting and reprinting) Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

Protocol/ Wall Charts for Antenatal Care (ANC), Labor & Delivery (L&D), Post Delivery (PD) Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

Flipcharts Labor & Delivery (1) Post Delivery (2) Flipcharts for : Antenatal Clinic (3) Labor & Delivery (1) Post Delivery (2) Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

Essential Messages (objectives/ scripts in flipcharts) Pre-test Messages* HIV transmission, MTCT Benefits of HIV testing The testing process: verbal consent, confidentiality Available PMTCT, treatment, care and support services Partner HIV testing Essential health care services for pregnant and post-partum women * Much shorter for L&D Post-test messages depends on HIV status HIV test result and support ARV prophylaxis/treatment Infant feeding counseling Clinical care and support Partner HIV testing, disclosure, risk-reduction/ prevention Continued antenatal, postnatal & child follow-up care Referral for other services— FP, treatment, care and support for client and family Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

Patient Information Brochure Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

Reference Guide Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

Target Audience for Support Tools PMTCT healthcare workers Clinical (nurses, midwives, doctors) Non-clinical (HIV counsellors, peer or lay counsellors, outreach workers PMTCT programme managers PMTCT trainers Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

Adapting the Support Tools Can be used without adaptation Reference Guide contains steps for adapting flipcharts, brochures and wall charts (Appendix 2) Consider adapting to reflect national policies, ARV regimens, local culture and referral services CD-ROM contains files (MS-Word, PDF, In-Design) of all tools, to make text changes and print Tools are free and in public domain Can be adapted by national PMTCT programs and implementing partners Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

Current Status and Next Steps Eight countries have adapted or are planning to adapt the tools: Mozambique, Cambodia, Ghana, Kenya, Zambia, Botswana, Ethiopia, Cote D’Ivoire Available languages: English (generic), Portuguese (adapted for Mozambique), Khmer (adapted for Cambodia) French (planned as a generic version) Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

Next Steps Evaluate impact of Support Tools on uptake of TC in L&D and immediate PD settings The objectives are to: Determine the percentage of women with unknown HIV status in L&D and PD wards that can be reached with TC and PMTCT interventions Describe barriers to implementing TC in LD settings Determine if the introduction of the Support tools will improve HIV testing uptake and the quality of the counseling sessions Support broader dissemination & implementation of the Support tools Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006

How Can you Obtain the TC for PMTCT Support Tools ? Support Tools are available in English: Electronic: http://www.womenchildrenhiv.org/wchiv?page=vc-10-00 Hard copies or CD-ROM: Mail: CDC NPIN, P.O. Box 6003, Rockville, MD, 20849-6003, USA E-mail: info@cdcnpin.org Phone: +1-919-361-4892 Fax: +1-888-282-7681. For Assistance or further information: CDC, NCHSTP/Global AIDS Program/PMTCT Team, 1600 Clifton Road, MS E-04, Atlanta, GA 30333, USA, tcpmtct@cdc.gov. Testing and Counselling for PMTCT Support Tools Training Exchange November 10, 2006