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

TC for PMTCT Support ToolsTC for PMTCT Support Tools

Omotayo Bolu, MBBS, MScCenters for Disease Control and Prevention,

Global AIDS ProgramPMTCT Team

Testing and Counselling for PMTCT Support ToolsTraining Exchange November 10, 2006

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Development ProcessDevelopment 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 ToolsTraining Exchange November 10, 2006

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Protocol/ Wall Charts for Antenatal Care Protocol/ Wall Charts for Antenatal Care (ANC), Labor & Delivery (L&D), Post (ANC), Labor & Delivery (L&D), Post

Delivery (PD)Delivery (PD)

Testing and Counselling for PMTCT Support ToolsTraining Exchange November 10, 2006

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FlipchartsFlipchartsFlipcharts for :Flipcharts for :• Antenatal Clinic Antenatal Clinic (3)(3)• Labor & Delivery Labor & Delivery (1)(1)• Post Delivery (2)Post Delivery (2)

Testing and Counselling for PMTCT Support ToolsTraining Exchange November 10, 2006

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Essential Messages Essential Messages (objectives/ scripts in flipcharts)(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 dependson 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 ToolsTraining Exchange November 10, 2006

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Patient Information BrochurePatient Information Brochure

Testing and Counselling for PMTCT Support ToolsTraining Exchange November 10, 2006

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Reference GuideReference Guide

Testing and Counselling for PMTCT Support ToolsTraining Exchange November 10, 2006

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Target Audience for Target Audience for Support Support ToolsTools

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 ToolsTraining Exchange November 10, 2006

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Adapting the Adapting the Support ToolsSupport 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 ToolsTraining Exchange November 10, 2006

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Current Status and Next StepsCurrent 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 ToolsTraining Exchange November 10, 2006

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Next Steps 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 ToolsTraining Exchange November 10, 2006

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How Can you Obtain the TC for How Can you Obtain the TC for PMTCT Support Tools ? 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: [email protected] 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, [email protected].