Comprehensive Training Manual on ART Adherence Now Available

"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 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.

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, including best practices from the New York State Medical
Services, experiences from the Whitman Walker 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.

Manual: <http://www.popcouncil.org/pdfs/horizons/arvadhrnctrngguide.pdf>
For those with limited web access, please contact [log in to unmask]
<mailto:[log in to unmask]> for a hard copy.



"On the Horizon" is an electronic news capsule from the Horizons Program
(<http://www.popcouncil.org/horizons>), a global operations research
initiative designed to:

        *       Identify and test strategies to improve HIV/AIDS prevention,
treatment, and care services.
        *       Disseminate research findings and promote their utilization
with the aim of replicating and scaling up successful interventions.

Horizons is implemented by the Population Council in partnership with the
International Center for Research on Women, the International HIV/AIDS
Alliance, the Program for Appropriate Technology in Health, Tulane
University, Family Health International, and Johns Hopkins University.
Horizons is funded by the U.S. Agency for International Development (USAID).


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