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A basic health staff taking part in the training
of community home-based care in Dawei.
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Home-based care can be defined as any form of assistance
provided to a sick person referred to as the patient directly in the home by
family, friends and members of the local community, cooperating with the
advice and support from the trained health workers. It is not only intended
to give care to bedridden condition, but also intended for the psychosocial
support, reducing stigma and discrimination, adherence monitoring in order to
have the comprehensive continuum care of People living with HIV (PLHIV) patients.
With WHO technical support, the NAP revised and developed
Community Home-based Care training tools targeting care givers and basic
health staff. The objective of this training is to support communities coping
with the burden of AIDS; to reduce stigma and discrimination for people
living with HIV/AIDS; to provide basic Antiretroviral (ARV) knowledge for
caregivers promoting early notification and referral as well as the side
effects of Antiretroviral (ARV) medicines and solve problems related
adherence.
Inputs for the preparation were received not only
from National AIDS Programme
(NAP) but also from International and National Non-governmental Organizations)
INGO/NGOs involved in providing HIV care services such as HIV/AIDS Alliance, Association
Francois-Xavier Bangnoud (AFXB), Aide-Medicale Internationale (AMI), Medecins Sans Frontieres-Holland,
CARE Myanmar, Medicins du
Monde (MDM), Myanmar Nurses Association, Pact Myanmar, World Concern, and
World Vision. The training curriculums
were translated into Myanmar
language and were field tested during Training of Trainers (TOT) sessions
organized by NAP.
Two sets of training documents were developed; one for
Basic Health Staff and one for Caregivers. Each set includes one curriculum
for the trainer and one manual for the trainee. Besides, one facilitator
guide was also produced for the trainer. The subjects covered include:
What home-based care is?
Basic knowledge of HIV/AIDS and
STI
Nursing care
Management of HIV related
illness
Opportunistic infections
Antiretroviral drugs
Positive living
Emotional and Terminal care
PLHIV net working and
Addressing Stigma and
Discrimination
Community home-based care training sessions using these
modules have been conducted in 15 different townships in 10 States/Divisions
since October 2008. Overall 325 basic health staff and 325 caregivers from
the above sites participated in the training.
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