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This CD-ROM can be used as part of a self-study program
or for making presentations to groups. If you are a
self-study user, please click the Self-Study Info tab at
the top right of this screen to enter the Self-Study track. Should
you wish to change tracks, while in the Self-Study track,
you will find a Presenter Info tab in the same location.
General Guidance for Presenters
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Familiarize yourself with the contents of the CD-ROM
and carefully review each item. As you review each
item, especially the module slides and suggested narrative
and the materials found in the presenter tools, consider
which are most suited to your objectives, the participants’ needs,
and the situation or venue. We recommend that you use
the self-study version of the module as a first step
in preparing for a presentation and then review the
additional materials for more information about specific
topics of interest.
Note: The
learning objectives for this module are knowledge
based. If your objectives are more extensive
and include skills development, it will be
necessary to develop a training curriculum
that includes appropriate skill-building activities
with ample opportunities for practice and formal
evaluation to certify that the participant
has achieved mastery of the new skill(s). With
guidance from a skilled curriculum developer,
the contents of the module can be incorporated
into learning activities designed to build
both knowledge and skill. The information provided
here is designed to help presenters use the
module and additional materials in the most
appropriate manner; guidance on how to develop
curricula is beyond the scope of these materials.
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Tailor your presentation to match the needs of the
participants. Carefully review the relevant policies
and procedures for ARV therapy and contraceptive methods
in the country or community where you are conducting
the presentation. Contact participants and inquire
about specific topics that may be of interest to them.
Select sections or specific slides that can help fill
the knowledge gaps of participants. For example, if
the participants are experienced family planning providers
who have not provided HIV care and treatment services,
you may decide to use all the slides in sections 1
and 4 but omit several of the slides from sections
2 and 5 because the participants are already familiar
with this information. Alternately, if the participants
are HIV treatment and care providers, you may decide
to omit section 1 and much of section 4. The brief
summaries below can help you decide which sections
of the module contain information appropriate for your
participants.
Section 1:
HIV/AIDS epidemic disproportionately affects
women
(slides 3 – 10)
Describes how HIV disproportionately affects women and reviews
the societal and biological factors that make women vulnerable.
Also described are the effects of HIV on children and the struggle
that orphans face.
Section 2:
Role of family planning in alleviating the burden
of HIV
(slides 11 – 16)
Provides a brief overview of the role of family planning in HIV
prevention, the benefits of providing family planning to women
and couples with HIV, and the struggle to meet the demand for
effective contraception.
Section 3:
Reproductive choices and decisions
(slides 17 – 22)
Reviews the reasons why clients with HIV may consider pregnancy
and why they may want to avoid childbearing. Highlights the importance
of client knowledge and access when reproductive decisions are
made.
Section 4:
ARV therapy basics in the context of family planning
(slides 23 – 28)
Provides a very brief introduction to ARV therapy, including
the classes of drugs used, a description of the most common HAART
therapy regimen, and an overview of the prophylactic uses of
ARV drugs. Also described is why women on ARV therapy benefit
from contraception.
Section 5:
Ensuring that services meet the needs of clients
with HIV
(slides 29 – 35)
Describes a framework of reproductive health services that is
structured around the choices and decisions that clients with
HIV need to make. Briefly describes clients’ family planning
rights and how to ensure informed choice. Also describes the
benefits of integrating family planning and HIV-related services,
including the potential programmatic synergies that can develop,
such as “one-stop” services that provide more holistic
care and are more attractive to both women and men.
Section 6:
Contraceptive options for women and couples with
HIV
(slides 36 – 81)
Provides an overview of the factors that affect the decision
of whether to use contraception and which method to choose. Also
briefly describes the attributes of each method, including the
World Health Organization eligibility criteria for clients who
are HIV-infected, have AIDS, and are using ARV therapy. Concerns,
both theoretical and actual, related to use of hormonal contraceptives
by women with HIV and those on ARV therapy are also discussed.
Section 7:
Family planning counselling for clients with
HIV
(slides 82 – 94)
Includes a brief description of the counselling behaviours essential
for providers who offer services to clients with HIV and a list
of topics that should be discussed during counselling for clients
who are considering pregnancy or using contraception.
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Adapt the slides and suggested narrative to match the
goals and objectives of your presentation. When possible,
incorporate local information related to the reproductive
health guidelines in your country, the demographic data
from key health indicators, the availability of drugs,
the drug resistance patterns, etc. If feasible, it may
be interesting to compare the similarities and differences
between the local situation and other areas. Be careful
to select credible information sources. Make sure that
you do not introduce factual errors into any of the evidence-based
information included in the module. Using the files provided
with the Presenter Tools and
Microsoft PowerPoint software, you can easily revise the
narrative and slides
or add and remove slides from the presentation.
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Carefully review your speaker notes so that you can avoid
reading directly from a script or the slides. Practice
giving your presentation until you feel comfortable.
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Prepare collateral materials for use during the session
using the files available in the Presenter
Tools. Adapt the materials (e.g., list of learning
objectives, note-taking pages, fact sheets) using the files
provided. Make photocopies of the materials that you would
like to distribute to the participants.
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At the beginning of the presentation, inform your audience
about the organization of your presentation and how you
would like to structure the session (e.g., when to take
questions, when breaks will occur). Depending on how much
information you decide to use, you may want to break the
presentation into multiple sessions and include activities
that allow participants to interact with and process new
information and concepts.
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Identify and clarify the objectives with the participants.
The objectives can be printed on handouts and distributed
to participants or displayed on a flip chart. At the conclusion
of the presentation, review the objectives to ensure the
objectives have been met.
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During the session, engage your audience by making eye
contact, encouraging questions, asking open-ended questions
(prepared in advance), and facilitating discussion. When
appropriate, ask participants to share their own expertise
and experiences on a particular topic – this might
be particularly useful if the participants have different
areas of expertise (e.g., those with expertise in the provision
of ARV therapy can share experiences with participants
whose expertise is in the provision of family planning
services and vice versa). Encourage participants to consider
how they might apply new knowledge at their work site.
Remember that learning and retention improve when participants
are actively engaged in the process.
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Pace your presentation and guide the discussion to ensure
ample time for accomplishing your goals.
- Use the pre-/post-test before the session to identify
knowledge gaps and after the session to document the achievements
of participants.
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