Infectious Diseases Institute - Lablite training handbook

Abstract

This book, developed in conjunction with the Ministry of Health in Uganda, targets health workers in health centres or hospitals – its main purpose is to build their capacity in clinical management of HIV patients. Specifically, the training intends to achieve the following objectives: to improve the knowledge, skills and competency of health care workers in management and monitoring of HIV patients; to improve the knowledge, skills and competency of health care workers in drug supply chain management in HIV/AIDS care; and to improve the performance of staff in HIV records management and utilization of HIV M&E indicators. It has two main parts: the symptom checklist and the different clinical sessions. All the materials (symptom checklist, a job aide, clinical sessions, and videos) are interlinked for quick reference and to build the confidence of health workers in devising a practical treatment plan. Lablite symptom checklist: The symptom checklist is intended to assist a clinician in making a diagnosis and coming up with a management plan. It is composed of the symptom check list and four tables: (1) for symptoms of HIV patients not on ART; (2) patients on ART; (3) for levels of adherence; and (4) symptoms of ART failure. This was done through a process of consultation and harmonization of other checklists. The clinical sessions: The book contains clinical sessions that summarize presentation, diagnosis, management and monitoring of key conditions with which HIV patients commonly present at facilities. The management of these conditions is based on the national guidelines. There are also some sessions on system strengthening