Training of Trainers Manual

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Training of Trainers Manual
Getting Started with Nutrition and HIV A CRS
Training of Trainers Manual
Presented by Carrie Miller Prepared for Food
Security Capacity Building Beyond Food for the
Hungry Washington DC June 5, 2008
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Arent there already HIV Nutrition TOT
manuals?

• Yes
• E.g. Regional Center for Quality Health Care
  country specific guidance
• Few materials targeting the middle
• Materials may not be user friendly
• Staff have limited time to prepare adapt
  training materials
• High levels staff turnover need to get to speed
  quickly

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Purpose To create user friendly HIV nutrition
materials that can be easily adapted in multiple
contexts. Target audience HIV and/or Health
program managers officers responsible for
proposal development and partner training.
Purpose Target audience
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Manual Development

• Initial materials prepared by regional and HQ
  based technical advisors
• Timing technical verification by Nzinga
  International
• Learning needs assessment interest in building
  training skills
• TOT workshop 33 participants from 23 countries
  for 5 days in Baltimore (field trips).
• Incorporate comments review by participants

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TOT Manual Pre-Test Process

• Pre-test
• Embraced adult learning principals
• Participants use materials and conduct the
  training
• Responsible for preparing modules
• Gaps/clarifications/suggestions documented
• Post-test (average score increased by 7 points
  some increased 47 in certain areas)
• Comments incorporated
• Reviewed by participants

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Modules

• Module 1 Basic Nutrition and Healthy Eating
• Module 2 Nutrition through the Lifespan
• Module 3 HIV and AIDS the Basics
• Module 4 Links between HIV, Nutrition and Food
  Security
• Module 5 Nutritional Health for PLHIV

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Modules

• Module 6 Nutrition for PLHIV with Illness
• Module 7 Introduction to Clinical Nutrition
  Assessment for PLHIV
• Module 8 Nutrition for HIV PLW and their Infants
  (up to 2 years old)
• Module 9 HIV and Food Aid

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Module Content

• Prerequisite Modules
• Materials Required
• Recommended Preparation
• Facilitator Notes for Module 4
• Slides notes
• References

• Overview of Module
• Title of the Module
• Attention areas for adaptation
• Purpose of the Module
• Learning Objectives
• Estimated Time

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Challenges

• Distilling the materials to finish the training
  in a week
• Primarily provision of information on HIV and
  nutrition
• Limited information on programmatic responses
• Food insecurity in program areas
• General enough to be easily adapted to multiple
  contexts yet detailed enough to be accurate

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Anticipated Products

• Manual hard copy
• Electronic copy
• Powerpoint presentations
• PDF of manual
• Key resource documents

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Introduction to HIV and AIDS
Module 3
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Goal To understand basic information about HIV
and AIDS

• Objectives
• Learn what HIV is
• Understand the modes of HIV transmission
• Know the difference between HIV and AIDS

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What is HIV?
Human Immunodeficiency Virus
Immunodeficiency the immune system is damaged
and not functioning as well as normal
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What is AIDS?

• AIDS is the final and most serious stage of HIV
  disease, which causes severe damage to the immune
  system.
• AIDS begins when a person with HIV infection has
  a CD4 cell count below 200.

New York Times Health Guide
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• CD4 (Helper T-Cells)
• help define AIDS
• CD4 are white blood cells. They are one kind of
  Helper T-Cell and are the favored target of HIV
• CD4lt200 cells/mm3 and HIV positive AIDS
• CD4gt200 and HIV positive, HIV
• A healthy HIV- individuals CD4 count ranges from
  500 to 1500 cells/mm3

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http//www.hivtraining.ucsd.edu/Powerpoint/ARVTHER
APYINDEVELOPINGCOUNTRIES.ppt268,2,Slide 2
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How does someone get HIV?
What are the modes of transmission? 1.
Sexual2. Blood3. Mother-to-Child Transmission

Which mode is most common in your country? Most
efficient?
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What does HIV actually do in the body?
HIV enters the supervisor Helper T-cells (CD4
cells), replicates until the Helper T-cell
explodes and dies, releasing even more HIV
viruses into the blood.
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The army of fighting cells doesnt know what to
do without a supervisor and stops fighting
illnesses
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Does everyone who becomes infected with HIV
eventually die of AIDS?
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Exercise
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Links Between HIV, Nutrition and Food
SecurityModule 4
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• Goal
• To understand how HIV, nutrition and food
  security interact with one another
• Objectives
• To be able to explain the effects of HIV on
  nutrition outcomes, and the effects of nutrition
  on HIV disease outcomes
• To be able to explain the effects of HIV on food
  security outcomes, and the effects of food
  security on HIV disease outcomes

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Adequate nutrition cannot cure HIV infection
but it is essential to maintaining the immune
system, physical stamina, and optimal quality of
life for PLHA. -- WHO conference on Nutrition
and HIV and AIDS in South Africa in 2005,
Participants Statement
The Powerful Link between Nutrition and HIV
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We all know the importance of good nutrition

• Eat carrots so you can see at night.

An apple a day keeps the doctor away.
You are what you eat.
Live to eat, dont eat to live
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But what is the link betweennutrition and HIV ?

• The link is Bi-directional. This means that it
  works in both directions
• 1. HIV affects nutrition outcomes
• 2. Nutrition affects HIV disease outcomes

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Exercise 1
Bi-Directional Effects of Nutrition and HIV
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Module 9 Food Aid

• Food aid section reviews special concerns when
  addressing HIV e.g. ration development
  (palatability, commodity choice, mix)
• Taste touch exercise participants have an
  opportunity to taste Title II commodities and
  other commodities used in food assistance
  programs
• Review commodity nutrients discuss how
  complementary activities can make commodities
  more nutritious and palatable

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Thank youandplease help yourself to CSB
cookies!
Photo David Snyder
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Carrie MillerHIV Technical Advisorcmiller_at_crs.o
rg410-951-7377