Advanced ART for Adults and OI Management (February 2009)

Summary
Dates of the event (from/to): 
Mon, 2009/02/02 - Fri, 2009/02/06
Country of location: 
Ukraine
Location of training: 
Kiev
Country of trainees: 
Moldova
Base Institution: 
Lavra AIDS Clinic
Attendees: 
Physicians, nurses, and social workers from Moldova
Trainers: 
Dr. Svetlana Antonyak and Dr. Tatiana Suprunenko, Lavra AIDS Clinic, Kiev; Dr. Olga Nikolayeva, TB Dept., National Medical Academy for Post-Graduate Education, Kiev; Olga Tykhonenko, Social Worker, “Chas Zhyttia Plus” NGO, Kiev
Source of funding: 
Funding was provided by WHO.

Agenda

Day 1
10:00-10:30
Welcome, introduction of the participants, objectives of the course.
Review of the training curriculum. Pre-workshop questionnaires.
10:30-11:30
Presentation 1
Basic counseling skills. Promoting and evaluating adherence to ART. Refusal to undergo ART: possible reasons and avoiding them.
11:30-11:45
COFFEE BREAK
11:45-12:15
Presentation 2
ART for IDUs (basic principles and approaches, specific features, improving adherence, substitution therapy)
12:15-13:00
Learning practical counselling skills in small groups a
13:00-14:00
LUNCH
14:00-15:00
Role play. Counselling IDUs about ART adherence.
15:00-16:00
Presentation 3
ART for patients with HIV/Hepatitis B&C co-infection.
16:00-16:15
COFFEE BREAK
16:15-17:00
Breakout discussions. Treatment of hepatitis and HIV infection. Case studies.
17:00-17:15
Knowledge assessment test. Summary of the day.
Day 2
09:00-09:45
Presentation 1
Side effects and complications of ART. Management.
09:45-10:45
Presentation 2
Criteria for switching ART regimens. Criteria of ART failure. Immune system reconstitution syndrome. Problem of resistance development.
10:45-11:00
COFFEE BREAK
11:00-12:00
Breakout discussions: Complications of ART, switching ART regimens. Case studies
12:00-13:00
Breakout discussions: Failure of therapy. Optimising treatment regimens for drug addicted patients. Case studies.
13:00-14:00
LUNCH
14:00-14:45
Presentation 3
Disorders of the gastrointestinal tract.
14:45-15:45
Breakout discussions:
For doctors - Differential diagnosis and treatment of chronic diarrhea. Case studies.
For nurses - Safety of blood sampling
For social workers - Counseling on ART adherence (complicated cases)
15:45-16:00
COFFEE BREAK
16.00-17.00
Small group clinical training: Counselling patients about ART adherence.
17.00-17.15
Knowledge assessment test. Summary of the day.
Day 3
09:00-10:00
Presentation 1
Palliative care. Basic principles and approaches.
10:00-11:00
Presentation 2
HIV infection and tuberculosis.
11:00-11:15
COFFEE BREAK
11:15-12:00
Breakout discussions:
For physicians and nurses: Clinical manifestations, diagnosis, and treatment of extrapulmonary tuberculosis in HIV-infected patients. Case studies.
For social workers: Consulting on ART adherence (complicated cases)
12:00-13:00
Small group clinical training: Clinical manifestations, diagnosis, and treatment of pulmonary tuberculosis in HIV-infected patients
13:00-14:00
LUNCH
14:00-14:45
Presentation 3
Respiratory disorders.
14.45-15.45
Breakout discussions:
For physicians and nurses - Differential diagnosis and treatment of bacterial pneumonia and pneumocystic pneumonia. Case studies.
For social workers - Consulting on ART adherence (complicated cases).
15:45-16:00
COFFEE BREAK
16:00-17:00
Small group clinical training: Infections of the respiratory system and GI tract. Case management.
17:00-17:15
Knowledge assessment test. Summary of the day.
Day 4
09:00-09:45
Presentation 1
Stigmatization, discrimination and ART
09:45-10:30
Role play "Labels"
10:30-10:45
COFFEE BREAK
10:45-11:30
Presentation 2
Disorders of the CNS
11:30-12:15
Breakout discussions:
For doctors and nurses - Differential diagnosis of encephalitis in HIV-infected patients. Case studies.
For social workers - Counseling on ART adherence (complicated cases)
12:15-13:00
Small group clinical training: Differential diagnosis and treatment of meningitis.
13:00-14:00
LUNCH
14:00-15:00
Presentation 3
Skin and mucous membrane disorders
15:00-16:00
Breakout discussions:
For doctors and nurses - Diagnosis and treatment of HSV and HZV infection. Case studies.
For social workers - Counseling on ART adherence (complicated cases).
16:00-17:00
COFFEE BREAK
16:15-17:00
Small group clinical training: Skin conditions, approaches to diagnosis and treatment. Counselling patients on treatment issues.
17:00-17:15
Knowledge assessment test. Summary of the day.
Day 5
09:00-11:00
Presentations of clinical cases with following discussion (each team presents one clinical case).
11:00-11:15
COFFEE BREAK
11:15-12:00
Presentation 1
Herpes infections (HSV, HZV, CMV), specific characteristics in HIV-infected patients.
12:00-12:45
Presentation 2
Mental disorders in patients with HIV and AIDS.
12:45-13:45
LUNCH
13:45-15:00
Small group clinical training: Oral lesions, differential diagnosis and treatment. Counselling patients on treatment issues.
15:00-16:30
Small group clinical training: Differential diagnosis of malignant tumours. Counselling on ART adherence (complicated cases)
16:30-17:15
Post-Workshop Questionnaires. Training evaluation. Closing remarks.