report for mandalay care and support

8/6/2019 Report for Mandalay Care and Support

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7 Ko Han Htun Care Giver(PDO)

8 Ma Yu Yu Maw Care Giver(PDO)

9 Ma Kyi Pyar Nyein Care Giver(PDO)

10 Ma Kay Khaing Soe Care Giver(PDO)

11 Ma Saw Myat Nwe Care Giver(PDO)

12 Ma Khin Myo Myat Care Giver(PDO)

13 Ma Nwe Ni Health Promoter(R II)

14 Ko Ye Lin Tun Health Promoter(R II)

15 Ko Thet Naing Oo Junior field facilitator

16 Ma Cho Phyu Senior field facilitator

17 Ma Yin Yin Aung PDO Nurse

18 Ma Shar Hmwe PDO Nurse

19 Ko Khine Zaw Win Care Giver(WJ)

20 Ma Phyo Su Han Care Giver(WJ)

21 Ko Phyo Phyo Aung Care Giver(WJ)

22 Ex Mon Win Yadana Myitta

23 Ko Win Ko Yadana Myitta

24 Aye Mon Win Yadana Myitta

25 U Kyaw Naing Care Giver(WJ)

Detail report for each day(23.5.11 to 26.5.11)

Date Time Topic Section report Facilitat

23 May2011

9:00 - 9:30 Welcome andIntroduction

Dr. WYS introduce herself and introducethe attendances each other.Dr. WYS explain the general concept ofthe training.

WYS

9:30 - 10:30 Pretest of trainingC&S(2)Post test/Review of

C&S (1)

We care and support team, didpost test for care and support (1) trainingwith 30 questions and answer at the end

of that training. All the care givers enjoyanswering the 30 questions concernedwith HIV and ART knowledge. Most caregivers got 27 marks at least. Just nowwe reflected the answer of thesequestions.(post test C&S 1)All care givers freely write theirknowledge about HIV/AIDS on the flitchat.(pre test C&S 2)They have a lot of knowledge aboutHIV/AIDS.In the pretest check list they write as

WYS


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follow:(1)ART(2)HIV/AIDS prevention(3)TB and HIV co infection(4)STI(5)OI(6)Side effect of ARV drugs

They can also explain detail of the abovetopics to Radana Myittas care givers. So

Radana Myittas care givers can catch thecare and support (2) trainings outline.(Radana Myittas care givers didnt attendcare and support (1).

10:30 10:45 Tea Break

10:45 12:00 IRISBy group descriptionand interactiveparticipation

Dr. WYS ask their knowledge status ofIRIS.Most attendances can discuss some casesof IRIS.(cases from PDO & WJ)Dr. WY explains the detail facts of IRISwith power point presentations.In this section, Dr. WY explains what isIRIS, the patterns of IRIS and example ofIRIS.

WYS

12:00 13:00 Lunch13:00 14:30 Group Work

Empowerment forSHG

In the group work, all attendances haveto divide into three groups and discussedabout the participation of PLHA in theHIV/AIDS prevention and care/supportactivities and its effectiveness.Then Dr. WY presents power point slidesand interactive discussion about thistopic.

WYS

14:30 15:00 Tea Break

15:00 16:30 STIGroup discussion andInteractiveparticipation

First all attendances and facilitatorsdiscuss about STI/RTI and their sign andsymptom.Dr. WY explains the sign and symptom ofSTI and RTI and syndromic managementfor STI.Attendances can learned some photos ofsome STI symptoms.

WYS

16:30 17:00 Day (1) evaluation The participants from Yadana Myitta likeall topics because they didnt know thesetopics before training.Most attendances like IRIS topics andthey said they can guest the causes ofdead patients on ART.They also like the photos of STI

24 May2011

9:00 9:20 Reflection (all attendances and Dr.WY discuss thetopics from Day (1)

WYS

9:20 10:20 Problem solving withcase study

Dr.AMT prepares 10 questions andanswers about HIV/AIDS knowledge.All attendances have 20 minutes toanswer and then Dr. WLA explain thequestions. Dr. WY helps as co facilitators.

Dr.AMT/DWLA

10:20 10:40 Tea Break

10:40 12:30 Child ART Most attendances didnt know child ART WYS


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Interactive powerpoint presentation

clearly.So Dr.WY explains about child ART withthe topics of (1) when to start child ART?(2) What to start? (3) How to start? and(4) how to manage?

12:30 13:30 Lunch

13:30 15:00 PEP This section is also new topic for CGs andso Dr. WY leads the discussion.In this section, the attendances can learn

(1) what is occupational PEP, (2)nonoccupational PEP, (3) PEP regimen andmanagement, and (4) what is PrEP?

WYS

15:00 15:15 Tea Break

15:15 16:30 Resistant of ART Again, this section is new topics and allparticipants have to learn first.In this section, the attendances can learn(1) What is failure and when to changesecond line? , (2) How to change? , (3)what to change? , and the knowledge ofsome second line drugs?

WYS

16:30 17:00 Evaluation Can see in Final evaluation

Day IIIDate Time Topic Facilitat

25 May2011

9:00 - 9:30 Welcome andIntroduction

Dr. TTT explains the concept of the basiccounseling training.discuss about psychological, social

support

What will do in two days?

TTT

9:30 - 10:00 Expectation andGround RulesPre-test, Trainingoverview andobjectives of training

y let the participants to write downtheir expectations on papers andposted them on flip chart

y pre test for their existingknowledge on basic counseling

y explain about the objectives of thetraining so that the participantsmight be motivated to participateactively

y explain about the agenda andasked what issue that theparticipants do not understand

Pre and post test results

Pre test

10 questionsAttempt = 24 participants

10 marks= 19 marks= 138 marks= 57 marks= 36 marks= 2

Post test

10 questionsAttempt = 22 participants

10 marks= 11

TRMA


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y Value respecty Cultural and contextual respecty Boundary and limit keepingy Know his limity Taking safe side of him

11:30-12:00 Skilled helper model y Explain about what the skilledhelper is

y A skilled helper could help a clientto know:

(1)what the problem is,

(2)what he wants to do, what is

needed and what he wanted to be

(3) what his strengths are and what

should he do to achieve them

(4) how should he do to get good

results or being better

y Example giving on skilledhelper modely Option giving exercise on

skilled helper model

TRMA

12:00- 12:30 Counselingenvironment

y Discussion about the places wherethe counseling can be done

y It may be any place where thecounselor and client feel safe andcomfortable

y Brain storming of participantsabout how to decorate as if theyhave to have a counseling room

y How to prepare the counselingenvironment at hospital or anylarge room

y Ideas about some standardcounseling rooms

TRMA

12:30 13:30 Lunch13:30 15:00 Counseling skills y group work on listening and just

hearingy listening carefully can cope all the

essence of a topic and can repeator summarize well and just hearingcannot cope well and cannot

repeat or summarize welly group work on how good at

listening on story tellingy it was obvious that listening

carefully is quite difficult andrepeat or summarize again is quitehard

y problemsy observer role is also important to

evaluate the counselors quality oflistening actively

TTT,TRMA


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15:00 15:15 Tea Break

15:15 16:30 Counseling skills y group work on counselor, clientand observer role play

y firstly, counselor have to listenonly and not to tell anything toclient even a question

y exploring about their feeling ofbeing in each roles

y then rotate the three roles let thecounselors to ask some openquestions to be obvious theproblems

y then exploring again about theirfeeling of being in each roles

listening without having any chance toask some open questions might be founddifficulties in exploring clients

TTT,TRMA

16:30 17:00 Wrap Up all participants can discuss well aboutlearned sessions on basic counselingEvaluation was made on three questions:

1. What did you learn today?2. What are useful in your work?3. How does it get better?

TTT

Day IV

26 May2011

9:00 9:20 Reflection Dr. TMA take reflection from theparticipants for Day 3(25.5.11)

y sitting in a circle and each tellsthat what was left in mind from

previous day sessions

y all participants can discuss welland they can memorize the

essence of basic counseling skills

TMA

9:20 10:20 Problem solving incounseling

Dr. TTT present the concept of theproblem solving

y Counselors always has to findclients problems

y Psychological, social, mental,physical and emotional problems

y Sometimes bad desires evolvedfirstly due to problems

y Problem tree analysis (1)emotions, complications, sideeffects at branches of a tree(2)main problem at trunk of a treeand(3) causes of problems at rootof a tree

y Exercise on problem tree with owncases

y Four case presentations in problemtree exercise :

(1) a man being scared after doingrisk behavior(2) a youth who failed 10th standardexam(3) a young couple who didnt marry

TTT


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yet and the girl got pregnant(4) a man who being felt with skininfection

10:20 10:40 Tea Break

10:40 12:30 Problem solving incounseling(continued)

Counseling steps

3 groups discuss for problem solving treeand present by each group.

y Exercise on problem tree with owncases

y Four case presentations in problemtree exercise :

(1) a man being scared after doingrisk behavior(2) a youth who failed 10th standardexam(3) a young couple who didnt marryyet and the girl got pregnant(4) a man who being felt with skininfection

TTT

12:30 13:30 Lunch

13:30 14:15 Self care and ethicalissues in counseling

y exploring the ethics which acounselor should have

ythe most important issue isconfidentiality

y boundary issues are also importanty value difference issuesy taking safe sidesy not to manipulate the clienty know the limitsy do no harmy know the limits of the counselors

themselvesy how to care oneself among

counselors

TTTTRMA

14:15 15:00 Role Play 4 groups prepared for role plays. Theirrole play topics are the topics fromproblem tree.

15:00 15:15 Tea Break

15:15 16:30 Role Play 4 groups acted in role plays. Their roleplay topics are the topics from problemtree.

16:30 17:00 Wrap Up, Post test y all participants can discuss wellabout learned sessions on basiccounseling

y post test for assessment ofknowledge and skills what they

have learnt during training andhow they have developed after thetraining

TTT

Final Evaluation on Basic counseling training at PDO, Mandalay

(1) What did you learn from the training?y Basic facts that should follow and avoid during counseling


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y Client centered approachy Optioningy Let the client to decidey What is counseling?y Practice makes perfecty Listening is the most important skilly Characteristics of a good counselory Helping stylesy Listening rather than questioningy Listening Vs just hearingy General counseling skills not only focus on HIVy Counseling environment and settingy Questioning skillsy Counseling leads to emotional supporty Welcoming is half cure of a clienty Problem tree analysisy Counseling is never perfecty Knowing self strengths and weakness in role playy

(2) what lessons will be useful in yourwork?y Client centered approachy Problem solvingy At home based carey Being more confident in counselingy Not only to client but also in daily social lifey Listening skillsy Counseling cannot be done to everyoney Role plays help a counselor to evaluate the needsy Empathy to a clienty No discrimination between counselor and client (e.g. sitting position and chair)y Always learningy Self care

(3) what should be done better?y Review of lessons should be done very ofteny Games or energizers after lunchy Also want to get end stage counseling trainingy Two ways discussion, brain storming and group works are very good for learningy Less sitting lessons were bettery Want to get more training days (more than two days)y More humors and storiesy Very hot in training roomy More practice sessionsy Pure counseling trainingy more trainings concerned with counselingy more role playsy want to attend training at Sagaing (WJSH)y more time on role playsy exposure visits to other sitesy trainings always in PDO is boring so it is better in WJSH or other sitesy everyone should act as a counselor in role plays


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y some group members are selfishy advanced counseling trainingsy ART counselingy More facts about a good counselor in C & S IIIy More for more practical sessions

Pre and post test results

Pre test

10 questions

Attempt = 24 participants

10 marks= 1

9 marks= 13

8 marks= 5

7 marks= 3

6 marks= 2

Post test

10 questions

Attempt = 22 participants

10 marks= 11

9 marks= 6

8 marks= 4

7 marks= 1

Final Evaluation for Care and Support topics

Most attendances like PEP topics, IRIS, child ART and second line ART, but they feel a little

difficult in studying second line ART because it is new topics.

They also like the questions and answers section by Dr.AMT and Dr.WLA.

The problem of the training is that all attendances and facilitators face hot weather for the whole

training days.

All attendances propose to add more game in the training.

We care and support team, also make score for care and support (2) training.(post evaluation)

If the training is very useless, the trainees can mark score (1). (strongly)----------------------


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If the training is useless, the trainees can mark score (2). ----------------------------------------

If the trainees dont want to say anything, the score may be (3). --------------------------------

If the training is useful, the score may (4). -------------------------------------------------------------

If the training is very useful, the score may (5). ------------------------------------------------------

All attendances give the score of (4). (25 attendances)

Prepared By:

(1)Dr. Wut Yi Soe

STO, C &S,

BI-MM

(2) Dr. Thura Mg Aye

T.O, PSS,

BI-MM

Memories of C&S II, PDO/WJ, Mandalay


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report for mandalay care and support

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