Counselling at the Link ART
Centre
National AIDS Control Organisation
Session Objectives
 State the needs of clients visiting the LAC
 Compare counselling at the LAC with
  counselling at the ICTC
 Describe the stages of counselling in
  relation to work at the LAC
Functions of the LAC
   Medical                 Programmatic           Counselling                Social
  functions                  functions             functions               functions
                              Tracing LFU and
    Drug Dispensing                                Psychological support   Linkage with schemes
                               Missed Clients
  Monitoring of PLHIV
       on ART: drug          Linkage with other         Adherence           Linkage with other
      adherence, side             services              counselling          service providers
  effects & monitor OIs
  Minor OI Treatment
                                                        Nutrition
     & Prophylaxis
  Screening and referral                             Risk reduction &
         for TB                                     Positive prevention
          Role of the LAC counsellor
                           Stigma and
                        discrimination
Emotional, social and                    Positive living, positive
psychological support                    prevention & condom
                                         use
    ARV treatment                         Documentation &
                                          Reporting
Positive Prevention
   Prevention efforts by PLHIV:
    ◦ Actions to prevent HIV super-infection, STIs &
      OIs
    ◦ Prevention of HIV transmission to others.
   Practice positive prevention through
    ◦ Safer sex practices (also prevents STI)
    ◦ Safe injection practices
    ◦ Healthy lifestyle (proper diet, exercise & adequate
      rest) to prevent OIs
    ◦ Seek medical care at onset of OI symptoms
Activity: Brainstorm
Counselling at the LAC
 How is counselling at the LAC different
  from counselling at the ICTC?
 How is it similar?
                                                                   Important
          Counselling: ICTC and LAC                                  slide
                      ICTC                                 LAC
                                                     ART Adherence
Focus          • Testing and         Prevention      Psycho-social
                 Related issues       messages        support for living
                                                      with HIV
Counselling                                       • Experienced
experience     • Therapy virgin                     through ICTC &
for clients                                         ART experiences
Duration of    • Usually time-
                                                  • Longer
counselling      limited and brief
relationship
Activity
   Trainees please fill
    the table in your
    handouts on the
    Differences between
    LAC and ICTC
                        Important
Stages of Counselling     slide
Activity
   Let us check our
    understanding of
    counselling at the
    LAC
Say Yes or No.
                 Yes
Say Yes or No.
                 Yes
Say Yes or No.
                 No
Say Yes or No.
                 No
Say Yes or No.
                 No
Say Yes or No.
                 No
Activity: Group Discussion on
Stages of Counselling at the LAC
   Let us check our
    understanding of
    counselling at the
    LAC