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Testing and Counselling for Prevention of Mother-to-Child Transmission of HIV (TC for PMTCT): Support Tools

December 2005
TC for PMTCT Support Tools
Overview
Components of the TC for PMTCT Support Tools
Pre- and Post-Test Session Flipcharts
Protocol Wall Charts
Client Information Brochures
Reference Guide
CD-ROM
Download Support Tools
Antenatal Support Tools
Labour and Delivery Support Tools
Post-Delivery Support Tools
Reference Guide
Note
Adaptations
Ordering Information

"Protect Yourself, Your Baby and Your Family from HIV/AIDS"

The TC for PMTCT Support Tools were developed by the United States Department of Health and Human Services, Centers for Disease Control and Prevention, Global AIDS Program, in collaboration with the Department of HIV/AIDS at the World Health Organization, United Nations Children's Fund and United States Agency for International Development and their implementing partners. See also the Support Tools Training Exchange Index page for the November 10, 2006 training exchange. The Support Tools are also available in French


Overview

The goal of the TC for PMTCT Support Tools is to facilitate the efficient delivery of essential PMTCT messages to:

  • Improve the uptake of HIV testing among pregnant women and their partners

  • Increase the number of women who know their HIV status

  • Promote and provide appropriate PMTCT interventions

The Support Tools respond to a need in resource-constrained settings for educational materials, job aids, and training resources to support the integration of testing and counselling (TC) into antenatal care (ANC), labour and delivery (L&D) and post-delivery (PD) settings. They promote provider-initiated, opt-out HIV testing with rapid tests and same day results, the provision of TC services on first contact between the client and the healthcare worker, and the use of group pre-test sessions to optimise resources. The Support Tools were developed as a resource for:

  • PMTCT healthcare workers--clinical (nurses, midwives, doctors) and non-clinical (HIV counsellors, peer or lay counsellors, and outreach workers)

  • PMTCT programme managers

  • PMTCT trainers

Components of the TC for PMTCT Support Tools

Pre- and Post-Test Session Flipcharts

The flipcharts provide the healthcare worker with simple scripts containing essential messages, open-ended questions to guide discussion, and responses to commonly asked questions, while the graphics on the other side reinforce key messages for clients.

Protocol Wall Charts

The protocol wall charts summarize the steps a healthcare worker follows to deliver TC for PMTCT services. The wall charts are designed to be posted on the clinic, delivery room and maternity ward walls as a reference for healthcare workers.

Client Information Brochures

The brochures are single-page take-home leaflets for clients to reinforce PMTCT messages received during counselling sessions. The Antenatal and Labor & Delivery Client Information Brochures were updated in August 2009.

Reference Guide

The reference guide provides detailed background information on implementing and delivering TC in PMTCT settings and provides guidance and support to healthcare workers to enhance the use of the Support Tools.

CD-ROM

The CD-ROM provides an electronic version of all Support Tools components. These files can be modified and adapted to reflect country-specific policies and context, and the adapted materials can then be printed locally and distributed to all PMTCT sites.

Download Support Tools

Antenatal Support Tools

Low resolution [MS Word]
( See Note)
Low resolution [PDF]
(See Note)
High resolution [PDF]
(See Note)
Antenatal Pre-Test Session Flipchart (20"x24") for large groups NA NA 9.4MB
Antenatal Pre-Test Session Flipchart (11"x13") for small group or individuals 5MB 3.9MB 9.2MB
Antenatal Post-Test Session Flipchart (11"x13") 4.7MB 5MB 15MB
Protocol Wall Chart for Antenatal Care Settings (20"x24") NA 3MB 3MB
Protocol Wall Chart for Antenatal Care Settings (A4) 108K 46K 31K
Antenatal Client Information Brochure 2.6MB 380K NA
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Labour and Delivery Support Tools

Low resolution [MS Word]
( See Note)
Low resolution [PDF]
(See Note)
High resolution [PDF]
(See Note)
Labour and Delivery Pre- and Post-Test Session Flipchart (5"x6") 5.7MB 6.5MB 17.8MB
Protocol Wall Chart for Labour and Delivery Settings (20"x24") NA 3MB 3MB
Protocol Wall Chart for Labour and Delivery Settings (A4) 132K 47K 37K
Labour and Delivery Client Information Brochure 1.5MB 680K 13MB
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Post-Delivery Support Tools

Low resolution [MS Word]
( See Note)
Low resolution [PDF]
(See Note)
High resolution [PDF]
(See Note)
Post-Delivery Pre-Test Session Flipchart (11"x13") 7.5MB 4.2MB 7.7MB
Post-Delivery Post-Test Session Flipchart (11"x13") 4MB 13MB 13.3MB
Protocol Wall Chart for Post-Delivery Settings (20"x24") NA NA 1.3MB
Protocol Wall Chart for Post-Delivery Settings (A4) 104K 38K 79K
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Reference Guide

[PDF] [MS Word]
Introduction 1.1MB 780K
Chapter I: Testing and Counselling in PMTCT Settings 744K 611K
Chapter II: HIV Test Declined 456K 388K
Chapter III: Flipchart Cards - Suggested Scripts and Complementary Messages 967K 615K
Chapter IV: Essential Skills for TC for PMTCT Programmes 317K 264K
Chapter V: Rapid HIV Testing in PMTCT Settings 375K 253K
Chapter VI: Implementation Issues 275K 134K
Chapter VII: Appendices 4.5MB 9.5MB
References 318K 460K
Complete Guide 8.5MB 12.8MB
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Note

The Support Tools documents are available in "Low-resolution" files in both Microsoft Word and PDF. The "High-resolution" PDF file (in the column on the right) includes only the artwork in a high-resolution format that can be opened in Adobe Illustrator CS3 or later. The low-resolution files, because they use less memory, take much less time to open and download. Whereas the high-resolution file is much larger and, as such, takes longer to download; we do NOT recommend downloading the high-resolution files if access to the Internet is slow.

Most users will only need to open and download either of the low resolution files. The low-resolution files can be used for most purposes, including editing and printing on a desktop printer. The high-resolution file is intended for use by those with "Adobe Illustrator versions CS3 or CS4" program. Graphic designers and printers are most likely to use these files when preparing a document for professional full color printing.

Acrobat Reader 5.0 or higher is required to open and view the PDF files. This software can be downloaded free of charge on the Adobe site.

Adaptations

Adapted Tools from Cambodia:

Adapted Tools from Mozambique:

Ordering Information

Free printed copies of these materials can be ordered from: http://wwwn.cdc.gov/pubs/gap.aspx
or by calling 1-800-CDC-INFO (800-232-4636).

For further information please contact:
Centers for Disease Control and Prevention (CDC),
Global AIDS Program/PMTCT Team,
1600 Clifton Road, MS E-04,
Atlanta, GA 30333, USA
or email: HIV-PMTCT-GAP@cdc.gov

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