Table of contents SIN3INOO G NFORM AND COUNSEL ON HIV H THE WOMAN WITH SPECIAL NEEDS Provide key information on HIV 2 Emotional support for the woman with special needs What is HIV and how is HIV transmitted? 2 Sources of support GAdvantage of knowing the HIV status in pregnancy 2Emotional support Counsel on safer sex including use of condoms Special considerations in managing the pregnant adolescent GHIV testing and counselling GEWhen interacting with the adolescent G3 HIV testing and counselling Help the girl consider her options and to make decisions which best suit her needs 63 Discuss confidentiality of HIV infection Special considerations for supporting the woman living with violence G3 Counsel on implications of the HIV test result HSupport the woman living with violence Benefits of disclosure (involving)and testing the male partner(s) Support the health service response to needs of women living with violence Care and counselling for the HIV-positive woman Additional care for the HIV-positive woman G4 Counsel the HIV-positive woman on family planning 5Support to the HIV-positive woman COMMUNITY SUPPORT FOR MATERNAL AND NEWBORN HEALTH Provide emotional support to the woman C5How to provide support 2Establish links 06 Give antiretroviral (ARV)medicine(s)to treat HIV infection 2 Coordinate with other health care providers and community groups Support the initiation of ARV Establish links with traditional birth attendants and traditional healers Support adherence to ARV Involve the community in quality of services Counsel on infant feeding options Explain the risks of HIV transmission through breastfeeding and not breastfeeding o If a woman does not know her HIV status If a woman knows that she is HIV positive Support the mothers choice of newbom feeding G If mother chooses replacement feeding:teach her replacement feeding GB Explain the risks of replacement feeding G8 Follow-up for replacement feeding Give special counselling to the mother who is HlV-positive and chooses breastfeeding Give appropriate antiretroviral to HIV-positive woman and the newbor 10 Respond to observed signs and volunteered problems If a woman is taking Antiretroviral medicines and develop new signs/symptoms,respond to her problems 旺国 Prevent HIV infection in health care workers after accidental exposure with body fluids(post exposure prophylaxis) If a health care worker is exposed to body fluids by cuts/pricks/splashes,give him appropriate care.Table of contents TABLE OF CONTENTS G INFORM AND COUNSEL ON HIV G2 Provide key information on HIV G2 What is HIV and how is HIV transmitted? G2 Advantage of knowing the HIV status in pregnancy G2 Counsel on safer sex including use of condoms G3 HIV testing and counselling G3 HIV testing and counselling G3 Discuss confidentiality of HIV infection G3 Counsel on implications of the HIV test result G3 Benefits of disclosure (involving) and testing the male partner(s) G4 Care and counselling for the HIV -positive woman G4 Additional care for the HIV -positive woman G4 Counsel the HIV -positive woman on family planning G5 Support to the HIV-positive woman G5 Provide emotional support to the woman G5 How to provide support G6 Give antiretroviral (ARV) medicine(s) to treat HIV infection G6 Support the initiation of ARV G6 Support adherence to ARV G7 Counsel on infant feeding options G7 Explain the risks of HIV transmission through breastfeeding and not breastfeeding G7 If a woman does not know her HIV status G7 If a woman knows that she is HIV positive G8 Support the mothers choice of newborn feeding G8 If mother chooses replacement feeding : teach her replacement feeding G8 Explain the risks of replacement feeding G8 Follow-up for replacement feeding G8 Give special counselling to the mother who is HIV-positive and chooses breastfeeding G9 Give appropriate antiretroviral to HIV- positive woman and the newborn G10 Respond to observed signs and volunteered problems G10 If a woman is taking Antiretroviral medicines and develop new signs/symptoms, respond to her problems G11 Prevent HIV infection in health care workers after accidental exposure with body fluids (post exposure prophylaxis) G11 If a health care worker is exposed to body fluids by cuts/pricks/ splashes, give him appropriate care. H THE WOMAN WITH SPECIAL NEEDS H2 Emotional support for the woman with special needs H2 Sources of support H2 Emotional support H3 Special considerations in managing the pregnant adolescent H3 When interacting with the adolescent H3 Help the girl consider her options and to make decisions which best suit her needs H4 Special considerations for supporting the woman living with violence H4 Support the woman living with violence H4 Support the health service response to needs of women living with violence I COMMUNITY SUPPORT FOR MATERNAL AND NEWBORN HEALTH I2 Establish links I2 Coordinate with other health care providers and community groups I2 Establish links with traditional birth attendants and traditional healers I3 Involve the community in quality of services