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AIDS Clinical Care Fundamentals (ACCF) provides health professionals with standardized, up-to-date, and country-specific information and skills to comprehensively deliver HIV and AIDS care and ARV therapy. The course teaches the Botswana National HIV/AIDS Treatment Guidelines and serves as the baseline training for health professionals working in Botswana's ARV program.
Since 2001, more than 6124 Health Care Workers have received training through this course.
These lectures are ACCF instructional lectures based on the 2008 National Guidelines, and accompanying handout notes.
This course provides training for health professionals on important aspects of HIV care and enables participants to identify, monitor, and effectively administer antiretroviral (ARV) therapy within the Botswana National Guidelines. This course focuses on providing comprehensive baseline training for the care and treatment of persons living with HIV and AIDS and patients on ARV therapy in Botswana.
Upon completion of this baseline training each participant should be able to:
1. Understand the general principles of HIV virology and antiretroviral therapy (in adult and pediatric populations), disease progression, the available classes of ARV drugs, the clinical pharmacology of antiretroviral agents (including possible drug-drug interactions), and the criteria for initiating therapy in HIV infected individuals in MASA—the Botswana National ARV Program.
2. Recognize and manage potential short and long-term drug side effects, toxicities, and medical complications in patients on ARV treatment.
3. Competently use established Botswana National Guidelines to implement ARV therapy in Botswana healthcare settings.
4. Identify and understand potential barriers to ARV adherence and develop Botswana-specific counseling strategies to enhance the long-term adherence to these ARV treatment regimens.
5. Longitudinally manage patients on ARV therapy, including
1. Laboratory assessments for patients on ARV therapy, e.g., CD4 cell count,
CD4%, viral load, hematology and biochemistry, etc.;
2. The recognition of ARV treatment failure, and;
3. An understanding of the use of failure management, and new or salvage regimens
in patients failing their current regimens and appropriate follow-up for those who fail these regimens.
6. Recognize and manage HIV related opportunistic infections and conditions.
7. Develop a sound knowledge of the role of laboratory tests to diagnose HIV and monitor disease progression along with response to ARV therapy.
8. Use of ARVs to prevent the mother-to-child transmission of HIV.
9. Use of ARVs as post-exposure prophylaxis involving healthcare workers and rape victims.
In order to successfully complete AIDS Clinical Care Fundamentals, each participant will be expected to meet ALL of the following criteria:
1. Fully review the course CD-ROM and prepare for one-day session;
2. Attend and participate in one-day session;
3. Contribute to all discussions, questions and answer sessions and case study review sessions;
4. Pass the final exam. There are two examinations. One examination is taken by all physicians and pharmacists. The other examination is taken by all nurses, pharmacy technicians, social workers, and other health professionals.
Physicians must pass their examination with an exam score of 80 percent or higher correct to receive the course certificate. Pharmacists must achieve an examination score of 75 percent or higher. Nurses, pharmacy technicians, and social workers, must achieve an exam score of 75 percent or higher correct.
Examinations are held in the BHP-KITSO office for one year during which they can be viewed by appointment.
If you do not meet these expectations satisfactorily, you will not receive the certificate of completion for this course.
The files are executable Adobe
Flash files. This means that the end-user does not need to have Adobe
Flash (or the player) installed on their computer in order to view the
lectures.
Minimum system requirements: Microsoft Windows 2000, XP or Vista. (Not tested on Windows Me or earlier versions). If your
computer does not have enough resources to run any of those operating
systems, you will not be able to view the lectures.
Help
Introduction to the course (3.6 MB)
1. Introduction to the Botswana National ARV Program
Lecture (21.9 MB)| Print handout
2. HIV Virology and Pathophysiology
Lecture (41.4 MB) | Print handout
3. Laboratory Diagnostics in ARV Therapy
Lecture (33 MB) | Print handout
4. Principles of ARV Therapy in the Botswana National Program
Lecture (61.4 MB) | Print handout
5. Pediatric- and Adolescent-Specific Issues in HIV/AIDS Care
Lecture (54.3 MB) | Print handout
6. Pediatric- and Adolescent-Specific Psychosocial Issues
Lecture (45.5 MB) | Print handout
7. ARV Drug Side Effects and Toxicities
Lecture (39.6 MB) | Print handout
8. Drug-Drug Interactions in ARV Therapy
Lecture (24.6 MB) | Print handout
9. Treatment Failure and its Management
Lecture (40.1 MB) | Print handout
10. Adherence in ARV Therapy
Lecture (23 MB) | Print handout
11. Opportunistic Infections and Other Complications of HIV Disease
Lecture (62.5 MB) | Print handout
12. Mother-to-Child Transmission and Its Prevention
Lecture (26.3 MB) | Print handout
13. Post-Exposure Prophylaxis
Lecture (17.6 MB) | Print handout
14. TB & HIV Co-Infection
Lecture (48.1 MB) | Print handout
Summary of Changes in the 2008 Guidelines
Print handout
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