EVALUATION OF MANUAL ON HIV AIDS IN INDIA

A PRESENTATION ON MANUAL ON HIV/AIDS FOR INSERVICE NURSES : 

A PRESENTATION ON MANUAL ON HIV/AIDS FOR INSERVICE NURSES MS. ROHINI SHARMA

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Manual is one of the teaching materials mostly used for self-learning. It plays an important role in acquiring knowledge and skill in educational field. A good manual is complementary to textbook.

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WHO collaborating centre for research in nursing development at Rajkumari Amrit Kaur College of Nursing, New Delhi prepared the module on HIV/AIDS in February 19 9 5 , which was further promoted and funded by National AIDS Control Organization (NACO). This manual is named as “HIV/AIDS: PREVENTION, CARE AND CONTROL - SELF INSTRUCTIONAL AND TEACHING MODULE FOR PRESERVICE AND INSERVICE NURSES AND MIDWIVES”.

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A new Manual for the HIV/AIDS that has come for the In-service education programme for nurses is the HIV/AIDS AND ART TRAINING FOR NURSES: NURSES MANUAL made by NACO in collaboration with INC in the year 2 00 9.

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MANUAL : DEFINITION , TYPES AND USES

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The manual is divided into 11 modules; they are: STRUCTURE OF THE MANUAL : “HIV/AIDS: Prevention, Care and Control - Self Instructional and Teaching Module for Preservice and Inservice nurses and midwives”. (1995)

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MODULE – 1: Epidemiology and transmission of HIV infection MODULE – 2: HIV Infection and Disease MODULE – 3: Prevention of HIV Transmission in Health Care Settings MODULE – 4: Psychological Impact of HIV Infection on the Individual and the Community MODULE – 5: Developing Counseling Skills MODULE – 6: Health Education MODULE – 7: Nursing Care of the Adult with HIV Infection MODULE – 8: The Impact of HIV Infection and HIV related Illness on Women MODULE – 9: Nursing Care of the Infant and Child with HIV Infection MODULE – 10: Terminal Care in HIV Disease Module - 11: Education on Traditional Practitioners to Prevent HIV Transmission through Skin Piercing Practices

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Main Features: Specific Objectives Description of the Content Exercises Glossary of terms present Illustration present Instructors guide within the manual

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The manual is divided into five sections. STRUCTURE OF THE MANUAL: HIV/AIDS AND ART Training For Nurses : Nurses Manual ( 2 00 9 )

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control practices in their clinical setting.

Main Features: : 

Main Features: Goals of the training . Training time period of Five days. Each unit discusses the topic under sub-headings.  Exercises per unit given. Section has 24 annexures. Glossary.

EVALUATION CRITERIA OF A MANUAL : 

EVALUATION CRITERIA OF A MANUAL Aims and Objectives of the Manual : Comprehensive in terms of knowledge, attitude and skill. Relatedness. Selection of the Material : Adequacy. Sufficiency of required exercises and practical experiments

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Language: Clear, simple and understandable Exercise Self check exercises Stimulate thinking Organization and Presentation of the Material: Interesting and meaning Relatedness Explanation of the technical term Logical sequence Clear and relevant illustration updated information Relevance to the area.

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Practicability Size: how bulky Cost: reasonable Type of binding paper and writing style Available to the learner. Acceptability Acceptable to the learner Simple and understandable Specificity

ANALYSIS OF THE MANUAL ON HIV/AIDS PREPARED FOR IN-SERVICE NURSES : 

ANALYSIS OF THE MANUAL ON HIV/AIDS PREPARED FOR IN-SERVICE NURSES

1. Aims and Objectives of the Manual : 

1. Aims and Objectives of the Manual

2. . Selection of the Content : 

2. . Selection of the Content The material given in this manual are: Adequate. Helpful for pre-service and in-service nurses for providing adequate knowledge, skills to render care to the AIDS patients. Includes requires exercise at the end of each module in order to assess the knowledge of the learner after going through each module. The material in this manual is adequate however; the health education part though has been not emphasized as though in separate unit but the points of health education have been emphasized within other units text. The exercises are not at end of each unit but a separate unit wise exercise section has been made for the convenience of the educators. NACO MANUAL NURSES MANUAL

3 . Organization and Presentation of the Material: : 

3 . Organization and Presentation of the Material: The materials in this module are arranged in an interesting manner to attract the attention of the subjects. The topics included are relevant and it is meaningful. The explanation of all the technical terms is discussed at the end of module. Logical sequence is followed in arranging the topics. Illustrations are clear and relevant. The information given covers all the areas but needs to be updated. The Instructors guide is included in the manual. NACO MANUAL

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The material of the manual has been organized sequentially in form of 15 units. The material is extremely relevant and meaningful. The technical terms have been explained in between and also in the end in the glossary of the terms. The abbreviations list is in the beginning. The illustrations and pictures are many and useful. The latest data with training schedule has been laid down. The “Facilitators guide” comes as a separate copy. NURSES MANUAL

4 . Language : 

4 . Language The language used in this manual is: Clear, simple, easy to understand. This manual is written in English and it is not translated to any other languages. Short instructions in the beginning of the manual help the reader to use the manual effectively. The language is clear, simple, easy understandable. The manual is in ENGLISH. The instructions have been listed earlier for the effective use by the reader. The manual has not been translated to other languages. NACO MANUAL NURSES MANUAL

5 . Exercises : 

5 . Exercises Self-check exercises are given to stimulate the critical thinking in the learners. The exercises have been given in the separate section and stimulate self , group activity for critical thinking and development of the overall skills for helping the patients based on the clinical situations to boost confidence of learner. NACO MANUAL NURSES MANUAL

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This manual is very bulky as it involves 11 modules. The paper used are of good quality. The writing style is very good, attractive and easily readable. This manual is available in the libraries of the most of the schools and Colleges of Nursing. The manual gives information in a practical manner keeping in mind the practical situation of the hospitals and communities. It is spiral bound. 6. Practicability NACO MANUAL

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The basic document was put together by Rajkumari Amrit Kaur College of Nursing, New Delhi with the help of IGNOU.   This inputs are provided by the following members: Miss. Krishna Kumari Gulani, Former Senior Lecturer, R.A.K. College of Nursing, New Delhi. Mrs. Bimla Kapoor, Former Lecturer, R.A.K. College of Nursing, New Delhi. Mrs. Uma Handa, Reader, School Health Services, IGNOU, New Delhi. Miss. Jaiwanti P. Dhaulta, Assistant Secretary, TNAI, New Delhi. Miss. Surekha Sama, Principal, L.N.J.P. Hospital, New Delhi. Dr. (Miss) Aparna Bhaduri, Former Professor, R.A.K. College of Nursing, New Delhi. This manual is provided by NACO.

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The manual is not bulky even though it has fifteen units. The paper used is of good quality. The writing style is very good, attractive and easily readable. The manual is only meant for nurses coming in for training and not yet available in libraries. The manual gives information topic relevant with emphasis on counseling and training skills for nurses. It is hard bound and not spiral. NURSES MANUAL

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The basic document was put together by team of experts as: Mr. T. Dileep Kumar , President , INC , Nursing Advisor , DGHS , New Delhi. Dr. Asha Sharma, Retd. Principal , RAKCON , New Delhi. Dr. Manju Vatsa , Principal , CON , AIIMS , New Delhi. Ms. Harinderjeet Goyal , Senior Lecturer , RAKCON , New Delhi. Dr. Sandhya Gupta , Lecturer , CON , AIIMS , New Delhi. Dr. Juliana Linnette D’Sa, Dean , Manipal College Of Nursing , Mangalore. Ms. Deepika C. Khakha, Lecturer, CON, AIIMS, New Delhi. Mrs. Sunita Miglani, AIDS Nurse Educator, CON , AIIMS , New Delhi. Mrs. K.S. Bharati , Asstt. Secretary , INC , New Delhi. Dr. S.N. Misra , Public Health and Infectious Diseases Expert. Futures Group International , Gurgaon. Dr. Daisy Lekharu , Public Health Specialist , Project Manager , Futures Group International , Gurgaon.

7. Acceptability : 

7. Acceptability The manual has been used by the nurse both In-service and pre-service as a reference material. The language is simple The manual is acceptable to the learners. It is simple and understandable. It is specific to purpose. But also delivers the general information like ART Centers, Community care centers and other relevant information. NACO MANUAL NURSES MANUAL

8. PATTERN OF THE MANUAL : 

8. PATTERN OF THE MANUAL The cover page of the manual is pink in colour and clearly written. It could have been made more attractive interesting few pictures/symbols. The preface and acknowledgment are written in a concise manner at the beginning of the manual. Table of content and the instruction or using the manual is written after the acknowledgment. List of figures are not given at the beginning of the manual but the list is given after the completion of each chapter. Each module has SIM and Teaching Module. NACO MANUAL

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The cover page is blue and clearly written. It has pictures too. The foreword and acknowledgement are written briefly at beginning of the manual. Table of contents and the instruction or using the manual is written before the foreword. The list of figures not present. The general instructions have been given. The annexures have been listed in the beginning. Key messages of the units have been given at the end of the sections/units NURSES MANUAL

9. SUGGESTIONS/COMMENTS: : 

9. SUGGESTIONS/COMMENTS:

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The manuals so prepared , both are best for providing training and refreshing knowledge of the nurses regarding HIV/AIDS specially for the in-service nurses who have to deal with the patients every one and then. The emphasis has to be on the correct usage and availability to the nurses for updating their knowledge. It is a valid tool for in-service education.

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1. HIV/AIDS and Nurses Role. 2 . Stigma and Discrimination: Psychosocial, legal and ethical issues. 3 . HIV Epidemiology and disease progression. 4 . Counseling for HIV/AIDS. 5 . Prevention of HIV. 6 . Prevention of Parent to Child Transmission (PPTCT) of HIV 7. . Infection Control and Post Exposure Prophylaxis (PEP) 8 .Sexually Transmitted infections (STI) 9 . Symptom Management and Opportunistic Infections (OIS) 10 .Introduction to Antiretroviral Therapy (ART) 11. Pediatric HIV. 12.. Complementary therapies in HIV / AIDS : Role of Nurse. 13 . Palliative Care for People living with HIV/AIDS (PLHA) 14 . Positive living for PLHAS 15 . Challenges faced by Nurses in HIV/ AIDS care.