Guideline

With the objective of providing updated, evidence-based clinical recommendations outlining a public health approach to providing ARV drugs for HIV treatment and prevention in the context of the continuum of HIV care, Ministry of Health and Population, National Center for AIDS & STD Control revised the National ART Guidelines developed in 2012, based on the recommendations adopted to Nepal context from WHO “Consolidated Guideline on The use of ARV Drugs for Treating and Preventing HIV Infection” (June 2013).

Visceral leishmaniasis (VL) or Kala-azar is a vector-borne disease caused in the Indian subcontinent by the protozoan parasite Leishmania donovani and transmitted by the sandfly, Phlebotomus argentipes. The disease is characterized by prolonged fever, splenomegaly, anemia, progressive weight loss and sometimes darkening of the skin. In the endemic areas, children and young adults are its principal victims. The disease is fatal if not treated and sometimes even when treated if it is not done timely

VCT centers and VCT center personnel are not enough to deal with the problems faced by PLWHA. Referral networks as well as support not only from family but also from the community are also needed. In this respect, VCT can provide the crucial entry point to facilitate referrals. Thus, counselors need to understand their role as a bridge to other services needed by VCT client.

This manual was initially developed in 2006 by National Centre for AIDS and STD Control (NCASC) with technical and financial support from FHI Nepal under United States Agency for International Development (USAID). The manual was further revised through a workshop organized by ASHA* Project under the leadership of NCASC in 2010.

HIV/AIDS presents many challenges to communities, families and individuals. Some people may feel hopeless and think that knowing their status cannot help them or their communities. They may assume that more people are infected than is actually the case. Many people are only aware of those in their community who are ill with AIDS and are not aware of those who are HIV infected and living healthy and productive lives. Often AIDS education and awareness programs appear to focus on the physical suffering, diseases, and symptoms associated with the end stage of AIDS.

Counseling is not a new domain or technique, rather it is an ancient art. In our day-to-day life we have seen that people always seek help when facing difficulties. Yet in many communities old or wise persons play the role of counselor. But the scenario has changed and the counseling profession has developed significantly.

At the opening session participants are unknown to each other and can feel uncomfortable interacting and sharing personal experiences. In this situation it is good idea to introduce each other and express themselves in front of a group. This exercise gives an opportunity to the group to share their views and experiences, which makes the climate more comfortable. After this session, the trainer also needs to give a brief introduction on training design and course structure and the training conduction procedures. It helps the participants to adjust in a new situation and mentally prepare for learning.

कुष्ठरोग निवारणको स्थितीलाई दिगो राख्दै सेवालाई गुणस्तरीय एवं सर्व सुलभ तथा सवैको पहुंच योग्य बनाई यसको समस्यालाई थप न्यूनीकरण गर्नको लागि क्षेत्रीय स्तरबाट संचालन गरिने कार्यक्रम संचालन निर्देशिका निम्नानुसार रहेको छ ।

कुष्ठरोग एक प्रकारको सरुवारोग मध्ये कम सर्ने रोग हो, यो रोग माइकोब्याक्टेरियम लेप्रे ९ःथअयदबअतभचष्गm भिउचबभ० नामक सुक्ष्म किटाणुबाट लाग्दछ । यो रोग मानिसमा ढिलो गरि लाग्ने र बिस्तारै निको हुने भएतापनि यस रोगले मानिस मर्दैन । यस रोगले छाला र सतहको स्नायूमा असर गर्दछ ।