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Module Description

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The goal of this session is to introduce learners to care for a paediatric patient with HIV, including concepts of medication dosing, interaction with the parent/family, and ethical issues surrounding this key population. 

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Objectives

By the end of the module, the learner will be able to:

  1. Describe an assessment for growth, nutritional status, and developmental milestones in a paediatric patient with HIV
  2. Explain HIV diagnostics in infants and children
  3. Describe an approach to ART and OI management in a paediatric patient with HIV
  4. Discuss ethical dimensions of caring for a paediatric patient with HIV (e.g. disclosure, confidentiality, stigma, and evaluating for child abuse)
  5. Recognize the child’s support system at home and discuss how to use a team-based approach to care for children with HIV (IPE)
  6. Identify how/when to disclose HIV status to children with HIV 

Optimizing Team-Based Care to Achieve High Quality HIV Care

Central to this module, facilitators should prompt all learners to consider how they can deliver care that fosters optimized team-based care to ensure high quality HIV care. Consider how the case enables learners to gain greater competency in the following domains:

  • Values and ethics: Work with individuals of other professions to maintain a climate of mutual respect and shared values.
  • Roles/responsibilities: Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations.
  • Interprofessional Communication: Communicate with patients, families, communities, and professionals in health and other fields in a responsible and responsive manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease.
  • Teams and Teamwork: Apply the values and the principles of team dynamics to build relationships and to perform effectively in different team roles to plan, deliver and evaluate person-centered care and population health programs and policies that are safe, timely, efficient, effective and equitable. 

ABBREVIATIONS

ABC    Abacavir

ART    Anti-retroviral therapy

AZT     Zidovudine

DBS    Dried blood spot

EID      Early infant diagnosis

ELISA Enzyme-linked immunosorbent Assay

FTC     Emtricitabine

HIV     Human immunodeficiency virus

HIV-1 DNA PCR HIV-1 deoxyribonucleic acid polymerase chain reaction