Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) Appendix 3.1 ADDITIONAL SCRIPT FOR COUNSELLING ON REPRODUCTIVE HEALTH HIV testing and counselling • You have all probably heard of HIV, the virus that causes AIDS. We do not talk about it much in the community, but we are going to talk about it here because it is important to your health. • HIV is increasing all over the world. How many of us know family members or friends who have HIV or who have died from illnesses related to HIV and AIDS • During this session, I will give you some basic information about HIV and AIDS and how being tested for HIV can be beneficial to you, your partner, family and community. You will also learn about the relationship between male circumcision and HIV infection. • I will also tell you about services that are available locally, especially about the counselling and testing services that are offered here or at ___________ facility. We will also talk about family planning. • HIV testing is recommended for individuals who are at risk of HIV infection, for example by having unprotected sexual intercourse with an HIV-infected person or with someone whose HIV status is unknown. Using non-sterile needles to inject drugs is another risk for HIV. • For those who are tested and find out they have HIV, there are medicines that help them stay healthy longer and that may reduce the risk of infecting others with HIV. • People living with HIV have the same rights as everyone else. Discrimination against people living with HIV is against the law. There are organizations such as _______________ that can provide legal and other types of support for people with HIV infection. • While medicines do not provide answers to all of our problems in dealing with HIV, they do allow people with HIV to live longer, healthier and productive lives. Before going into detail about the services we offer, here are a few facts about HIV and AIDS. The difference between HIV and AIDS • HIV stands for human immunodeficiency virus. It is the virus that causes AIDS. HIV is a slow-acting virus and it is possible for a person to be infected with HIV for many years without knowing it or feeling ill. AIDS is a condition caused by HIV. AIDS stands for acquired immunodeficiency syndrome. Immune deficiency means that the immune system, which protects your body from infection, does not function properly. AIDS develops because HIV weakens the body’s defence system. Educating and Counselling Clients and Obtaining Informed Consent Chapter 3-14
Male circumcision under local anaesthesia Version 3.1 (Dec09) • There is no cure for HIV infection, but medicines are available that can help prevent other infections in people who are living with HIV. Other medicines can slow down the virus and help HIV-infected people stay healthy longer. • The increasing availability of medicines and other resources to support people with HIV means that more and more people with HIV infection can live a full and productive life, including a healthy sexual life. Country statistics on HIV • Here is some information on HIV infections in our country and region. (Share with the group recent national statistics on the prevalence of HIV and the numbers of clients with HIV in antenatal and STI clinics.) How HIV is transmitted HIV is transmitted: • through unprotected sexual intercourse, vaginal or anal, with a person who has HIV infection; • through infected transfused blood or blood products, or by using needles that an HIV-infected person has already used for injecting drugs, body piercing or tattooing; and • from an infected mother to her baby during pregnancy and childbirth and through breast milk. HIV is not transmitted through mosquito bites, everyday contacts, sharing workplace or home utensils, hugging or kissing. Sexually transmitted infections • Sexually transmitted infections are quite common in our community. The most common STIs are syphilis, gonorrhoea, chlamydia and herpes. • It is important that these infections are promptly diagnosed and treated, in order to avoid complications such as infertility. • Men should be responsive to requests from STI clinics to come for testing if their spouse or partner is diagnosed with an STI. Treatment of both partners is an important element of STI control in the family and the community at large. • Having a sexually transmitted infection (especially one that causes sores or ulcers on the genital area) increases the risk of getting HIV by up to five times. People living with HIV are more likely to infect others when they also have such an STI. • Individuals with a sexually transmitted infection should carefully consider the benefits of HIV testing. Educating and Counselling Clients and Obtaining Informed Consent Chapter 3-15
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Manual for Male Circumcision under Local Anaesthesia

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