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Table 1 Content of training modules for TB/HIV collaborative activities at the primary health care level.

From: Training health care workers to promote HIV services for patients with tuberculosis in the Democratic Republic of Congo

Module 1: HIV infection
- Differences between HIV and AIDS
- The epidemiology of HIV in the world and DRC
- The immune system and the natural course of HIV infection
- HIV transmission modes
Module 2: Preventing HIV infection
- HIV prevention methods
- Prevention of HIV within the health care setting
Module 3: TB/HIV co-epidemic
- The epidemiology of TB
- The link between TB and HIV
- Reducing the burden of HIV among TB patients
Module 4: HIV diagnosis
Module 5: HIV counseling and testing in TB treatment centers
- Four types of HIV counseling and testing
- Provider-initiated diagnostic counseling and testing
- Key responsibilities and attitudes of the TB/HIV counselor
- The importance of the 3 Cs in HIV testing
- Basic counseling techniques
- Practice by role play
Module 6: Pre-test counseling for TB patients
- Stages of diagnostic pre test counseling
- Practice by role play
Module 7: Post-test counseling for TB patients and psychosocial support
- Stages of post-test counseling according to HIV test result
- Practice by role play
- Psychosocial support
Module 8: Patient flow, recording, monitoring and evaluation
Module 9: Management of HIV co-infected TB patients
- Role of the TB service: opportunities and challenges
- Co-trimoxazole preventive therapy
- Nutritional education
- Management of opportunistic infections and other medical problems linked to HIV (Respiratory problems – Digestive problems/diarrhoea – Neuropsychiatric manifestations – Dermatological manifestations – Oral lesions – Lymphadenopathies – Fever)
- Referral for care and support
- Introduction to ARV treatment
Peer discussion and problem solving
Introduction of a specific topic
Module 10: Couple and family counseling
Module 11: HIV counseling of infants, children and adolescents
Module 12: Stigmatization and discrimination
Module 13: Support groups
Module 14: Community mobilization
Module 15: Palliative care