Initiation of Antiretroviral Therapy for Adults in Correctional Settings

Training Materials: 

Course description

Course name
Initiation of Antiretroviral Therapy for Adults in Correctional Settings
Main Learning Objectives
  • Learn the basics of providing ART with special emphasis on the unique challenges and circumstances in correctional settings.
  • To understand the three major parameters to define prognosis and priorities for ART (CD4 count, absolute lympohocyte count and stage of disease);
  • To know the goal of ART;
  • To understand the classes of antiretrovirals, standard recommendations for ARV drugs use, including the critical role of adherence;
  • To know the side effects and toxicities of ART;
  • To understand the issues and rationale for standardized ARV regimens in line with national and WHO protocols;
  • To understand adherence factors with a particular emphasis on inmates from correctional settings;
  • To understand how to apply this knowledge in practical settings and to have the necessary knowledge regarding the existing local and international regulations, procedures and documentation.
Key Topics
  • HIV and AIDS in correctional settings
  • Goals of ART
  • ARV drugs: general overview and the side effects
  • Initiation of ART
  • Management of ART
  • Special considerations: ART for women of reproductive age or who are pregnant.
  • Special considerations: ART for patients with active tuberculosis.
  • Special considerations: ART for drug users (basic principles).
  • Opportunistic infections: general overview. Antiretroviral therapy and opportunistic infections.
  • Prevention of occupational exposure; Post-exposure prophylaxis.
Basis of Curriculum, Key Teaching Documents and Materials
  • Materials produced by the HIV Center of Excellence of the Albany Medical College’s Division of HIV Medicine (Upstate Local Performance Site and Regional Resource for Corrections, New York/New Jersey AIDS Education & Training Center)
  • WHO HIV/AIDS Treatment and Care Protocols for European Region (2006);
  • Relevant national protocols and policies;
  • 2007 Medical Management of HIV Infection (John Bartlett and Joel Gallant);
  • HIV Medicine 2005 (Hoffmann-Rockstroh-Kamps)
  • Comprehensive set of course slides and handouts.

All materials available printed or electronically in Russian and English.

Teaching Methods Presentation, small group discussion, role play, clinical case study.
Target Audience Specialist teams (physician, nurse, social worker, psychologist, healthcare aide working in correctional settings).
Maximum class size: 18-24 participants.
Faculty Multidisciplinary, international and national
Duration 5-day didactical/clinical course.