HIV Nursing model

IN PARTNERSHIP WITH THE

UNITED NATIONS CHILDREN’S FUND AND
ALLIANCE OF YOUNG NURSE LEADERS AND
ADVOCATES (AYNLA)
HIV and the Youth
 30% of cases are ages 24 and below

 99% of cases are transmitted through sexual contact

 Increasing cases of transmission through needle sharing
 Early sexual debut
 Exploratory, unprotected, multiple sexual encounters
 Poor health seeking behavior
Treatment hubs

 Increasing cases catered by the treatment hubs

 Two reasons:
 Ballooning epidemic
 Improving case detection

 Stagnant number of treatment hubs

 Stigmatized treatment and testing centers
 Largely facility-based approach
HIV Case Management
 Strategy is based on providing holistic approach through bio-
psycho-social interactions and relationships
Case Management Coordinators
Functions:
Biological
 Liaise between the client and treatment facility
 Monitor treatment adherence outside the facility
 Assess signs of complications
 Refers cases of severing health condition
Psychological
 Therapeutic communication
 Stress debriefing
Social
 Link client to relevant social support system
Why nurses as CMCs?
Biological
 “Clinical eye” in assessing health and detecting early and warning signs of
deteriorating health conditions
 Triage approach in referral of cases
 Caring approaches in health management
 Drug provision and administration capability
Psychological
 Therapeutic communication
 Empathic nurse-patient interactions
 Health education as nurses most potent tool
 Young nurses with the same generational group with the adolescents
Social
 Coordinate to the relevant social support systems
Nurses as CMCs
Nurse CMCs promise to transform basic HIV services:
 Patient-centered rather than facility-focused
 Closer, convenient and comfortable to the clients
 Lesser stigma related to facility visits
 Banking on relationship built between the coordinator and the
client
The Grand Plan

 Scale up in other high burden sites

 Establish HIV nursing in the country through community-
based approach
 Engage PhilHealth in developing health financing model
for nurse CMCs
 Engage government for sustainability through policy and
programmatic support
Demonstration Project of Nurse
CMCs
 Pilot demonstration an HIV Nursing Model that caters to adolescent
PLHIV through community-based approaches
 Develop a standardized non-discriminatory, youth-friendly, nursing
module for treatment, care and support of PLHIV
 Strengthen capacity of a professional organization to non-
discriminatory, youth-friendly, HIV services for adolescent PLHIV
population
 Document lessons learned and demonstration experience
Progression
Evaluation /
Documentation

Execution /
Demonstration

Capacity
building

Module
development
Assessment
and
planning

Appraisal / Monitoring
Expected output Other info

training module on Adolescent HIV Nursing

Project sites (Iloilo and Zamboanga City

trained young nurses

months implementation

PLHIV adolescents catered

Strengthen capacity of AYNLA in service provision

successful documentation
 BUDGET ALLOCATION
Indirect Project
Management Costs Activity 1: Module
11% Development and
Training
28%
Direct Project
Management Costs
13%

Activity 3: Monitoring
and Documentation
9%

Activity 2: Actual
demonstration,
mentoring, and
coaching
39%
Total budget: 2.4 M
What’s next?
Finalization of Proposal

 Identification of Activities
 Identifying the stakeholders
 Management structure
Proposed Management structure
AYNLA Board

Over-all project
coordinator

Site coordinator Site coordinator

(Iloilo) (Zamboanga City)

10 nurses 10 nurses