Document 0972
 DOCN  M94A0972
 TI    Strengthening AIDS case surveillance in India.
 DT    9412
 AU    Khodakevich L; Meshram D; Sengupta D; WHO/GPA-India.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):238 (abstract no. PB0964). Unique
       Identifier : AIDSLINE ICA10/94371603
 AB    OBJECTIVE: To determine effectiveness of the rolling down four layers
       training programme in improving the physicians skills in diagnosing and
       management of AIDS patients and reporting AIDS cases. METHODS: The
       peripheral physicians at the level of district and primary health
       centres have been trained in 1993-1994 on three major subjects: case
       diagnosis and management, counselling and reporting of AIDS cases. The
       advance of the skills of some 1500 physicians is being assessed to
       determine the effect of the training on diagnosis, recording and
       reporting. RESULTS: As a result of the training, the physicians first of
       all advanced their skills in diagnosis and clinical management of AIDS
       cases. The concept of counselling as a strategy to support sick people
       was realized by larger part of the trainees. The generally spread
       attitude of personal protection at the workplace was transformed into
       understanding of the importance of universal precautions. Physicians
       realized the importance of proper recording and reporting cases for the
       planning and advocacy purposes. DISCUSSION AND CONCLUSIONS: The
       centrally coordinated project was undertaken at a time when the
       administration of the States and Union territories, in this country with
       the federal administrative set up, just started developing their
       administrative and training capacity. This had advanced the training of
       the peripheral medical staff by one to two years. The central
       coordination also allowed to provide for interaction of the high level
       facilitators trained abroad with numerous peripheral staff in the whole
       country within a short period of six months.
 DE    *Acquired Immunodeficiency Syndrome/DIAGNOSIS/THERAPY  Counseling  *Data
       Collection  Human  India  MEETING ABSTRACT

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