cough manners to prevent tb transmission

The

CoughtoCure(C2C)

GuidetoCounseling

ThisbookletwasmadeincollaborationwiththePhilippineDepartmentofHealthandwiththesupportoftheAmericanPeoplethroughtheUnitedStatesAgencyforInternationalDevelopment(USAID).ThecontentsofthisbookletdonotnecessarilyreflecttheviewsofUSAIDortheUnitedStatesGovernment.

Counselingsteps

GreetandPraiseGreetclientwithrespectandfriendlinesstomakehim/herfeelwelcomeandopenabouthis/herfeelings.Praiseclienttoreinforcehis/herpositivebehaviors.

AskandListenAskappropriatenonjudgmentalquestionstogetreasonsforclientsvisit,andhis/herfeelings,concernsandfears.Listentowhathe/shesaysandhowhe/shesaysit,showinginterestandunderstanding.

TellandEncourageTellaccurateandpersonalizedinformationaboutTBandDOTS,toaddressbarriersthatpreventstheclientfromundergoingdiagnosisandtreatment.Encourageopenness.

HelpandResolveHelpclientdecideonDOTSdiagnosisandtreatment,addressingpositiveandnegativeconcerns.Resolveanyremainingconcerns.Addresspossiblebarrierstotreatment.

ExplainandShowClearlyexplainTBDOTSdiagnosisandtreatment.Showanddemonstratewhatneedstobedoneduringtreatment.

Return/ReferandRemindEncourageTBclienttoreturnforanytreatmentproblemsandfollowup.ReferTBclienttoappropriatefacilitiesforspecialsituations.

Recognizingandacceptingearlysignsandsymptoms

Getacquaintedandbuildrelationshipwithnewclient.Assureconfidentiality.Outcome:Icantrustthehealthprovider.

Askaboutclientssymptomsandhowhe/shefeelsaboutTBandTBcare.Outcome:Icanbeopenwithmyhealthprovideraboutmysymptoms.

GiveclientaccurateandpersonalizedinformationonTBandhowitcanbecured.Outcome:IbelievewhatmyhealthproviderissayingaboutTB.

HelpclientdecidetoseeksputumexaminationtodiagnoseTB.Outcome:IwillhavemysputumexaminedtodetermineifIhaveTB.

Explainhowsputumexamisdoneandwhereitcanbedone.Outcome:IamconfidentthatIcangetacorrectdiagnosisattheDOTScenter.

ReferclienttoDOTScenterforsputumexam.Outcome:IamgoingtotheDOTScenterforproperdiagnosis.

SeekEarlyCare

Counselingsteps

GreetandPraiseGreetclientwithrespectandfriendlinesstomakehim/herfeelwelcomeandopenabouthis/herfeelings.Praiseclienttoreinforcehis/herpositivebehaviors.

AskandListenAskappropriatenonjudgmentalquestionstogetreasonsforclientsvisit,andhis/herfeelings,concernsandfears.Listentowhathe/shesaysandhowhe/shesaysit,showinginterestandunderstanding.

TellandEncourageTellaccurateandpersonalizedinformationaboutTBandDOTS,toaddressbarriersthatpreventstheclientfromundergoingdiagnosisandtreatment.Encourageopenness.

HelpandResolveHelpclientdecideonDOTSdiagnosisandtreatment,addressingpositiveandnegativeconcerns.Resolveanyremainingconcerns.Addresspossiblebarrierstotreatment.

ExplainandShowClearlyexplainTBDOTSdiagnosisandtreatment.Showanddemonstratewhatneedstobedoneduringtreatment.

Return/ReferandRemindEncourageTBclienttoreturnforanytreatmentproblemsandfollowup.ReferTBclienttoappropriatefacilitiesforspecialsituations.

ChoosingtoseekTBcarefromDOTSfacility

Greetpatientwarmly.Praisepatientfortakingtheinitiativetoseekcounseling.Ensurethatprivacywillberespected.Outcome:IamwelcomeattheDOTSfacility.Iknowthatmyprivacywillbeprotected.

AskaboutwhatclienthaslearnedaboutTBandwherehe/shegotinitialcounseling.Outcome:IcanbeopenwiththehealthproviderattheDOTScenteraboutmysymptoms.

GiveclientaccurateandpersonalizedinformationonTBandhowitcanbecured.Outcome:TheDOTScenterisgivingmegoodTBinformation.

HelpclientremoveanyremainingdoubtsaboutsputumexaminationtodiagnoseTB.Outcome:IwillhavemysputumexaminedtodetermineifIhaveTB.

Explainhowsputumexamisdone.Outcome:Iamconfidentthatbygivingsputumsamples,theDOTScenterwillgivemeanaccuratediagnosis.

Remindclientaboutneedforadditionalsputumsamples.Outcome:IamgoingbacktotheDOTScentertogiveadditionalsputumsamples.

Goto

DOTSFacility

Counselingsteps

GreetandPraiseGreetclientwithrespectandfriendlinesstomakehim/herfeelwelcomeandopenabouthis/herfeelings.Praiseclienttoreinforcehis/herpositivebehaviors.

AskandListenAskappropriatenonjudgmentalquestionstogetreasonsforclientsvisit,andhis/herfeelings,concernsandfears.Listentowhathe/shesaysandhowhe/shesaysit,showinginterestandunderstanding.

TellandEncourageTellaccurateandpersonalizedinformationaboutTBandDOTS,toaddressbarriersthatpreventstheclientfromundergoingdiagnosisandtreatment.Encourageopenness.

HelpandResolveHelpclientdecideonDOTSdiagnosisandtreatment,addressingpositiveandnegativeconcerns.Resolveanyremainingconcerns.Addresspossiblebarrierstotreatment.

ExplainandShowClearlyexplainTBDOTSdiagnosisandtreatment.Showanddemonstratewhatneedstobedoneduringtreatment.

Return/ReferandRemindEncourageTBclienttoreturnforanytreatmentproblemsandfollowup.ReferTBclienttoappropriatefacilitiesforspecialsituations.

Complyingwithdiagnosticprocedures

Praisepatientfortakingcareofhis/herhealthandundergoingdiagnosis.Outcome:Thehealthproviderismypartnerinensuringgoodhealth.

Askaboutclientsconcernsabouttheproperdiagnosticprocedureandaddressanydoubts.Outcome:IcanbeopenwiththehealthproviderattheDOTScenteraboutmysymptoms.

Tellclientthereasonwhythereisneedtosubmitthreesputumsamples.Outcome:IunderstandwhyIneedtosubmitthreesputumsamples.

Helpclientremoveanyremainingdoubtsabouttheneedforthreesputumsamples.Outcome:Iwillsubmitthreesputumsamplesasrequired.

Explainhowsputumexamisdone.Explainhowtopreventotherfamilymembersfromgettinginfected,incaseofpositiveresults.Outcome:IknowwhattodosoIwillnotinfectmembersofmyfamily.

Remindclientaboutscheduleofsputumsamplesandwhenresultscanbeobtained.Outcome:IamgoingbacktotheDOTScentertogettheresults.

Complete

Diagnosis

Explainhowmanytabletsneedtobetakenandwhenandtheneedforatreatmentpartner.Outcome:Iwilltakemymedicinesreligiouslywiththehelpofmytreatmentpartner.

Scheduleandreferclientonfollowupsputumexams.Outcome:IwanttoknowthatIamgettingcured.Iamgoingbackforthefollowupsputumexamasscheduled.

Helpclientunderstandthedangerstohim/herandhis/herfamilyofnotstartingtreatment.Outcome:Iamreadytostarttreatment.Idontwantmyfamilytoalsogetsick.

Praiseclientfortakingcareofhis/herhealthandcompletingsputumexam.Outcome:Thehealthproviderismypartnerinensuringgoodhealth.

AskaboutclientsconcernsabouttheDOTStreatmentandaddressanydoubts.Outcome:ThemoreItellmyhealthprovideraboutmyconcerns,theeasierwillbemytreatment.

Explainpossiblesideeffects.Tellclientaboutwhattodoincasehe/shefeelsanysideeffects.Outcome:IknowwhatIneedtodoincaseofsideeffects.

Return/ReferandRemindEncourageTBclienttoreturnforanytreatmentproblemsandfollowup.ReferTBclienttoappropriatefacilitiesforspecialsituations.

Agreeingtoundergotreatment Counselingsteps

GreetandPraiseGreetclientwithrespectandfriendlinesstomakehim/herfeelwelcomeandopenabouthis/herfeelings.Praiseclienttoreinforcehis/herpositivebehaviors.

AskandListenAskappropriatenonjudgmentalquestionstogetreasonsforclientsvisit,andhis/herfeelings,concernsandfears.Listentowhathe/shesaysandhowhe/shesaysit,showinginterestandunderstanding.

TellandEncourageTellaccurateandpersonalizedinformationaboutTBandDOTS,toaddressbarriersthatpreventstheclientfromundergoingdiagnosisandtreatment.Encourageopenness.

HelpandResolveHelpclientdecideonDOTSdiagnosisandtreatment,addressingpositiveandnegativeconcerns.Resolveanyremainingconcerns.Addresspossiblebarrierstotreatment.

ExplainandShowClearlyexplainTBDOTSdiagnosisandtreatment.Showanddemonstratewhatneedstobedoneduringtreatment.

StartTreatm

ent

Committingtocompletetreatment

Praisepatientforbeingconcernedabouthis/herhealthandreturningtothehealthcenter.Outcome:Thehealthproviderismypartnerinensuringgoodhealth.

Askifpatienthasbeencomplyingwithtreatmentincludingfollowupsputumexams.Askaboutanysideeffectsandhowthetreatmentpartnerishelpingtheclient.Outcome:ThemoreItellmyhealthprovideraboutmyconcerns,theeasierwillbemytreatment.

Ifpatientfeelssideeffects,tellpatientaboutwhattodo.Outcome:IwillnotallowthesideeffectsIfeeltopreventmefromcompletingtreatment.

Helppatientthroughanydiscomfortandsideeffectstheyfeel.Outcome:IwillcontinuetreatmentinspiteofthesideeffectsIfeel.

Explaintheneedtocompletetreatment,includingallfollowupsputumtests.Outcome:Iwillcontinuetreatmentandwillsubmitmysputumforfollowupexams.

Scheduleandreferpatientforfollowupsputumexams.Outcome:IwanttoknowthatIamgettingcured.Iamgoingbackforthefollowupsputumexamasscheduled.

Counselingsteps

GreetandPraiseGreetclientwithrespectandfriendlinesstomakehim/herfeelwelcomeandopenabouthis/herfeelings.Praiseclienttoreinforcehis/herpositivebehaviors.

AskandListenAskappropriatenonjudgmentalquestionstogetreasonsforclientsvisit,andhis/herfeelings,concernsandfears.Listentowhathe/shesaysandhowhe/shesaysit,showinginterestandunderstanding.

TellandEncourageTellaccurateandpersonalizedinformationaboutTBandDOTS,toaddressbarriersthatpreventstheclientfromundergoingdiagnosisandtreatment.Encourageopenness.

HelpandResolveHelpclientdecideonDOTSdiagnosisandtreatment,addressingpositiveandnegativeconcerns.Resolveanyremainingconcerns.Addresspossiblebarrierstotreatment.

ExplainandShowClearlyexplainTBDOTSdiagnosisandtreatment.Showanddemonstratewhatneedstobedoneduringtreatment.

Return/ReferandRemindEncourageTBclienttoreturnforanytreatmentproblemsandfollowup.ReferTBclienttoappropriatefacilitiesforspecialsituations.

ContinueTreatm

ent

Bringingdefaultersbackintotreatment

Praisepatientforbeingconcernedabouthis/herhealthandreturningtothehealthcenter.Outcome:Thehealthproviderismypartnerinensuringgoodhealth.

Askdefaulterswhytreatmentwasstopped.Askaboutanyproblemswiththetreatmentpartner.Askhowlongtreatmentwasfollowedbeforedefault,andaskhowlongtreatmenthasbeenstopped.Outcome:ThemoreItellthehealthprovider,thebetterIcanbehelped.

Tellpatientaboutthedangerofstoppingtreatment,includingtheriskofdying.Outcome:Idontwantmyhealthtoworsen.Icanstillbecured.NowIwilltaketreatmentseriously.

Helpdefaulterunderstandthatheorsheneedstorestarttreatmentwithatreatmentpartnertoensurepropertreatment.Outcome:Iresolvetorestarttreatmentandgetcuredwiththehelpofmytreatmentpartner.

Iftreatmenthasbeenstoppedforlessthan2weeks,explainwhatmedicinestotake.Ifmorethan2weeks,explainneedfornewsputumexam.Outcome:Iknowwhattodotogetcured.

Scheduleandreferpatientfornewsputumexam.Outcome:Ineedtohaveanewsputumexamsothatthehealthproviderwillknowhowtotreatme.

Counselingsteps

GreetandPraiseGreetclientwithrespectandfriendlinesstomakehim/herfeelwelcomeandopenabouthis/herfeelings.Praiseclienttoreinforcehis/herpositivebehaviors.

AskandListenAskappropriatenonjudgmentalquestionstogetreasonsforclientsvisit,andhis/herfeelings,concernsandfears.Listentowhathe/shesaysandhowhe/shesaysit,showinginterestandunderstanding.

TellandEncourageTellaccurateandpersonalizedinformationaboutTBandDOTS,toaddressbarriersthatpreventstheclientfromundergoingdiagnosisandtreatment.Encourageopenness.

HelpandResolveHelpclientdecideonDOTSdiagnosisandtreatment,addressingpositiveandnegativeconcerns.Resolveanyremainingconcerns.Addresspossiblebarrierstotreatment.

ExplainandShowClearlyexplainTBDOTSdiagnosisandtreatment.Showanddemonstratewhatneedstobedoneduringtreatment.

Return/ReferandRemindEncourageTBclienttoreturnforanytreatmentproblemsandfollowup.ReferTBclienttoappropriatefacilitiesforspecialsituations.

ContinueTreatm

ent

SeekingconfirmationascuredTBpatient

Praisethepatientforcompletingthewholecourseoftreatment.Outcome:Myhealthprovideriswithmeeverystepoftheway.

Askifthepatienthasanytroublewithhavingthefinalconfirmatoryexam.Outcome:Iwillcontinuetobeopentomyhealthprovider,particularlyatthislaststageoftreatment.

Tellthepatientoftheneedtohavethefinalsputumexam,toensurethathe/sheisfullycured.Outcome:Thelastexamisneeded,soIwillbecertainofcure.

Helpreinforcetheimprovedhealthseekingbehaviorsofthepatient.Outcome:Withthehelpofthehealthprovider,Icantakebettercareofmyhealth.

Explaintopatientwhythereisaneedforthelastsputumexam.Outcome:Iknowwhythereisaneedtohavethelastsputumexam.

Scheduleandreferpatientforthelastsputumexamaftertreatment.Outcome:IwilltakethelastsputumexamsoIwillknowforcertainthatIamcured.

Counselingsteps

GreetandPraiseGreetclientwithrespectandfriendlinesstomakehim/herfeelwelcomeandopenabouthis/herfeelings.Praiseclienttoreinforcehis/herpositivebehaviors.

AskandListenAskappropriatenonjudgmentalquestionstogetreasonsforclientsvisit,andhis/herfeelings,concernsandfears.Listentowhathe/shesaysandhowhe/shesaysit,showinginterestandunderstanding.

TellandEncourageTellaccurateandpersonalizedinformationaboutTBandDOTS,toaddressbarriersthatpreventstheclientfromundergoingdiagnosisandtreatment.Encourageopenness.

HelpandResolveHelpclientdecideonDOTSdiagnosisandtreatment,addressingpositiveandnegativeconcerns.Resolveanyremainingconcerns.Addresspossiblebarrierstotreatment.

ExplainandShowClearlyexplainTBDOTSdiagnosisandtreatment.Showanddemonstratewhatneedstobedoneduringtreatment.

Return/ReferandRemindEncourageTBclienttoreturnforanytreatmentproblemsandfollowup.ReferTBclienttoappropriatefacilitiesforspecialsituations. Com

pleteTreatm

ent