We have sent three of our staffs for the first batch of the Workshop on Attitude, Skills and Knowledge for Differentiated HIV Services for Key Populations (DHSKP), they were Fazira, Fazilah, and Tasha. The workshop was carried out by Malaysian AIDS Council with collaboration of Ministry of Health.
The workshop is to make all staffs working with DHSKP to understand their job scopes and all the basics of HIV better so that they could serve the key population in the best practice as possible. Some of the activities including introduction of the agencies and organizations related to DHSKP, doing a pre-test to see staff understanding before the workshop, explaining and then testing all the information related to HIV and AIDS. HIV or human immunodeficiency viruses are two species of Lentivirus that causes HIV infection, and over time causes Acquired ImmunoDeficiency Syndrome or better known as AIDS.
The workshop was carried out in the span of four days at Ancasa Residences, Port Dickson, from 8th to 11th October 2019.
Some of the issues discussed during the workshop includes the following and the answers by the participants:
- Where or how can a person get tested for HIV in Malaysia?
- Health Clinics – voluntary counselling and testing (VCT)
- Governmental / private hospitals
- Cognitive behavioural therapy (CBT) by non-governmental organizations (NGO)
- Self Testing
- Community Health Center
- Test that is done before blood donation
- What are the necessary conditions for successful HIV transmission? (not transmission modes)
- People living with HIV (PLHIV) without Undetectable Viral Load (UVL)
- Portal (holes or wound) with direct input to the blood channel
- Sufficient virus/viral load
- PLHIV who does not start Antiretroviral drugs (ARV) such as Highly Active AntiRetroviral Therapy (HAART)
- Virus has to stay alive (can reproduce)
- Virus can replicate itself in the new host / attack CD4
- CD4 is a glycoprotein found on the surface of immune cells such as T helper cells, monocytes, macrophages, and dendritic cells.
- Why are key populations reluctant to go for HIV testing (or other sexual health services)?
- No awareness
- Less knowledge and exposure
- Still at denial stage
- No access
- What are the modes of transmission for HIV?
- Unprotected sex with PLHIV without UVL
- Sharing injection syringe infected with HIV virus
- Vertical (from PLHIV mother before UVL to children in her womb / mother’s body milk)
- Transfusion of infected blood or transplant of infected organ
- What are the infectious body fluids for HIV?
- Vaginal fluid
- PLHIV mother’s milk before UVL
- Anal fluid
- What are the methods for prevention of HIV infection?
- Use condom during sex
- Take PrEP (pre-exposure prophylaxis)
- Take PEP (post-exposure prophylaxis)
- Not sharing infected injection needle
- Treatment as Prevention (u=u, undetectable = untransmittable)
- Ensure the use of sterilized tools for tattoo and ear piercing