Module 1: HIV and AIDS Activity 1: HIV and AIDS in Ghana
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Module 1: HIV and AIDS Activity 1: HIV and AIDS in Ghana Objective: To help understand how many people are living with HIV and AIDS Setting Indoors or on the street Group Size 1 or small group Time 15 minutes Type of Activity Discussion Materials Tins of Rice Picture Card Margarine Can (Konko) with rice Preparation Review “Number of People Living with HIV and AIDS” information sheet to see numbers in your region and the matching number of cans of rice. Activity Explain to your peers that for this activity, they should imagine that one grain of rice is one person living with HIV. Show your peers the can of rice and ask them to guess how many grains of rice are in the can. State “higher” or “lower” after each response (answer: approximately 15,300 grains of rice). Next, show card with cans of rice representing number of people with HIV and AIDS living in Africa and in Ghana. Point to ALL the cans representing the number of people living with HIV and AIDS in Sub- Saharan Africa. Remind them that each can does not represent one person but 15,300 people! In Sub-Saharan Africa, about 25 million people are living with HIV and AIDS. Show them the cans for Ghana at the bottom of the card. Ask how many people they think the 14.5 cans represent. Give the answer – 221,941 people. Ask how many cans they think would show the number of people living with HIV and AIDS in their region. Then, state “higher” or “lower” after each response. Together, come up with the correct number. 1 Discussion Questions: • Was any of this information surprising? • How did this information make you feel? Actual numbers are not as important as giving a general picture of the number of people living with HIV and AIDS in the different areas. Only discuss the number of PLHIV in the group’s region to avoid comparisons. 2 Module 1: HIV and AIDS Activity 2: Wildfire Game Objective: • To show how HIV can spread in a community with unprotected sex Behaviour Change Objectives: • Use condoms and lubricants correctly and consistently during every sexual encounter including with your regular partners, to reduce the risk of HIV infection and other STIs. Setting: Indoors Group Size Large group size (10 or more) Time 45 minutes Type of Activity Game and discussion Materials Small sheets of paper — one for each participant Preparation Draw a small star (M) on one piece of paper. Write “c” on five other sheets of paper. Activity If you have participants that you know are HIV +, you may want to discuss this activity with them before you start to see how comfortable they are participating. This activity can be very emotional. Participants should be allowed to share their experiences and feelings. Give on piece of paper to each participant. Tell your peers to walk around the room and shake hands with five other people and then sign or place a unique mark on each other’s paper (Note: if the group contains fewer than 15 people, ask each participant to only shake hands with three people.) When finished, ask the participants to check to see if they have five signatures on the papers. Tell the participants to sit in a circle. Adapted from Men who have Sex with Men Curriculum for Peer Educators in HIV/AIDS Education (GHANA) 1 Explain that this is a game to show how quickly HIV can spread within a community. For this game, one participant represents a person who is infected with HIV. Ask the participants to look at their paper to see if there is a star (M) on it. Ask the person with the star paper to stand up. Tell the person standing that for this activity, you will say that she has HIV. Tell the group that you can not tell if someone has HIV simply by looking at the person. Many people how have HIV do not know that they are infected. Next, ask the participants if shaking hands can spread HIV (answer: No!). For this game, we will pretend that shaking hands is the same as having sex with another person. Therefore, the participants are at risk for HIV with anyone they shook hands with. Ask the participant with the star paper to read aloud the names of the people who signed his paper. Next, ask those people to stand up. Tell the group that all the people standing may now be infected with HIV. Ask the people standing to read the names of people they shook hands with; ask those people to stand. Continue to do this until all the participants are standing. If a person’s name has been called more than once, explain that this person has put herself at risk multiple times. Now that all the participants are standing, ask them to see if they have a (C) on their paper. Tell them that everyone with a (C) on their paper used a condom and lubricant consistently and correctly every time they had sex and, therefore, were protected from HIV and other STIs. The people with a (C) can sit down. Say that everyone standing had unprotected sex and became infected with HIV. Ask the group to count how many people have been infected with HIV. Tell the women standing to sit down. Remind the participants that this is just a game and that HIV is not transmitted by shaking hands or signing someone’s paper. Discussion Questions: 1. How did you feel as you were waiting to find out if you were infected? 2. How did you feel when you found out you were not infected? 3. How did you feel to be one of the last participants standing? 4. Did the person who in the beginning was infected directly infect every other person? 5. How does this activity help explain how HIV can spread so quickly in a community? 2 Module 1: HIV and AIDS Activity 3: HIV Transmission – Fluids Objective: • To better understand which body fluids spread (transmit) HIV. Setting On the street Group Size 1 or 2 Time 20 minutes Type of Activity Discussion Materials Fluids which Transmit HIV flyer Review “HIV Transmission – QQR” information sheet Preparation Know which fluids can contain quantities of HIV large enough to be transmitted to others. Correct answers are listed at the end of the Activity section. Activity Ask which fluid spread (transmit) HIV. Do not correct wrong answers now. Encourage your peer to give more that one type of fluid. State that for HIV transmission to take place there must be a large enough amount of HIV pres- ent in the body fluid to be infectious. Next, Show the fluids which Transmit HIV flyer. The flyer shows the fluids which transmit HIV. Start with the ones that your peer stated correctly. Discuss each fluid, semen, vaginal fluid, blood, and breast milk. Mention that other fluids such as tears, saliva, mucous and urine DO NOT transmit HIV. Includ- ing other ones that your peer stated at the beginning that also DO NOT transmit HIV. Ask your peer if she has any questions. Give the flyer to you peer as a reminder of the talk. 1 Body fluids that transmit (spread) HIV Correct Not Correct Vaginal fluids Tears Semen Saliva Blood Mucous Breast Milk Urine 2 Module 1: HIV and AIDS Alternate Activity 3: HIV Transmission Game – Fluids Objective: • To better understand which body fluids spread (transmit) HIV. Setting Indoors Group Size small or large group Time 45 minutes Type of Activity Discussion Materials Card Pack: 1. Large cards (Body Fluids That Can Transmit HIV) 2. Set of 8 cards showing body fluids Review “HIV Transmission – QQR” information sheet Preparation Know which fluids can contain amount of HIV large enough to be passed on (transmitted) to others. Correct answers are listed at the end of the Activity section. Activity Tell the group that for HIV transmission to take place, there must be a large enough amount of HIV present in the body fluid to be infectious. Show the large card “Body fluids That Can Transmit HIV”. Pass out the body fluid cards to each person. (Note: participants may receive more than one card if it is a small group.) Ask each participant to decide if the fluid on their card could carry an infectious quantity of HIV. The person with the card can ask the rest of the group for help. The peer educator should make corrections if the group states the wrong answer. If the fluid named can contain infectious quantities of HIV, place it with the large card. If it cannot, put it to one side. 1 Body fluids that transmit (spread) HIV Correct Not Correct Vaginal fluids Tears Semen Saliva Blood Mucous Breast Milk Urine 2 Module 1: HIV and AIDS Activity 4: HIV Transmission – Routes Objective: • To better understand how HIV can enter the body Setting On the street Group Size 1 or 2 Time 20 minutes Type of Activity Discussion Materials How HIV Can Get Into the Body flyer Fluids which Transmit HIV flyer Review “HIV Transmission – QQR” information sheet ACTIVITY Remind participants that for HIV to get into the body, there must be a large enough amount of the virus present in the body fluid to be infectious. This activity looks at the different ways (routes) that the virus can enter the body. Show the - How HIV Can Get Into the Body. Show the front of the card and ask your peer where HIV can enter the women’s body. Discuss any wrong answers.