Podcast
Questions and Answers
What is the primary outcome of correctly using reflective listening?
What is the primary outcome of correctly using reflective listening?
- Beneficiaries are less likely to trust the listener
- Beneficiaries are likely to disengage from the conversation
- Beneficiaries feel acknowledged and valued (correct)
- Beneficiaries feel ignored and undervalued
Which listening level involves emphasizing emotional aspects of communication?
Which listening level involves emphasizing emotional aspects of communication?
- Reflective listening (correct)
- Amplified listening
- Simple listening
- Echoing listening
What is a potential downside of self-disclosure by navigators?
What is a potential downside of self-disclosure by navigators?
- It creates an opportunity for deeper conversations
- It may encourage beneficiaries to share more
- It enhances trust and openness
- It can discourage beneficiaries from sharing their own experiences (correct)
What is NOT a characteristic of simple listening?
What is NOT a characteristic of simple listening?
What are common barriers to service access in health facilities?
What are common barriers to service access in health facilities?
Which of the following best describes amplified listening?
Which of the following best describes amplified listening?
How may stigma in law enforcement services affect individuals?
How may stigma in law enforcement services affect individuals?
What should navigators limit during conversations to ensure beneficiary comfort?
What should navigators limit during conversations to ensure beneficiary comfort?
What should programs assess before implementing peer navigation?
What should programs assess before implementing peer navigation?
What is one of the main responsibilities of a navigator in relation to beneficiaries?
What is one of the main responsibilities of a navigator in relation to beneficiaries?
Which of the following is NOT a factor to consider when budgeting for peer navigators?
Which of the following is NOT a factor to consider when budgeting for peer navigators?
Which of the following is NOT a responsibility of navigators regarding appointments?
Which of the following is NOT a responsibility of navigators regarding appointments?
What aspect is crucial in ensuring the competency of peer navigators?
What aspect is crucial in ensuring the competency of peer navigators?
What kind of agreements are suggested to support the operation of peer navigation programs?
What kind of agreements are suggested to support the operation of peer navigation programs?
How often are initial meetings with service beneficiaries likely to occur?
How often are initial meetings with service beneficiaries likely to occur?
Which of the following is an operational recommendation for service beneficiaries during navigation?
Which of the following is an operational recommendation for service beneficiaries during navigation?
In developing an action plan, navigators and beneficiaries brainstorm what?
In developing an action plan, navigators and beneficiaries brainstorm what?
What should be done 24 hours before a beneficiary's appointment?
What should be done 24 hours before a beneficiary's appointment?
What is an important component to include in standard operating procedures for peer navigation?
What is an important component to include in standard operating procedures for peer navigation?
Where can peer navigators be based according to the guidelines?
Where can peer navigators be based according to the guidelines?
What is a reason for more frequent initial sessions with beneficiaries?
What is a reason for more frequent initial sessions with beneficiaries?
What might the action plan developed by navigators include?
What might the action plan developed by navigators include?
Which of the following roles is NOT typically part of the case management team involving peer navigation?
Which of the following roles is NOT typically part of the case management team involving peer navigation?
What aspect of a beneficiary's life may be discussed during follow-up sessions?
What aspect of a beneficiary's life may be discussed during follow-up sessions?
What is a primary goal of navigation beyond providing direct assistance?
What is a primary goal of navigation beyond providing direct assistance?
How frequently may meetings between navigators and beneficiaries become less frequent over time?
How frequently may meetings between navigators and beneficiaries become less frequent over time?
What aspect is crucial for the success of the navigator-beneficiary relationship?
What aspect is crucial for the success of the navigator-beneficiary relationship?
What classification is given to individuals on ART who have been on treatment for at least one year and show no adverse drug reactions?
What classification is given to individuals on ART who have been on treatment for at least one year and show no adverse drug reactions?
What should navigators do if beneficiaries identify few or no goals during the initial assessment?
What should navigators do if beneficiaries identify few or no goals during the initial assessment?
Which of the following factors classifies a pre-ART beneficiary as high-need?
Which of the following factors classifies a pre-ART beneficiary as high-need?
What is included in the minimum package of services that may occur during a navigation session?
What is included in the minimum package of services that may occur during a navigation session?
What does the WHO classify individuals on ART with a CD4 count of less than 200 cells/mm3 as?
What does the WHO classify individuals on ART with a CD4 count of less than 200 cells/mm3 as?
What should navigators review and address during subsequent meetings after the initial consultation?
What should navigators review and address during subsequent meetings after the initial consultation?
Which of the following is NOT a criterion for classifying someone on ART as stable?
Which of the following is NOT a criterion for classifying someone on ART as stable?
In which manner should navigators primarily engage with beneficiaries during their sessions?
In which manner should navigators primarily engage with beneficiaries during their sessions?
What additional support might high-need beneficiaries require from navigators?
What additional support might high-need beneficiaries require from navigators?
What routine check should navigators perform after beneficiaries begin ART?
What routine check should navigators perform after beneficiaries begin ART?
What defines an unstable individual beginning ART under the WHO classification?
What defines an unstable individual beginning ART under the WHO classification?
Individuals who have initiated ART but are not on treatment may fall under which category?
Individuals who have initiated ART but are not on treatment may fall under which category?
Which situation does NOT contribute to classifying someone as a high-need pre-ART beneficiary?
Which situation does NOT contribute to classifying someone as a high-need pre-ART beneficiary?
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Study Notes
Levels of Listening
- Three key levels of listening: Simple, Amplified, Reflection of feelings.
- Simple Listening: Involves repeating or rephrasing what the beneficiary has said.
- Amplified Listening: Entails paraphrasing and exploring underlying meanings and emotions.
- Reflection of Feelings: Focuses on acknowledging and emphasizing the emotional aspects of communication.
Importance of Reflective Listening
- Reflective listening fosters acknowledgment and value for beneficiaries.
- It builds trust and encourages deeper conversations.
- Facilitates long-term changes by creating a supportive environment.
Self-Disclosure in Communication
- Personal disclosures can help build rapport but must be used cautiously.
- Excessive or premature sharing can create discomfort and inhibit open communication.
Stigma and Discrimination
- Stigma and discrimination against key populations frequently hinder access to services.
- Particularly prevalent in health facilities and law enforcement, creating barriers for beneficiaries.
Peer Navigation Prerequisites
- Assess feasibility and buy-in from government and community partners.
- Determine the number of required peer navigators.
- Budget for full-time roles and recurring operational costs.
- Ensure adequate supervision and competent staff for navigators.
- Identify locations and service providers for effective service delivery.
- Establish agreements for collaboration and smooth client flow.
Standard Operating Procedures (SOPs)
- Develop SOPs for navigation to clarify roles within case management teams.
- Define the assignment process for navigators and emphasize privacy and confidentiality.
- Create visual client-flow algorithms for clear navigation among service providers.
Linkage to Care and Treatment
- Navigators play a crucial role in linking beneficiaries to necessary care and treatment services.
- Responsibilities include scheduling appointments, ensuring beneficiaries know appointment details, and providing reminders.
- Assist beneficiaries in overcoming barriers to attending appointments.
Follow-Up Sessions with Beneficiaries
- Initial sessions: More frequent, focusing on adjustment to diagnoses and assistance with immediate needs.
- Over time, frequency may decrease, but ongoing support is vital for maintaining adherence and addressing issues.
- Regular meetings with case management teams to discuss progress and recommendations.
Minimum Package of Services
- Relationship building is critical for effective navigator-beneficiary connections.
- General health education to enhance beneficiaries' understanding of their health conditions.
- Identify needs of both pre-ART and ART beneficiaries to tailor support appropriately.
Beneficiary Classification
- WHO classifies individuals on ART into stable (low need) and unstable (high need) categories based on health markers and treatment success.
- Stable individuals have been on ART for at least a year with no significant health issues.
- Unstable individuals require more frequent clinical care due to low CD4 counts or comorbidities.
Implementation Challenges
- Navigators may encounter a mix of new beneficiaries and those returning to care, requiring adaptable approaches to meet varying needs.
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