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Training Manual
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Training Manual
Material
Development
AFM Iqbal
Technical Officer, Family Health International (FHI)
Editing
Technical
Support
Sultana M Aziz
Senior Technical Officer, FHI
Published Published by
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Preface
Alhamdulillah. Masjid Council publishes the Training Manual to make general public aware on the risks of HIV and AIDS through the Imams and Khatibs. The publication of the manual on HIV and AIDS awareness building is being done with financial and technical support from USAID and Family Health International (FHI). The people of Bangladesh are highly spirited in terms of religion. They have firm belief in moral teachings of religion. Bangladesh has approximately more than 5 lac mosques where every Friday about 50 million people assemble for Juma (Friday) prayer. There are other Islamic religious congregations prevalent in the country such as waaj mehfil, tafsir mehfil, siraat mehfil and Eid congregation etc. and those congregations involve additional 30-40 million devotees. Based on the ground reality one arguably expects that a Khatib could significantly contribute to raising awareness on various important issues including HIV and AIDS through deliberations in Friday sermons. Considering that the Imams and Khatibs are well placed in the society in terms of access, skill and ability to contribute to raising public awareness, Masjid Council publishes the one-day Training Manual so as to make the Imams informed to speak on HIV and AIDS on various religious occasions including Friday sermons with authentic information. We express our deep sense of gratitude to all including the Imams, HIV experts and different organizations for their valuable contribution in preparing the Manual. We take the opportunity to acknowledge that we have shared many reference books on HIV and AIDS. However, any omission is ours. May Allah accept this little effort.
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Training Goal
Capacity building of Islamic religious leaders particularly Imam and Khatib on HIV and AIDS and helping prevent HIV and AIDS and minimizing stigma and discrimination against HIV positive people by up-scaling awareness of general public through Friday sermons.
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Pre-training preparedness
1. Imam/Khatib selection
We should follow certain requirements to select the Imams as trainees for the course. Issues to consider Education qualification of the Imams Age Expected number of devotees [musallis] attending the mosque Mosque selection Behavior Other issues Expected level At least a graduate either from Alia or Qoumi stream Between 30-60 years Dhaka city- 700 or plus Other cities- 400 or plus District and Upazilla- 300 or plus Priority should be given to mosques that are located in areas where people-at-risk live The Imam should possess the mentality to do development activities voluntarily and spontaneously Balanced representation of target areas should be maintained
2. Training plan
2.1 Training plan regarding the following issues has to be decided in the monthly meeting of the organization. a. Selection of training place (district/upazilla) b. Date of training c. Name of the facilitator 2.2 Draft list of the trainee Imams and Khatibs The responsible area coordinator shall take help from local Implementing Agency (IA) and IHC of FHI in the target area A draft list shall be published following the selection guidelines Having received spontaneous consent from the would-be trainees the invitation letter shall be delivered to the trainee Imams Make sure that the Imam has taken leave from the mosque committee to join the training 2.3 Points to consider in selecting training venue Should have ample space to accomodate 25/30 people Should have 4 tables and sufficient arm-less chairs Sufficient space for group work Sufficient facilities of toilet/wash Facilities for prayer Having ensured above issues training venue has to be booked 15 days prior to the training by a written letter.
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2.4 Invitation card Having received approval of training date and venue by the Masjid Council Head Office, the trainees shall be invited formally by letter to ensure their presence. The letter should be written on the pad of the organization (Masjid Council).
2.5 Distribution of invitation cards The cards should reach the Imams/Khatibs at least 10 days before the training In order only to expedite, invitation cards should be sent to local administration 15 days prior to the training The trainee Imam/Khatib should be informed about the location of training place The local IA and IHC should be informed about the training 15 days ahead 2.6 Training materials Once the tarining date is fixed, the trainer should ensure the training materials. A sample checklist is given below: Laptop, multimedia projector and a screen Viip board, viip card and flip chart Question card containing basic information Pre and post test questionnaires Training evaluation form Handbag Spiral notebook Pen and name badge Banner and camera Registration book Basic information sheet Training schedule Khutba [sermon] guide Monthly report form Sufficient number of stapler machines, pins, anti-cutter, threads, strings etc.
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TRAINING SCHEDULE
Batch No: Time 8.00 - 8.30 8.30 - 8.35 Training Centre: Subject Registration Recitation from the Quran Strategy Date: Materials Prescribed
Recitation with meaning 8.35 - 8.40 Welcome address Speech 8.40 - 9.00 Introducing and ice-breaking Participatory 9.00 - 9.15 Training goal and expectations Speech and participation by the trainees 9.15 - 9.30 Pre-test Written test 9.30 - 10.30 Basic information on HIV and AIDS Slide show, Why HIV has been a much talked group work, question answer about issue? What is HIV and AIDS? How HIV spreads and how it does not How to prevent HIV 10.30 - 10.45 Tea break 10.45 - 11.30 Basic information on HIV and AIDS Slide show, group (Continued) work, question Who are at-risk people for HIV answer HIV and STI HIV and drug abuse 11:30 - 12:15
Marker and viip card Multimedia and viip card Test questions Multimedia and question-answer sheet
HIV: Hatred and discrimination Slide show, group Multimedia and The necessity for HIV testing work, question question-answer answer sheet and the test centres Preventing HIV Group wise Group work, Khutba delivery exercise Individual Written test Question sheet Khutba guide
12:15 - 1:00 Question-answer 01.00 - 02.00 Break for lunch and salah 02.00 - 02.30 Role of Imams in preventing HIV: Introduction to the Khutba Guide on HIV and group work on Khutba delivery 02:30 - 3:30 Sample Khutba delivery 03:30 - 3:45 Sample Post-test
Subject Introduction to the organization and experience sharing Report preservation Training evaluation Prize distribution and closing of the session
Materials
Session 1
Session title: Recitation from the Quran Time: 5 Minutes Method: Recitation with meaning Rationale: We start doing any work in the name of Allah to seek his mercy and barakah. Objective: The participants will learn about starting a program with the recitation from the Quran. Material: Khutba guide How to conduct the session Tell the participants that the program will start with the recitation from the Quran. During the registration, you select one Imam from among the participants to play the recitation role and invite him to recite in due time. Thank him after the recitation is over.
Session 2
Session title: Address of welcome Time: 5 Minutes Method: Lecture Rationale: The participants need to know as to why they have assembed here and what they should do in the training. Objectives: The participants after the trainingwould be able to tell the reason for joining the program and the social responsibilities of the Imams would be able to tell the objectives and importance of the training would be aware about the activities of Masjid Council Materials: Not applicable How to conduct the session Appreciate the participants for giving their valuable time in the session Exchange greetings with the participants Discuss with them briefly on the social responsibility of Imams. The issues could be that they are the recognized social leaders, they are highly respected by the common people, people go to them seeking solutions of various problems they are confronted with, and the responsibility of Imams to give solutions to various social issues according to Islamic shariah. Start the program expecting support from the participants to run the training session smoothly.
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The Role of Imams in Combating HIV and AIDS: Training Manual
Session 3
Session title: Introduction and icebreaking Time: 15 Minutes Method: Participatory Rationale: Mutual introduction and icebreaking in the beginning of the training is needed to ensure proactive participation of the trainees in the program. Objective: The trainees after the trainingwould be able to know each other would be proactive in the training Materials: Marker pen, viip card How to conduct the session Discuss the rationale and objectives of the training Provide a piece of blank white paper and tell them to write their names. Collect the papers once the writing is over and distribute them into four groups. Keep each group on a table. Request the participants to find their names from the tables. Tell them to sit centring the table they get their names from. Request the participants to select a team leader for their groups. The participants should write the names of the team, team leader and members of the team on the viip card. During introduction session the team leader gives his identity and also introduces the team members. During introduction, the participants should tell the followings: own name, name of the mosque where he is engaged in, for how many days/years he has been working as Imam, education background, number of attendees during Friday prayer in his mosque etc. After the introduction the team leader instructs the members of the team to write the social issues on the viip card they had talked in Friday sermons in last three months. Call the teams and introdue them. Each team shall introduce their issues. The team leader shall then keep the issues tagged on the board. After the introduction of the participants, introduce the supporting staff. Summarise the presentations of the session. You should share the findings with the participants that the Imams had spoken along side shariah issues on many social issues. The major issues the Imams had spoken included (read from the flip chart) illiteracy, poverty alleviation, extremism etc. However, it is one of the major responsibilities of the Imams to make people aware. They shall be accountable in the hereafter if they fail to perform this responsibility. In today's training we would try to see whether the HIV issue is an important social issue. If it is so then what is their responsibility? Conclude the session with giving thanks to all participated in the session.
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Session 4
Session title: Training objectives and expectations Time: 20 minutes Method: Lecture and participation of trainees Rationale: If the trainees share their expectation then it becomes easier to share information with them on the part of the trainer. On the other hand if the trainees find the presentation resembled with their expectation, they become interested to learn from the training. Objectives: The trainees after the sessionwould be able to say what they want to learn would be able to tell that how could they put the learnings into implementation would be able to tell the objectives of the training Materials: Viip card, multimedia projector How to conduct the session Share the rationale and objectives of the session Ask the trainees that what they expect to learn. You write them on the flip chart or tell the trainees to write in a piece of paper individually. Once the writing is over, collect them through the team leaders and discuss on their expectations. Show the objectives of the training through the multimedia. Discuss on the training schedule and tell them how their expectations match with the objectives of training. Discuss with the trainees that why some irrelevant issues would not be discussed and why they are irrelevant to the training. Answer to the questions of the trainees, if any. Summarize the presentation and conclude it by thanking all present in the training.
Session 5
Session title: Pre-test Time: 15 Minutes Method: Written test Rationale: It helps to measure the level of knowledge and understanding of the trainees and also helps to draw a comparison that how much they have achieved after the training. Moreover, the trainers also get some feedbacks. Objectives: After the session the trainees would be able to know that what they knew and what they did not the trainers would be able to understand that what the trainees should be made known. Materials: Prescribed pre-test form How to conduct the session: Provide the participants the prescribed pre-test form. Tell them to put tick mark on the correct answer.
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The Role of Imams in Combating HIV and AIDS: Training Manual
Pre-Test Questions
Please mark [ ] the correct answer. 1. What is HIV? a. disease
b. medicine
c. virus
d. AIDS
2. What is responsible for the spread of HIV? a. mosquito biting b. living together with a HIV positive person c. sharing needles and syringe d. sharing same toilet 3. Who is at-most-risk person to be infected by HIV? a. poor and illiterate person b. persons living in abroad. c. person having more than one sex partner d. rich person 4. One of the strategies to prevent HIV isa. abstinence from extra marital sex b. never use syringe and needle c. never donate blood d. never mix with the girls 5. How should we behave with the HIV positive people? a. we should hate them b. we permit them to live in separate room c. we should be sympathetic to and cooperative with them d. they should be expelled from the family 6. Which country is HIV risk free? a. Bangladesh b. India c. Saudi Arab d. there is no country which is out of the risk 7. Where can HIV be tested? a. any government hospital c. I-Chi hospital b. Jagori, ICCDR,B d. any pharmacy
8. In what way can an Imam help raise people's awareness most? a. Juma sermon b. observing special day in the mosque c. making house to house personal visits d. organizing special duah 9. Please write the meaning of a verse in Bangla in favor of HIV prevention. 10. Please mention a Hadith in Bangla in relation to preventing HIV.
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Session 6
Session title: Basic information of HIV and AIDS Time: 1 Hour Method: Slide show, group work, question and answer Rationale: The Imam should know basic and correct information of HIV and AIDS as they would be sharing on HIV and AIDS related information in various discussion sessions including Juma khutba. Objectives: The participants would be able to tellwhat is HIV and AIDS? global and Bangladesh situation of HIV and AIDS how HIV spreads and how it does not? who are most-at-risk people? how to prevent HIV why should the HIV positive people be not hated and discriminated what are the benefits of HIV test and where are the tests done Material: Multimedia projector and viip card etc. How to conduct the session Share the rationale and objectives of the session Present following information by multimedia slide show
Slide 1
Slide 2
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Share in the discussion that while the reported cases are 1495 [i.e. who have been identified by test], a great number of people may have been infected by HIV. As many suspected people did not undergo test so the number of infected people may be more. A rough estimate suggests it would be nearly 7677 [Source: NASP-2008]. Tell the participants that we would share in subsequent discussion that how HIV spreads and how it does not and who are most-at-risk people and then you [the participants] understand that an enabling environment for HIV spread exists in Bangladesh.
Highlights
HIV is different from other viruses as it weakens the immune system of the human body The immune system enables our body to fight against various diseases and infections HIV vitiates the white cell (CD-4/T cell) and it results in collapsing the immune system of human body
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Slide 4
AIDS: Acquired Immune-Deficiency Syndrome. While the immune system of human body gets affected seriously, the person becomes affected by diseases very easily. This level of illness is considered AIDS. So it appears that the zenith of HIV is AIDS.
What is AIDS?
A = Acquired I = Immuno D = Deficiency S = Syndrome While HIV weakness the immune system of a person's body, s/he becomes vulnerable to many diseases. This level suggests that s/he has AIDS Slide 5 Slide 6
Symptoms
The weakening of immune system Failure to resist diseases Gets affected by more than one disease The number of T cells gets reduced Now, tell the participants that while coming across HIV, they may get HIV and AIDS interchangeable in many places. Now ask the participants that what the difference between HIV and AIDS is. Tell the correct answer. You tell the participants again that we have been aware of the severity of HIV and now, let's discuss that where HIV exits in the human body. You share with the participants that HIV exists in four fluids of human body and they are: blood HIV exists in four fluids of the human body sperm blood vaginal fluid sperm breast milk vaginal fluid breast milk Remember, a person can be infected Any person can be infected of HIV by any of only if s/he is transmitted by any of the the fluids of an infected person. four fluids of an infected person. You carefully check whether the participants have understood it. Also ask them whether they feel hesitant to discuss the points. You can make them remember that as Islam is the complete code of life so it focuses light on every issue of life. Thus, in order to learn this serious problem we could discuss on issues that may be linked to sexual jargons. You share with them that we need to discuss on sexual behavior while discussing HIV. At this stage ask their comments. And then invite all of them to the discussion. How HIV spreads and how it does not All participants earlier have been spilt into four groups. Now give each group a set of cards and tell them that those cards contain a group of activities. Request the participants to think which activity contributes to spread HIV and how and in case If it does not spread, then why. The participants in the group should discuss the preventive strategy. After the discussion, request the team leader to present the responses and allocate marks against correct responses.
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Slide 8
Slide 10
Slide 9
Slide 7
infected. You can again ask that how could we prevent it. The correct answer is that it could be prevented by being abstained from pre-marriage sex and sex other than spouse. The spouses could also prevent it by being faithful to each other. Again go to group 1 and ask the participant who got the card that HIV is spread by having sex between whether HIV is spread by having sex man and man: between man and man. The answer is yes/no HIV is spread by having sex between man and man. Now ask why HIV is spread. The correct answer is that HIV is spread by sperm or by rubbing in anal passage while doing sex. The possibility of getting infected increases if s/he has sex diseases. Slide 11 Now ask the participant of group 2 who got the card if HIV is spread by kissing. The correct answer is no because through kissing blood, sperm, vaginal fluid or breast milk cannot pass from one body to another body.
Slide 12
yes/no
Request the participant of group 3 who got the card and ask him if the newborn child may be infected by the HIV infected mother. The correct answer is yes. You may ask why? The correct answer is that the infection can take place in three ways: during pregnant condition, during the birth time, after birth during breast feeding. During pregnant condition the child takes food from the mother through the umbilical cord and during this time the child may be infected by some of the diseases the mother suffers. HIV is one of them. Thus, HIV infection may take place through umbilical cord. During the time of birth fresh blood comes out of the body of the mother If a pregnant mother and the body of the newborn remains may infect the child: very soft. However, if any part of the yes/no newborn is cut and it gets in close contact with the blood of the mother, the child may potentially be infected. Moreover, we know that the breast milk of an infected mother contains HIV and through breast feeding the child may be infected. Again go to group 4 and ask the participant who got the card that if HIV HIV is spread by mosquito bite: spreads by mosquito bite. The correct yes/no answer is that no. It cannot spread. Again ask him, why not? The correct answer is that the mosquito can extract blood but it cannot pass blood to human body. Moreover, HIV cannot sustain anywhere other than human body; it dies in the stomach of mosquito. Thus, mosquito biting cannot spread HIV. Slide 14
The Role of Imams in Combating HIV and AIDS: Training Manual
Slide 13
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You can ask the participant who got the card if HIV is spread by breast milk. The correct answer is that it is. We have known earlier that HIV is spread through four fluids and breast milk is one of them.
Slide 15
yes/no
yes/no
Ask the participant who got the card if HIV is spread by using same toilet. The correct answer is no. You may ask why? The correct answer is that neither sperm nor vaginal fluid, blood, breast milk can be passed through toilet.
Ask the participant if HIV is spread by using same utensils. The correct answer is no. The reason is that neither sperm nor vaginal fluid, blood, breast milk can be passed through them. Slide 18
Slide 16
Slide 17
yes/no
Ask another participant if HIV is spread by living in the same family. The correct answer is no. Ask him again why not? The correct answer is yes/no that HIV is not a contiguous virus. You may ask then if they can live together. The correct answer is yes.
Now you can summarize that how HIV is spread and how it does not. You may further ask the participants if they have any questions. If they have questions, you respond to them. Summary of presentations You summarize your presentations. Tell the participants that what we have learned. We have learned that HIV spreads throughSex Taking drug by sharing needles and syringes Receiving unscreened blood From an infected nursing mother to child HIV does not spread through the following waysTaking bath or doing wadoo in the same pond Using same utensils Mosquito bite Living in the same community or with family
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Means to prevent HIV Avoid extra marital sex or sex before marriage Remain faithful to each other with spouses Stop sharing needles or syringes Do not receive unscreened blood Use condom correctly (particularly those who are either infected by HIV or STIs)
Session 7
Session title: Who are the most-at-risk people, HIV and drugs, and HIV and STIs Time: 30 Minutes Method: lecture, slide show, group work and question and answer Rationale: It is important to let the participants know through group work that who are the most-at-risk people. Objectives: The participants after the session would learnwho are the most-at-risk people for their behavior what is the relationship between drugs and HIV whether HIV is linked to sex disease Material: Laptop, multimedia projector, question-answer sheet How to conduct the session Provide each group [previously split 4 groups] with a sheet containing some statements to ascertain 'true' of 'false'. Anyone from the group shall read the statements No. 1 2 3 Statement The IDUs are the most-at-risk people? There are people of particular professions who are safe from the risk of HIV infection STI increases the risk of getting infected by HIV True/False
Worksheet The IDUs are the most-at-risk people? True: The IDUs take drug several times a day and they share syringe or needles thus exposing them to the threat of HIV infection. There are people of particular professions who are safe from the risk of HIV infection. False: Every profession in the society is exposed to the threat of HIV infection. Anyone who enjoys unprotected sex, shares needles or syringes or takes unscreened blood could be infected. However, the bottomline is that the greater the demonstration of risk behavior, the greater the risk of getting infected. Female and male prostitutes, hijra, customers of the prostitutes are most vulnerable. STI increases the risk of getting infected by HIV. True: STIs are infections that are caused by sexual activities. STIs may cause cracks in sex organs and through which HIV can enter the body. That's why the STI patients are highly vulnerable to HIV infection. The STI patients should take medical treatment. Most
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of the STIs are curable. However, failure to treat STIs not only increases the vulnerabilities to HIV infection, it also affects reproductive capacity and develops many physical complicacies.
Summary
Present the summary of the session. And tell the participants that everybody may be exposed to the risks of HIV infection but those who demonstrate risk behaviors are most likely to be infected. They areSex workers, both male and female, customers of sex workers, hijra, Intravenous drug users [IDUs] STI patients Transport laborers, rickshaw pullers who remain out of touch of their wives for many days are also vulnerable Additional Information You should discuss on STIs and vulnerable communities depending on the interests of participants. [Female] Sex workers For many reason some women have become sex workers. The major reasons include poverty, and extreme social vulnerability. Many women became sex workers being trapped by sex traders and musclemen. Cross border human trafficking is one of the major reasons to lead the poor women into sex workers. Male sex workers Some people are used to doing anal sex with other men. Male sex workers are involved in commercial sex with male customers. Historically the existence of male sex worker is evident. Hijra Most of the hijras are physically male-like. But they prefer to wear women garments and demonstrate feminine behavior. They consider themselves women. Some hijra are used to doing anal sex. Intravenous drug users [IDUs] IDUs are highly vulnerable to HIV infection. They share needles and syringes. And they also take drugs several times a day. These risk-behaviors can eventually lead them to HIV infection. Sexually Transmitted Infections [STIs] HIV is transmitted through sexual activities and it is a STI. Apart from HIV there are diseases that spread through sexual contact such as gonorrhea, syphilis etc. These diseases may cause cracks in sex organs making the persons more vulnerable to HIV infection. HIV enters through these cracks into the body. Thus, it is important for the STI patients to be cured though medication. Most of the STIs are curable. However, failure to treat STIs not only increases the vulnerabilities to HIV infection but also affects reproductive capacity and develops many more physical complicacies.
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The Role of Imams in Combating HIV and AIDS: Training Manual
Session 8
Session title: HIV prevention [case study, stopping hatred and discrimination, and HIV test] Time: 45 Minutes Method: Lecture, slideshow, group work and questions-answers Rationale: The participants will learn through group work that how HIV could be prevented. Objectives: The participants would learn after the session thathow HIV could be prevented what role religion can play in changing behavior of people what can be done to stop hatred and discrimination where HIV can be tested Materials: Laptop, multimedia projector and case study sheet How to conduct the session Case study: How HIV could be prevented Give four case studies to four groups. Also give them some hints for prevention and references from the Quran and hadith. Now tell them to develop a preventive strategy appropriate for the case study. Tell them to mention the references from the Quran and hadith to motivate him to follow the preventive strategy.
Case 1
Name: Kalam [not real] Age: 22 years Marital status: Unmarried Profession: Student Risk behavior: He does sex with girl friends off and on. Now request the participants to provide appropriate preventive measures for Kalam with references from the Quran and Hadith. What Kalam should do to prevent HIV infection? Kalam must be away from illegal sex If possible, he should marry as soon as possible or wait till he attains the capacity He should keep fast, if necessary He should screen his blood as he is involved in risk-behavior References from the Quran and Hadith The Quran says: "And do not approach adultery - it is indeed a shameful deed; and a very evil way". Surah Bani Israel: 17: 32 "And marry those among you who are single (i.e. a man who has no wife and the woman who has no husband) and (also marry) the Slihn (pious, fit and capable ones) of your (male) slaves and maid-servants (female slaves). If they be poor, Allh will enrich them out of His Bounty. And Allh is All-Sufficent for His creatures' needs, All-Knowing (about the state of the people)". Surah Nur: 24: 32
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Bukhari, Hadith No-620 Narrated Abu Huraira: The Prophet said, "Allah will give shade, to seven, on the Day when there will be no shade but His. (These seven persons are) a just ruler, a youth who has been brought up in the worship of Allah (i.e. worships Allah sincerely from childhood), a man whose heart is attached to the mosques (i.e. to pray the compulsory prayers in the mosque in congregation), two persons who love each other only for Allah's sake and they meet and part in Allah's cause only, a man who refuses the call of a charming woman of noble birth for illicit intercourse with her and says: I am afraid of Allah, a man who gives charitable gifts so secretly that his left hand does not know what his right hand has given (i.e. nobody knows how much he has given in charity), and a person who remembers Allah in seclusion and his eyes are then flooded with tears."
Case 2
Name: Jahir Age: 35 Marital status: Married Occupation: Business Risk behavior: He does sex with sex workers off and on Now request the participants to provide appropriate preventive measures for Jahir with references from the Quran and hadith. What Jahir should do to prevent HIV infection? He must be away from extra-marital sex Both spouses should be faithful to each other He should screen his blood as he is involved in risk-behavior References from the Quran and Hadith "Your wives are a tilth for you, so go to your tilth (have sexual relations with your wives in any manner as long as it is in the vagina and not in the anus), when or how you will, and send (good deeds, or ask Allah to bestow upon you pious offspring) before you for your ownselves. And fear Allah, and know that you are to meet Him (in the Hereafter), and give good tidings to the believers (O Muhammad [pbuh])". Surah Baqara: 223. "Tell the believing men to lower their gaze (from looking at forbidden things), and protect their private parts (from illegal sexual acts, etc.). That is purer for them. Verily, Allh is AllAware of what they do". Surah Nur: 30 "O ye who believe! Violate not the sanctity of the symbols of Allah, nor of the sacred month, nor of the animals brought for sacrifice, nor the garlands that mark out such animals, nor the people resorting to the sacred house, seeking of the bounty and good pleasure of their Lord. But when ye are clear of the sacred precincts and of pilgrim garb, ye may hunt and let not the hatred of some people in (once) shutting you out of the Sacred Mosque lead you to transgression (and hostility on your part). Help ye one another in righteousness and piety, but help ye not one another in sin and rancour: fear Allah. for Allah is strict in punishment". Surah Maidah: 5: 02
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The Role of Imams in Combating HIV and AIDS: Training Manual
Bukhari, Hadith No-5993 Allah's Apostle said, "Whoever can guarantee (the chastity of) what is between his two jaw-bones and what is between his two legs (i.e. his tongue and his private parts), I guarantee Paradise for him."
Case 3
Name: Riaz Age: 35 Marital status: Married Occupation: Manual worker Risk behavior: Takes intra-venous drug with friends Riaz's responsibility to prevent HIV infection He must stop taking drugs He must not share syringe-needles He should consult a doctor References from the Quran and Hadith "They ask thee concerning wine and gambling. Say: "In them is great sin, and some profit, for men; but the sin is greater than the profit." They ask thee how much they are to spend; Say: "What is beyond your needs." Thus doth Allah make clear to you His Signs; in order that ye may consider". Surah Baqara: 2: 219 ".... And make not your own hands contribute to (your) destruction; but do good; for Allah loveth those who do good..." Surah Baqara: 2: 195 Sunan-e-Abu Daud, Hadith No-3189 The prophet said Allah has cursed wine, its drinker, its server, its sellers, its buyer, its presser, the one for whom it is pressed. The one who conveys and the one to whom it is conveyed.
Case 4
Name: Mamun Marital status: Married Occupation: Service holder Risk behavior: His wife is HIV positive Now what Mamun should doHe should behave well with his wife and keep good relations He should take care of her and be sympathetic to her He must use condom appropriately every time of sex References from the Quran and Hadith "...Help ye one another in righteousness and piety, but help ye not one another in sin and rancour: fear Allah. for Allah is strict in punishment". Surah Maida: 5: 2
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Bukhari, Hadith No-6828 Allah's Apostle said, "Allah will not be merciful to those who are not merciful to mankind."
National benefits
We can know the number of persons infected by the virus and accordingly we could take preventive measures; We can provide services to the infected persons; The cost for HIV preventive interventions may be reduced.
Individual benefits
The (infected) individual could take preventive measures. Thus, HIV could not be shared from the infected persons; The (infected) individual may lead a healthy life.
Madhumati Protection Centers of FHI [Dhaka, Chittagong, Rajshahi, Jessore, Khulna, Barishal, Sylhet, Bogra, Mymensingh, Natore, Comilla] Some selected centers of BRAC, Deminion Foundation and Chest Diseases Hospital
Summary
Hatred and discrimination in our behavior is developed form our bad notion about any person. People become less interested to undergo test in fear of being discriminated. Thus, we should be compassionate and sympathetic to the HIV positive people.
Additional information
Stigma and discrimination Stigma and discrimination with regard to HIV positive persons is rampant in our society. HIV positive persons are perceived to be engaged in filthy activities and thought to have been infected by illegal sexual activities. Thus, they are exposed to discriminations in the society. They feel insecure to express their identity due to social stigma and discrimination. They usually don't share their problem in the family. Limiting VCT (Voluntary HIV test) Discrimination and stigma in the society reduces the number of voluntary test. People become less motivated and encouraged to undergo HIV test due to fear of discrimination. But VCT could help HIV positive persons take special protective measures, which in the end make both the infected person and the broader society safe. Failure to undergo HIV test, one cannot know that s/he is an infected person and so they continue their risk behavior. Now at this point ask the participants whether they have any questions. You respond to their questions.
Session 9
Session title: Basic Information: HIV and AIDS Time: 15 Minutes Method: Lecture, group work and question-answer Rationale: The participants will learn appropriate information about HIV and AIDS through question-answer. Objectives: The participants would be able torespond to questions relating to HIV and AIDS. tell that how HIV could be prevented. Materials: VIIP card with questions How to conduct the session Present the viip cards to the groups and ask them to take a card with a question. Give time to prepare the answer to the question they got in the card. Now ask the answer. Similarly ask other groups to know the answers.Mention value for correct answer in the scoreboard. Distribute eight questions among four groups. Every question has certain value. 1. Where does the HIV live in human body?
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2. 3. 4. 5. 6.
How can one get infected with HIV? [Indicate four means] Mention four measures to prevent the spread the HIV. How can an Imam disseminate information on HIV in the broader society? Why should the HIV positive people not be exposed to hatred and discrimination? What is the correlation between HIV and illicit drugs? What are our roles towards the drug dependents? 7. Can the HIV positive persons lead the family? How? 8. Mention two HIV test centers.
Additional information
Ask the participants that why we should support the HIV positive people. Elicit responses from 2/3 participants. Now, you share that we should support HIV positive persons, because itends stigma and discrimination in the society motivates people to undergo voluntary testing helps wife and children to remain safe promotes HIV prevention actions encourages HIV positive people to get involved in preventive actions motivates HIV positive people to do sensible and safe behavior that may cut the expenditure in preventive measures Now, again respond to their questions. Extend thanks to all for their participation in the session and conclude the session.
Session 10
Session title: Role of Imam in HIV Prevention and Introduction to Khutba Guide Time: 30 Minutes Method: Lecture and questions-answers
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Rationale: The Imams should know that they have got to play roles in social issues and in rendering social role they can make people aware of HIV and AIDS. They should also know that what role they can play in this regard. Objectives: The participants at the end of the session wouldbe able to tell the role of the Imams in HIV prevention know the effective strategies to combat HIV How to conduct the session Share the rationale and objectives of the session with the participants Discuss that Imams are necessarily leaders and the domain of leadership stretches from religious issues to social issues. The issue of HIV and AIDS is an important social issue and Imams should act on it to help save the human beings. Now, you can discuss on the role of the Imams in HIV and AIDS prevention to motivate them and make them more pro-active.
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Session 11
Session title: Strategy for Effective Delivery of Khutba to Combat the Spread of HIV and Reduce Stigma and Discrimination against HIV Positive Persons Time: 1 Hour Method: Lecture and feedback sharing Objectives: The participants after the end of the session wouldlearn the issues to be included in khutba for combating HIV and HIV related stigma and discrimination know the strategies to deliver effective khutba be able to raise people's awareness on HIV and AIDS Material: Khutba guide Method: Divide the participants into four groups as done previously and give four topics from Khutba Guide to the groups. The topics may be as follows: 1st group: What is HIV and how does it spread? 2nd group: How do you prevent HIV? 3rd group: How do you behave with HIV positive people? 4th group: Drugs and HIV Khutba [speech] on each topic should be completed within five minutes (Introduction: 1 minute, main part: 3 minutes, summarizing the lesson: 1 minute). It should be noted that the speaker should give references from the Quran and Hadith while speaking on the main part of the khutba The Imam should be selected from each group by lottery Request the Imams to get prepared taking assistance from the Khutba Guide and also request them to exercise Request the respective Imams to present their (khutba) sample before the participants Thank the participants (selected Imams) for delivery of sample khutba and also appreciate them for speaking on social issues in khutba. The lesson is that we could take the opportunity in the khutba to raise people's awareness on various issues particularly HIV and AIDS.
Session 12
Session title: Introduction to the Organization and Experience Sharing Time: 15 minutes Method: Lecture Material: Brochure of the organization and stickers etc. Rationale: The Imams should know that how various organizations are working to combat HIV and AIDS. Any Imam may work with the facilitation team of FHI aided projects. Objectives: The participants after the session willbe able to know that how various organizations are working on HIV issues in his community be interested to work with facilitation teams of FHI funded projects
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The Role of Imams in Combating HIV and AIDS: Training Manual
How to conduct the session Share the rationale and objectives of the session Now, tell them that many organizations are working with most-at-risk group people and one of them likes to share some issues with you. Introduce the speaker. Request the speaker to present his speech. The speaker should explain the role of project facilitation team and the scope of the Imams to work with the team. Respond to the questions of the participants, if any. Conclude the session by extending thanks to all.
Session 13
Session title: Maintaining Report and Making Plan Time: 30 Minutes Materials: Monitoring report format Rationale: The Imams should know that how a monitoring form be filled in Objectives: At the end of the session the Imams would be able to know: how the monitoring format is filled in how and to whom the monthly monitoring format is forwarded on monthly basis what topics of khutba are to be presented in the next three months How to conduct the session Share the rationale and objectives of the session. Tell the participants that we need to know that how many people we are reaching with the messages and on what issues we are discussing. Thus, we need to fill in a format on monthly basis. Give the monitoring format to the participants. Tell them as to how to fill in the format. Respond to the questions, if any. Help them in case they face difficulty in filling in the format. Tell them that the format has to be filled in at the end of the month and submitted to a representative. Introduce the representative to the participants. Give five minutes time to the monitoring supervisor to be acquainted with the participants. Request the participants to decide time, place and date for the monthly meeting. Request them again that they should come up with properly filled in format in the meeting. Thank them for participating in the meeting.
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Waj mehfil Duah mehfil Marriage Khutba Others (please specify) Total Comment and recommendations: Signed by: Imam
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Monitoring Officer
Area Coordinator
Session 14
Session title: Making plan Time: 20 minutes Material: Activity Rationale: We need a plan as to what topic the Imam will discuss and in which week of every month on HIV and AIDS. Objective: At the end of the session the participants will be able to tell that in which week they will discuss on HIV and AIDS. How to conduct the session Share the rationale and objectives of the session Tell them that we need plan for every work, so the Imam also should have the plan for discussion on HIV and AIDS In general in the second Juma of every month of the English calendar the Imam will discuss on HIV and AIDS In case if there is special religious occasion in the second Juma then the discussion may be shifted in the third Juma Respond to questions, if any and close the session by thanking the participants Topics on HIV and AIDS to be discussed in Juma Khutba 1. Basic information on HIV and AIDS 2. How does HIV spread and how it does not 3. HIV could be prevented by practicing religious guidances 4. Our duties and responsibilities towards HIV positive people 5. Our role towards HIV positive people 6. Helping the HIV positive people 7. Drugs increase the risk of getting HIV infection 8. Drugs and young people 9. The harm causes by drugs and its remedy 10. Approaches to HIV prevention: abstenance 11. Approaches to HIV prevention: being faithful 12. HIV and AIDS: basic information and our role
Session 15
Session title: Post training assessment Time: 10 Minutes Method: Written Rationale: Post training evaluation shall help to know the improvement of the participants and also the trainers get feedback from the participants. Objective: The participants at the end of the session will: learn the issues they earlier did not know the trainers get feedback from the participants Material: Post-test questions (similar to pre-test questions)
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How to conduct the session share with the participants the objectives and rationale of the session supply the form to all and request them to write the answers collect the scripts once writing is finished thank you all for participation
Session 16
Session title: Training evaluation Time: 10 minutes Method: Written Rationale: We need to know that to what extent the training has satisfied the expectation of the participants and their recommendations. Objectives: The participants in the session may comment on the quality of the training. Material: Training evaluation form How to conduct the session Share the rationale and objective of the session Tell them that the feedback from the participants is very important as based on the feedback we may design the training structure Give a form to everyone and request them to fill in Thank them all after the writing is finished
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1. What did you expect in the training program? ............................................................................................................................................ ............................................................................................................................................ 2. Do you think your expectation has been fulfilled? ............................................................................................................................................ ............................................................................................................................................ 3. In your view which were effective sessions and why? ............................................................................................................................................ ............................................................................................................................................ 4. In your view which sessions require improvement and how? ............................................................................................................................................ ............................................................................................................................................ 5. How will you apply the lessons you have learnt from the training to the service of the community people? ............................................................................................................................................ ............................................................................................................................................ 6. Any other comment ............................................................................................................................................ ............................................................................................................................................
The Role of Imams in Combating HIV and AIDS: Training Manual
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Session 17
Session title: Closing the training session Time: 05 minutes Method: Lecture Rationale: To greet the wining group of the training by awarding gifts and declare the training closed. Objectives: The particiapnts shall be happy for being greeted and encouraged. The training program shall be closed by offering duah. Material: Gift How to conduct the session The participating Imams shall be awarded certificates with the presence of Deputy Commissioner, Upazilla Nirbahi Officer (UNO), Civil Surgeon, local government representatives. Close the training with following mesages that -HIV prevention is a social responsibility -All faith leaders including Imams should contribute to HIV prevention activities -Reaching out all, particulrly the youth, surrounding the mosque areas with key HIV prevention messages is important -It is our responsibility to help all IAs working in the project area Finally, you say that we strongly believe if we work together to raise the awareness of general people then it would be easy for us to prevent the spread of HIV. May Allah help us to work for it.
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