Saturday, February 05, 2011

My Quotes

Quote and Sayings of Chinkholal Thangsing
Gurgaon India: 6 February 2011 – 6:56 AM

I was at a friends home as their guest in Vallejo, California in October 26, 2009 when I was struck with a thought that I should pen down my thoughts and collected them. I have realized that there were many sayings that I had made since ages but have never capture them on pen and paper. I therefore, decided that I will organized the quotes I composed or adapt into this as and when it’s created so that I too can enjoy going through them again at leisure and make sense of the quotes I created and hope that some pearls might be gathered.

QUOTES SELF AUTHORED:

1. Always remember to try to keep love in your heart. A life without love is like a boat without sail, a car without gas, a flower without fragrance and color, an endless day without warmth, without light. Try therefore consciously to love, for that will…l bring sunbeams into your heart and the wealth of life to your soul shall soon flow endlessly.

2.The simple joys are the greatest as it bring much peace and fulfillment, as they are simple. To be able to discern from simple to complicated ones need wisdom. If you see joy and fun in simple things than you have accomplish that even before you realized it. Be joyful each moment for it could be your last!!!

3. Whatever we do – great and small, be done with grace, kindness, after thought and feeling for others so that you feel good in the heart.

4. Don’t we all talk too much, work too much, bother too much, think of ourselves too much, think of others too much, bothered by some lousy people, bothered by things you cannot control and let them control your life, peace of mind??? Well, the solution is here – take care of yourself by detaching from all those and love the real you – YOU

5.The road to recovery lies in silence and the ability to select all the unnecessary thoughts, the useless comments into the recycle bin and remember to delete them permanently until tomorrow, then repeat the same each day at the end of the day…and happiness will find its space and gratitude to you own self will surface…e for you to bask into that glory of self satisfaction!!!

6.Doing what you want to do is great but doing what you don’t want to do for the sake of peace and quite and happiness is far greater

7.Have an idea, dream of that idea, talk about that idea which will then take roots into your subconciousness to consciousness and soon will turn into a passion, drive that passion and walk on straight ahead and having found the pace and the pathway nothing can fail you for success awaits as you are the one that created it!!!

8. Its amazing how one could filled the day with joy, love, peace and be busy with being alive and find each moment an opportunity to thank God for. So, it’s up to us to be happy and cheerful and also up to us to be sad, sorrowful and bow down with depression. Find that sunshine and smile.

9.Many a times it’s not fair to live a life away from reality. At times its is often healing to share, to cry and to let go of those that cause you pain — for only when you do that can healing come!

10.The beauty of true friendship is that you can say nothing at all and there’s no problem when you walk into their door and you can quietly open the fridge and they will say get me some too!!! – February 23 at 9:12pm

11.”One should not take too much for granted in life. If you love someone truly – you will not always expect him or her to tolerate you, be gracious, be kind, be understanding, play the mature role, forgive you. You have to earn it and you must do your bit by trying to be the better person they kept expecting you to be without saying so… ” Created – March 18 2010

12.I am overcome with sadness, with sadness and more sadness – and asked questions which I have no answer and I know those answers but then – I wish things are different and I wish I have been given that opportunity to give love and more love … to people who needed it….

13.Does the setting sun bring nostalgia and melancholy to you? Well, if it does then rejoice for you are somewhere where you are at peace. It is only when you have peace of mind and with your soul – then there is time for the use of that word ‘Nostalgia’ and remembering the old … with sweet bitterness

14. Life is a journey they say, we say and in life journey we got to get a breather once in a while like taking off from work FOR NO REASON sometimes. Try it! 26032010

15.Silence is golden the old saying goes and silence could be painful, deafening and but mostly if your dwell on silence once in a while it’s HEALING. Try to go in to sporadic mode of dwelling in realm of silence and feel the power of Silence! 27032010

16.The day has passed but once again – have I done something that would make me proud, or something that will leave a mark on someone’s life, I guess I did to make sure that peace reigns to the ire of maybe somebody but that’s not going to stop me as I move along the path before me. I stand firm with my belief. [342010]

17.It takes us moments or split seconds for one to get to lost their/our cool and those temporary moments of madness (I must say) could cause temporary damage to ones repute and relationships. However, once you are convince that you have the good intentions you should move along on your path ahead and moved on ignoring the barking’s which you might hear along that path you take and will continue to take!

18.It takes us moments or split seconds for one to get to lost their/our cool and those temporary moments of madness (I must say) could cause temporary damage to ones repute and relationships. However, once you are convince that you have the good intentions you should move along on your path ahead and moved on ignoring the barking’s which you might hear along that path you take and will continue to take!

19.Let us not at Easter continue to do as we did last Easter and merely say “The Christ is Risen” but that ” He is risen each day” and ” I shall rise with Him each day of my life”. For Easter in not just one Calendar day but a way of life for each day… Happy Easter today, tomorrow and each day!!!

20.When you come to love some one so dearly they are so ‘perfect’, beautiful and angelic; whereas the truth is you are seeing an ‘imperfect’ being so ‘PERFECT’ because you see them through the lens of love – that change imperfection to a state of pure ‘Perfection’! Don’t we need more Love around? Yes, I think so … 642010

21.The incessant talk and constant noises and laughter of friends are never disturbing unlike their ‘Silence’, which is disturbing and saddens the soul. But, the silence of an opportunist or fair weather friends brings quietness and the return of peace and relief for the soul! CT 742010

22.As the mist in the morning vanishes with the arrival of the warm sun. The arrival of someone somewhere somehow in your life brings a totally different state of being. The state of fulfillment, appreciation an iota of excitement and reason to look for yet another day is all yours!

23.The taken for granted act of opening your eyes in the morning even before you get up and out of bed is a Miracle. If that is so why are we not grateful for the wonderful gift of life. Take it easy take it slow and ‘Think’ and you will have all the reason to be happy and joyful.

24.” The swings of the mood are natural as the swing that children play. Do not try to stop it when you are at the other end for then it will shake and you might fall. Be patient and it will lose momentum and they settle down and you can coolly get off and walk off – Take it easy Take it wisely and without regrets you will live”

25.”There is niceness in recalling the past but dwelling therein could be a dangerous game as it can impede progress and also hamper the formation of dews of mild to moderate joy in your daily life!”

26. Waking up in the morning and having the day in your hand is a big responsibility; use it therefore wisely so that there is no chance for regrets later. There is no word ‘regret’ in the dictionary of those who think first and for long. 652010

27. “Giving and sharing is just but a natural act of human beings and not an extraordinary quality. It is but an expression of our inherent gift that extends an arm of assurance, care, protectiveness and some comfort to those that are needy of that helping arm around them. Let the power within you lead you in that path of healing and hope for all” 852010

28.” We are but like the seeds of fruit which after being eaten is spat out, fallen to the ground, step on, bear the heat, cold, rain and sunshine, cracked and against all odds germinate, set roots, grow, grow and become a tree that would one day bear fruits that will go through the same circle with only one difference – we grow a soul along the way. Be patient and all will come full circle” 952010

29. The long queues at the station, the long waits at the banks, the doctor’s chamber, the tiring wait at the stadium, at the conveyor belt, at the immigration, at the taxi stand, at the movie, at the, at the, at the… that annoys you and make you grumble is nothing when we look at ETERNITY that is coming our way. Let us make the most of the queue and make some new friends! 1052010

30.It is in hard times hard decisions are made and tough actions taken. A great leader is one who has vision, convictions and is unafraid of imagined consequences. He is one who is ready to sacrifice his soul for his subjects. It is but indecisions and more indecisions take breaks a man and bare him to the world his true self that is a weakling and an unfit head – Cnx 1852010

31.It is the weak in spirit that are cruel and thus true gentleness is possessed only by those that are truly strong. (Chiangmai 20.5.2010)

32. ” Do not look too deep in to the future and do not heighten your expectations for the future too much for the future comes just one day at a time. One day at a time it certainly is. If we live just for one day at a time, life will be better, less complicated and filled with gratitude – shall we be.”

33. When the night is past and darkness lifted another day begins; pry not into last night happenings for there is much out here in the light today. It is for you to write what you want in that chapter of your life book today. Fill it in with action, joy, beauty and extend the arms of friendship and smiles! CT Cnx 270510

34. Understanding that it’s always the just, the honest, the kind and compassionate ones that will rule the world – the geographical world maybe but certainly the world of the souls…!

35. Lets take it easy and not been too occupied with neither yesterday nor the tomorrow but enjoy each moment each day with leisure and calmness and feel that beauty through us.

36. (Vienna 23 July 2010): Time has come to move on and back to your own back yards and do the best you can to make things change for the better firstly – yourselves and then the world around you. If we all do that that we will achieve what we aim to achieve…

37. July 28 2010: “My father gave me the greatest gift anyone could give another person, he gifted himself to me, to us and believed in me to handle things on my own even when I was just eleven. He trusted me and here I am…I say a special one each day and much more this day….

38. 482010: As the weather changes so does mood changes from different height to another. The trick here is to fine a middle path, a balanced view of what’s happening and remembering laughter never always last nor does tears. This things pass!!

39: 2582010 Chiangmai:
…. In my own journey too I needed a shoulder that I can very well understand. The important thing is to confide and share with someone you can trust – though the hardest things is WHO can one trust. So if you find that in someone – take that opportunity and don’t let go… (C Thangsing)

40: So, living each day right…. and doing the right thing, making peace, and peace with others and ourselves is the best way to go… and spend each day. We may not be able to change others but we can try to change it by changing ourselves and trying to give the benefit of the doubt to others when we can. It may be hard but when we continue to try those things changes.

41: 260810:Yes, we die everyday in some way or the other at cellular level or at some level of your thoughts. If those death within in are the death of older ill feelings or immature thoughts you are sure you will awake the next day, each day better than before until the final transition takes place….

42: 30082010: Sad when that happens but the remedy of such is not to expect anything from anyone and to consider any good thing that if it come out of anything to accept it with gratitude. Expectations that others would feel and behave like you expected or you would do in today’s world certainly is naive. This thing will pass and better things are out waiting out there. Cheer up and leave those who made you feel that way as dirty rags which often they are …

43: Chiangmai, 12 Sep 2010:
‎”Choose your path by following your heart, to answer your calling. Do what you got to do and there will be no regrets. You do not have to please others and take some path you do not want to take. When you find that path you are on the right track to peace and happiness!”

44.
” If you have GOD on your side always, all will go smoothly and anything that is handed down to you will be fair and you will have the grace to accept that and – that will be fair. Wrestle with GOD and He will give you the right answer and all outcome of whatever you do will be the right outcome”. Cnx 17092010

45. Bangkok:
The path to internal joy, bliss, happiness and contentment is in detached attachments to emotional or physical or material things. Be attached but in a detach manner and learning more on the fact of the impermanence of things. If you find this you find a good thing. CT

46.The road is endless if you let it be. But it’s in you to choose your own destination and truly do that for only then can you know you arrived. I am on my way and the roads wide, open and seems endless but there is my destination beyond the next horizon…

47.In the cold and dark night where chill and blankness is your companion a ring on your mobile could make all that go away and it’s warm, bright and joyful. Life can change by just a call. Remember to make sometimes just random calls to your old friends, lovers and someone you never know you will change someone’s life…. for the better. [New Delhi 12.12.2010]

48.Chiangmai [21.1.11] Every single one – every living being – must learn how to tame his/her mind. It is in the constant act of taming the mind each moment each day that can give you the completeness of the mind and the soul. Learn to tame your thoughts each action you take and the day will end for you with much more freedom from wants, regrets.

49. The ability and opportunity to be a support and a shoulder to cry on is big responsibility and we should remember such is not given to many

50. [5.2.11] Never look back, never be tempted, consciously turn your head towards the future where the grass is green, the main door open wide and there are untold treasures out there – Do not look back for you know what’s back there but nothing you have not seen, nuisance you have not face. Turn towards the future for that’s where you will receive your blessings…

51. [6.2.11] Take care and move on there are beautiful, wonderful ones along the path you will take. Leave the old ones out of sight and don’t turn back like Lot never turn back lest he too turn into a pillar of salt. Vacate you mind of the old one who do not deserve you. You deserve something better – move on and never turn back, forget and tear the memory of those that’s gone for they rob you of the pleasure of today and that of tomorrow.

52. [6.2.11] Try waking up early before everyone else and feel the wonderful moment of the day all to yourself. The quietness of your room, your house and those around you give you peace. You will have that feeling of arriving ahead of others as in a race and you sense the smell of achievement in your heart. Which is a terrific way to begin the day!!

Saturday, July 24, 2010

Sojourn to Vienna

Bangkok 24 July 2010

It was just a week ago that we took Lufthansa flight to Vienna via Frankfurt. The hustle and bustle at the AIDS 2010 was soon over in a few days leaving many exhausted and fatique from meetings and more meetings. The AIDS conference has become something of the same old routine and I hear some people say same old same old what is there to get out of these meetings. The chronic sceptics who chronically attend these meetings without fail and plan for the next meeting at the current meeting laments. Then there are the first timers who are so terribly excited and wanted to clone themselves and attend the meeting at various sessions and then hop step and jump from one meeting to another with sheer delight and amazement in their eyes. It is such people that bring in some delight that well at least many are still doe eyed with these routine happenings.
The happenings are the same and theme and tracks and opening and closings are same. The speeches from such as Bill Clinton and Bill Gates are same old same old with new updates. Their presence did have effect as they do save a lot of work on advocacy which a bunch of those at the conference cannot garner in a years time. The plenary and sessions are the same its saying the right things at the right sessions and satellite meetings. The small country sponsored sattalites are just nothing but marketing of ones own activities and blowing owns on trumpet or these AIDS meeting Vulvuzelas (I am not sure I got the spelling right its just new discovery of FIFA 2010 SA).

Same old iNGOs and same old rallies, and same old marches (What do they achieve actually). The gheraoing of the EU booth and other EU country booths by activist was one of the highlights of the visible happenings. It did bring the community together and a semblance of unity. These are good visuals but what do they actually achieve one do not know. The few scientist and physicians and researchers did find time to say that newer things are on the pipeline and it was like that and more to follow.
The sterile looking pharma giants booths were too bright and sleek and disconnect with the community. The hired hands at the stands are often dumbfounded when one approach and actually seek genuine queires of what they do. The food at the Atrium and the other restaurants are definitely too western for the taste of few from other regions but one has to have some food in the stomach to stomach the meetings so there goes that.

Well, the above few paras sounds a little sceptical isnt it but then I must say, I really love the conference as it gives the opportunity to connect with so many like minded people around the globe in one place. The joy of reconnecting old friends, not reconnecting with old ? friends, making new acquaintances, new friends and build new colleagues is such a privilege and opportunity offered by this conference and other smiliar gatherings. Never have one been able to reach out to people from various agencies which is impossible if you are to do that in real time even in a year. This is great. Amongst the din and the superficiality there are truly amazing hard working people that rush, run and rush in to meetings and trying to solve pressing issues and saving lives.

Well, I love these meetings…!

Thursday, December 24, 2009

The Lord Visits you Today

“For unto you is born this day in the city of David a Saviour which is the Christ.
And this shall be a sign unto you, ye shall find the babe wrapped in a swaddling clothes, lying in a manger.” Luke 2:11, 12

The anniversary of the Birth Day of Jesus Christ the 25th December 2009 as Isaiah, the Great Prophet had fortold 750 years before it really took place. He said “For unto us a child is born, unto us a child is given, and the government shall be upon his shoulder; and his name shall be called wonderful, counselor, the mighty God, the everlasting father, the prince of peace.” Isaiah 9:6

“When the fullness of time was come, God send forth his son, made of a woman, made under the law” Gal. 4:4 when the hour cometh – The angels praised the lord, saying “Glory to God in the highest, and on earth peace good will toward men.” Luke 2:14

Today, this great festival of Christians is observed not only by the Christians but also by the whole world. During this occasion thousands of Christian ministers are engaged in manmade proceedings of worship services; while most of young Christians are busy in preparing various types of merry making programmes. But, friends, let’s turn to our Testament – There we found that there were three great groups of people who celebrated Christmas first in the world. They were (1) The Magis’- wise men of the East, (2) Herod- the King and (3) The Shepherds- the poor nomadics’.

1. The Magis- Wise men of the East were scientists or astrologers; while studying stars of the sky, one day, a peculiar type of star had appeared in their sight which was quite different from that they had never seen before. They came to know that an important event would take place on this earth, and thus began searching the scripture books and found this verse – “Thou Bethlehem Ephrathah, though be little among the thousands of Judah, yet out of thee shall be come forth unto me that is to be ruler, whose going forth have been from of old from everlasting “Micah 5:2

The Magis, though, they saw the guiding star of God, they had much more confidence in themselves and depended on their imaginations. So they believed that the child must be born in the king’s palace; for he would be king and ruler of the Jews. But, this sort of human thinking and imagination has become the root cause for the murder of innocent babies. So also most Christians are depending on their vain intellectual wisdom and imaginations and thus believed that there will be God or may be born again in those big congregation churches, where Christians is being celebrated in a splendid display. But, in fact those places are the dens from where men passed subtle laws or acts to murder the spiritual babies of God. Ignoring the spiritual guidance of God most of, most of doctrines, dogmas, certain mission rules, annual meeting resolutions, etc. but the Bible contended that “Christ is become of no effect unto you whosoever of you are justified by the law; ye are fallen from grace” Gal. 5:4

After leaving the palace, the Wisemen saw the guiding Star again that led them to the real place and person. So also after discarding or giving up all your intellectual way of thinking, imaginations and determinations you will see and feel the spiritual voice of God that is HE (Holy Spirit) who will lead you to your Living Saviour, because

“God is spirit, and they that worship him must worship in Spirit and in truth.” John 4:24

2. Herod-the King: When he learnt about the new born king from the Magis, he was annoyed and troubled at heart and had just decided to Worship the child in his own way. He wanted to retain his kingship and throne. So he at once planned to destroy the child. This terrible plan was invented from the fault of the Magis who inform the king (the wrong person) about his rival king (spiritual king) to whom God wouldn’t like to reveal. So also, when many carnal Christians (spiritually blind and mad) informed the kings (pride sinners) about God by jesting on the holy words of the Bible, the unbeliever, devil princes wanted to destroy the Holy spirit in men.

As Herod, the king, if you have pride of your worldly abilities such as – your high economical standards, status, your educational standard, your theological degrees, physical strengths and youth beauties, one particular denomination and doctrines, etc. the poor and needy persons, the illiterate public, handicapped persons would not dare to worship God in your midst; and as such you murder yourself and all the spiritual babies of God that caused much grief and weeping to Rachael (Israelite mothers) or the poor general public.

3. The Shepherds - the poor nomadic: They had no permanent settlement or home; they were roaming here and there, where they can get grass for their sheep. So also you may be a vagabond, roaming up and down for pleasure (worldly) and having no peace of mind in the spiritual realm of God. The Bible says: “A double minded man is unstable in all his ways.” James 1:8

As the shepherds were outcaste people they were not numbered in the census of Governor Cyrenius of Syria. So also, you maybe an outcaste in the kingdom of God (Christ) or your name might not yet be written in the book of Life. Rev. 20:15

Not as the Magis, the Shepherds at once believe the words of the Angels and Left all their belongings (sheep) and hastened to Bethlehem where they saw Mary and the new born baby.




So, friends-

Today if you hear the good news of your Saviour leave all your most important engagements and all personal affairs and make haste to him, then you will find the Lord, who is humbly lying in the manger.

Note: The sign:” THE BABY WAS WRAPPED IN A SWADDLING CLOTHES LYING INA MANGER.” Luke 2:12

As the new born baby God was wrapped in swaddling clothes, there are so many wrapping clothes of this child, today, in this so called modern civilized world. There are big congregation churches, huge amount of missionary funds, beautiful church buildings, high theologians’ degrees, high ranking choir parties, the fake ideas, immoral activities, film, literatures, worldly wants etc., and these things wrapped the Baby thickly so that ordinary Christian cannot see the Living GOD. They just looked and see only the swaddling clothes, so they cannot praise God, but troubled at heart again the next day.

Friends -today, if you want to meet with the Lord your Saviour, who has been visiting you so many years, lift up so many wrapping clothes of your HEART. “Casting imaginations, and every high thing that exalted itself against the knowledge of God, and bringing into captivity every thought to the obedience of Christ.” II Cor. 10:5

O! Jesus be born again this day, in the manger of my heart, my humble heart for my eternal Saviours and LORD. May my sinful hands be turn / changed into the hands of your Loving Mother, Mary.

“The sacrifices of God are broken spirit, a broken and contrite heart; O God thou will not despise.” Psalms”51:17

WISH YOU A MERRY CHRISTMAS AND MAY THE LORD BE
BORN AGAIN IN THE MANGER OF YOUR
HEART: TO BE YOUR SAVIOUR AND LORD

Tuesday, December 16, 2008

In LA

 

With Dr Patricia Campos Chief Latin America Bureau
Posted by Picasa

Thursday, July 10, 2008

Some Pics 10 07 08

 
 
 
 
Posted by Picasa

Invitation : AHF IGNOU MOU Signing at US Embassy American Center



INVITATION

AIDS Healthcare Foundation - India Cares
(Providing cutting- edge medicine and advocacy regardless of ability to pay)
Cordially invites your kind presence to grace and witness the momentous occasion of the
Signing of Memorandum of Understanding between

Indira Gandhi National Open University
(IGNOU),
and
AIDS Healthcare Foundation - India Cares
(AHF India Cares)

On 10 July 2008 at 4.00 PM

At Embassy of the USA, American Center,
Kasturba Gandhi Marg
New Delhi - 110 001








Dr Chinkholal Thangsing
AIDS Healthcare Foundation
Chief Asia Pacific Bureau

RSVP: Tel: 91 11 41745541/42 Cell: 9911331998 (Dr.Mahesh Ganesan)

Signing of MoU between Indira Gandhi National Open University and AIDS Healthcare Foundation India Cares

Date: July 10, 2008
Time: 4.00 PM - 5.30 PM
Venue:
Embassy of the USA,
American Center, 24, Kasturba Gandhi Marg
New Delhi - 110 001


Objectives

 To build institutional linkage in the delivery of educational training and to provide accreditation for the benefit of potential seekers in HIVAIDS treatment through HIV Medics programme
 To make joint efforts in promoting and implementing training and education programmes for the empowerment of the people working with HIVAIDS.


Agenda

4:00 – 4:05 Song of Hope – Contextualizing the need for HIVAIDS care through a music video produced by AHF India Cares and Baanyan Tree Productions

4:05 – 4:10 Welcome note by Ms. Diane Brandt, Acting American Center Director

4:10 – 4:15 Brief introduction about HIV Medics Programme and AHF India Cares perspective of MoU by Asia Pacific Bureau Chief, AHF – Global

4:15 – 4:20 IGNOU’s perspective of MoU to support HIV Medics Programme by Vice-Chancellor, IGNOU

4:20 – 4:25 Signing of MoU between IGNOU and AHF India Cares representatives in the presence of dignitaries

4:25 – 4:30 Vote of thanks

4:30 – 5:30 High Tea and concurrent media questions and answers

IGNOU AHF India Cares MOU 'HIV Medics'


Media Brief

HIV Medics: Training Community Members as Healthcare Workers in the Fight against AIDS

HIV Medics are paraprofessional healthcare workers trained to assist clinicians in the provision of antiretroviral therapy (ART) for people living with HIV who will provide initial patient screenings, complete patient histories and refer patients to physicians for physical exams and initiation of ART. They also draw blood, dispense medications and provide medication adherence counseling and HIV testing. Shifting of these aforementioned tasks to the HIV Medics frees up physicians, nurses and other healthcare professionals for more complex tasks and enables them to see more patients. These factors contribute to the overall goal of increasing the number of people receiving ART and improving the quality of care.

AIDS Healthcare Foundation (AHF), the largest provider of specialised HIV medical care in the United States, developed the HIV Medic training programme to address the shortage of healthcare workers in resource-constrained countries. This training program is designed for students with no prior medical training or experience. The training programme is intensive and covers 12 weeks of full-time study. HIV Medic students must have a high-school equivalent education, read and write English and be able to commit to the full 12 weeks of training in order to enter the training programme. In addition, HIV Medics are often HIV positive themselves.

COURSE WORK OVERVIEW

Didactic Knowledge

Text Box: •	Common diseases in various organ systems •	Sexually transmitted infections •	Tuberculosis (TB) •	Mechanisms of Antiretrovirals •	HIV in Pregnancy •	CounsellingText Box: Key Topics: •	Basic anatomy and physiology •	Tropical Diseases •	Opportunistic infections of HIV •	HIV natural history and cycle •	Side effects/ Toxicity •	Pediatrics •	AdherenceStudents participate in six weeks of classroom teaching

Clinical Skills

Students receive six weeks of clinical clerkships. The first two weeks are in the classroom where students learn and practice the following simple clinical skills:

Text Box: •	Adherence education, counseling and support •	Patient chart review and documentation •	Present findings to supervising physician,          clinical officer or nurse •	Dispense medication prescribed by physician •	Insert IVs (where appropriate under the law          and regulatory agencies)Text Box: Key Topics: •	Patient medical histories •	Basic patient assessment and physical examination, including vital signs •	HIV counseling and testing •	Phlebotomy •	Treatment education •	Triage

Guided Clinical Practice

The remaining four weeks of clinical clerkships are spent on guided practice of knowledge and skills. Students rotate through the following types of facilities under the guidance of physicians, clinical officers and nurses.

  • HIV/AIDS primary care clinics
  • Hospital HIV and TB inpatient wards
  • Outreach Programmes
  • Counselling and testing programmes
  • Rural health centers

Students return to the classroom once a week during rotations to discuss cases and experiences.

At the end of the six-week didactic training programme, a comprehensive midterm exam is given to assess student learning. The second six-week section of the training is a clinical practicum. Students participate in rotations designed to give them hands-on primary care experience with HIV positive patients, HIV and TB inpatients, opportunistic infection treatment, side-effect management and adherence counselling. At the end of the 12 week training session, the students are given a comprehensive examination that they must pass in order to graduate and receive their certificates. After graduation, the HIV Medics work full-time at the clinic level where they are supervised by clinic staff and receive regular continuing medical education (CME) credits.

HIV Medics Program

AHF/India Cares’ shall reach out to partners providing HIV care and psychosocial services to identify candidates to attend the training. Minimum requirement is high school leaver’s certificate education. Candidates have to make a written application for the training and undergo an oral interview.

Candidates who qualify then enroll to undergo a 3 month course of which 6 weeks is didactic and another 6 weeks of practical clinical rotation in sites providing HIV/AIDS care and these include hospitals, Community based organizations, NGOs and Primary Healthcare Centers

Lessons Learned from AHF International Experiences

  • HIV Medics program offers a practical hands-on solution to increase the human capacity needed to expand HIV treatment and care in resource-poor countries.
  • HIV Medics program can be replicated in other developing countries with high HIV prevalence.
  • HIV Medics represent a unique cadre

Recommendations

  • With full supervision from nurses, doctors and clinical officers, HIV Medics have freed the hands of nurses to provide critical care to ill clients while the Medics assist with counselling, triage, adherence education, dispensing, HIV testing, home visits.
  • This shifting of tasks has enabled clients to be quickly scaled up onto ART instead of being on the waiting list for long. It has also eased staff burn out as there are extra hands to fill the gap.
  • Ultimately it has improved on quality of care as more time can be spent with individual patients.
  • There is further need to train more lay providers considering the short time it takes to complete the training, good quality of work they do and the urgent need to fill the human resource gap if we are to achieve UNIVERSAL ACCESS BY 2010.