Patient Support Education and Counselling (PSEC)

About the Course

Patient Support Education and Counselling training has been designed for any medical health worker, counsellors, and educators to be able to lead patient education and counselling session. It is an inter-sectional training, developed by OCP, OCG and OCB and is open to everyone with an interest in Patient Support Education and Counselling.


Target: Medical health worker, counsellors, and educators. 

Enrolment: This course requires an enrollment key to be able to join it. To participate in this training, you need to contact your manager or pool manager.

Duration: 7 weeks – 1 to 2 self-paced self-learned online modules per week (completed by 2 virtual classes per week and practical field exercise). Each e-learning module is from 15 to 30 minutes long

Language: English

Badge available upon completion of e-learning modules. 

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Learning Objectives

The main objective of the PSEC training is to develop and implement PSEC activities for adults and children/adolescents in HIV, Hepatitis, Tuberculosis and Non Communicable Diseases (NCD) projects, in order to improve patient’s adherence to treatment and retention in care. 


Role of educator/counsellor and PSEC quality criteria:

Define the role and skills of the educator/counsellor,

Describe the key principles on which PSEC is based


PSEC (Patient Support Education and Counselling) activities:

Assess patient needs (emotional, cognitive, behavioral and social) in order to design a tailored patient-centred approach,

Determine self-care skills and life skills to be developed for HIV, hepatitis, TB & NCD patients.

Conduct individual and group PSEC sessions along the cascade of care, using adapted teaching tools,

Define how to structure a counselling session, its principles and quality criteria,

Recognize symptoms of depression using standardized questionnaire (PHQ9)

Communication skills:

Recognize different type of educator/ counsellor attitudes and their impact 

Explain the importance of empathy,

Express open questions (OQ) and reflective answers (RA) to explore, stimulate understanding of the patient and facilitate trustful relationship between the counsellor and the patient,

Be aware of the impact of OQ & RA on patient’s involvement in solving problems.

Adherence & retention in care:

Define what is adherence & retention in care. Explain how to measure them.

Describe the factors influencing adherence to treatment and retention in care (cognitive, emotional, social and behavioral factors) for an adult and a child/adolescent,

Implement adherence support adapted to patient needs.

Children and adolescent:

Explain the cognitive and psychosocial development of a child depending to age,

Explain the disclosure process and the factors influencing disclosure,

Explain the factors impacting on children and adolescents’ adherence to treatment and retention in care,

Conduct sessions for the disclosure process,

Conduct PSEC sessions (individual and in group) for children and adolescents along the cascade of care

List of Contents

E-learning Module 1 – PSEC definition

E-learning Module 2.1 and 2.2 –
Communication skills

E-learning Module 3 – Step 1: Patient’s
Needs Assessment

E-learning Module 4 – Step 2:
Individually tailored PSEC session plan

Readings 1 – Step 3: Conduct a diagnosis
and treatment initiation session

Readings 2 – Step 3: Conduct a follow-up

E-learning Module 5 – Step 4: Assessment
and adherence

Readings 3 – Step 4: Conduct an enhanced
adherence session

E-learning Module 6 – PSEC for children
and adolescents

E-learning Module 7 – Disclosure for
children with HIV

E-learning Module 8 – Preparing and
facilitating a group session