Operational plan for comprehensive HIV and AIDS care and ...

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DRAFT - Confidential SECTION ONE PREVENTION, CARE AND TREATMENT OF HIV AND AIDS CHAPTER I Prevention, Care and Treatment 54 - 78 CHAPTER II Nutrition-Related Interventions 79 - 85 CHAPTER III Traditional Medicine 86 - 93 Section One: Prevention, Care and Treatment of HIV and AIDS 53
DRAFT - Confidential Chapter I Prevention, Care and Treatment OVERVIEW HIV infection typically progresses from a prolonged asymptomatic stage, during which well-being can be maintained, through to a stage at which antiretroviral drugs (ARVs) become a critical part of the care and treatment strategy. The development of an effective programme to provide antiretroviral therapy is thus a critical component of the larger comprehensive plan to care for people living with HIV and AIDS (PLWHA). People living with HIV infection should be provided with a continuum of care and support services that respond to their changing needs over the course of their infection. Components of this continuum of care include: prevention-related interventions; voluntary counselling and HIV testing (VCT); medical care and treatment by a dedicated, trained medical team; psychosocial support; nutritional assistance; social supports; and as needed, community-based services and home-based care. At the stage at which ARVs are required to maintain health, medication should be made available and accessible through a coordinated programme across levels of the public health care system including primary health care clinics, community health centres, district hospitals, and regional and tertiary care institutions. The HIV and AIDS care and treatment programme will integrate care and treatment with prevention efforts, and link to existing HIV interventions, such as voluntary counselling and HIV testing, prevention of mother-to-child transmission (PMTCT), and TB control. Treatment efforts will be further enhanced by involvement of community-based organisations, the private sector, and NGOs that provide assistance with education and adherence as well as practical support through a caring support network. In summary, South Africans should be able to access a full array of interventions and services to address HIV and AIDS within the context of a continuum of care. The implementation of the HIV and AIDS care and treatment programme will also have far-reaching benefits beyond the delivery of treatment-related services. Many of the Chapter I: Prevention, Care and Treatment 54
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OPERATIONAL PLAN FOR COMPREHENSIVE
Page 3 and 4: LIST OF TABLES Table 0.1: Total Pro
Page 5 and 6: LIST OF ACRONYMS ADR AIDS ALT API A
Page 7 and 8: Foreword I would like to thank the
Page 9 and 10: We hope that all South Africans who
Page 11 and 12: 16. Dr. Fazel Randera, Health Advis
Page 13 and 14: Executive Summary BACKGROUND 1. The
Page 15 and 16: 6. Following the discussion of this
Page 17 and 18: health status and to prolong life),
Page 19 and 20: extreme inequalities and disparitie
Page 21 and 22: 9.5 Providing a Comprehensive Conti
Page 23 and 24: efforts through additional investme
Page 25 and 26: elements in a containment strategy
Page 27 and 28: 18. The programme detailed in this
Page 29 and 30: monitoring of patients for TB, a co
Page 31 and 32: 40 The drug procurement strategies
Page 33 and 34: follow-up and monitoring for patien
Page 35 and 36: CHAPTER III - TRADITIONAL MEDICINE
Page 37 and 38: 74 The minimum service point accred
Page 39 and 40: 85. Task Team projections of AIDS p
Page 41 and 42: patented and/or branded drugs suppl
Page 43 and 44: 102. It proposes a significant expa
Page 45 and 46: measure the outcomes of the program
Page 47 and 48: 119. Examples of specific research
Page 49 and 50: Table 0.1: Total Programme Budget E
Page 51 and 52: the existing health care system and
Page 53: Table 0.2: New Patients Starting AR
Page 57 and 58: DRAFT - Confidential The key preven
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Page 61 and 62: DRAFT - Confidential 6. Levels of C
Page 63 and 64: DRAFT - Confidential Patients seen
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DRAFT - Confidential • ARV treatm
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DRAFT - Confidential Table 5.3: Cor
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DRAFT - Confidential Table 5.5: Tot
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DRAFT - Confidential forward, the e
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DRAFT - Confidential The general ch
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DRAFT - Confidential • ARV treatm
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DRAFT - Confidential Human Resource
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DRAFT - Confidential met. These bur
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DRAFT - Confidential capacity in ma
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DRAFT - Confidential will be streng
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DRAFT - Confidential 4. Explore cha
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DRAFT - Confidential ADMINISTRATIVE
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DRAFT - Confidential Chapter VI PRO
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DRAFT - Confidential Table 6.3 list
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DRAFT - Confidential Laboratories N
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DRAFT - Confidential Table 6.1: Fac
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DRAFT - Confidential Table 6.2: Pro
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DRAFT - Confidential SECTION THREE
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DRAFT - Confidential generic produc
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DRAFT - Confidential Fourthly, the
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DRAFT - Confidential Security of Su
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DRAFT - Confidential SPECIAL CONSID
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DRAFT - Confidential manufacturer.
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DRAFT - Confidential • Management
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DRAFT - Confidential delivery, the
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DRAFT - Confidential Pharmacies at
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DRAFT - Confidential • The Pharma
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DRAFT - Confidential as a contingen
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DRAFT - Confidential the first five
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DRAFT - Confidential • Improving
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DRAFT - Confidential Johannesburg.
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DRAFT - Confidential Infant diagnos
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DRAFT - Confidential SECTION FOUR C
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DRAFT - Confidential Chapter X Soci
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DRAFT - Confidential • Clear guid
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DRAFT - Confidential communities, a
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DRAFT - Confidential Care and Suppo
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DRAFT - Confidential The communicat
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DRAFT - Confidential SECTION FIVE I
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DRAFT - Confidential The systems sh
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DRAFT - Confidential and location o
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DRAFT - Confidential should enable
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DRAFT - Confidential The Cluster of
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DRAFT - Confidential or services. O
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DRAFT - Confidential Monitoring of
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DRAFT - Confidential The majority o
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DRAFT - Confidential Comparable rol
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DRAFT - Confidential Chapter XIII P
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DRAFT - Confidential drug-food inte
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DRAFT - Confidential Antimicrobial
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DRAFT - Confidential PROGRAMME ASSE
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DRAFT - Confidential agenda: to con
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DRAFT - Confidential South African
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DRAFT - Confidential AIDS in South
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DRAFT - Confidential There has been
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DRAFT - Confidential • What is th
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DRAFT - Confidential HIV infection
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DRAFT - Confidential • Determinat
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DRAFT - Confidential Research Overs
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DRAFT - Confidential SECTION SIX MA
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DRAFT - Confidential continual revi
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DRAFT - Confidential The work of th
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DRAFT - Confidential Figure 15.3: C
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DRAFT - Confidential continuous pro
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DRAFT - Confidential Finally, mecha
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DRAFT - Confidential protocols. The
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DRAFT - Confidential Table 16.1: Es
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DRAFT - Confidential required for t
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DRAFT - Confidential and consumable
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DRAFT - Confidential Table 16.8: Pl
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DRAFT - Confidential Table 16.19: T
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DRAFT - Confidential Given the cons
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DRAFT - Confidential month follow-u
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