Task Shifting - Global Recommendations and Guidelines - unaids

Annex 1
Prescribe a non-teratogenic second-line therapy where needed X X
Educate on basic preventive measures for malaria, TB, worms X X X X
b. Supervision MD NPC N CHW
Supervise NPCs, Ns and CHWs in the above activities
X
Supervise Ns and CHWs in the above activities X X
Supervise CHWs in the above activities X X X
9. Clinical Management of Neonates, Including PMTCT
a. Clinical Management MD NPC N CHW
Provide ARV prophylaxis to neonate X X X
Provide neonate care plan including co-trimoxazole prophylaxis X X X
Monitor co-trimoxazole prophylaxis X X X
Explain timing for HIV test of the child to parents X X X X
Make a presumptive diagnosis of severe HIV diseases in children <
18 months (in the absence of DNA PCR)
X X X
Take and prepare blood for DNA PCR X X X
Provide regular assessment and early detection of HIV-related
symptoms
X X X
Decide on referral X X X
Follow up HIV status in an HIV-negative child born from an HIV+
mother and receiving breastfeeding
Assess developmental milestones in a child (possibly) infected with
HIV
Counsel HIV+ mothers with a child of unknown HIV status on
feeding options
X X X
X X X
X X X X
b. Supervision MD NPC N CHW
Supervise NPCs, Ns and CHWs in the above activities
X
Supervise Ns and CHWs in the above activities X X
Supervise CHWs in the above activities X X X
10. Clinical Management of HIV+ Children
a. HIV Diagnosis MD NPC N CHW
Make presumptive diagnosis of severe HIV diseases (if virological
testing not available)
X X X
Confirm HIV infection X X X
b. Clinical Management (non-OI, non-ART) MD NPC N CHW
Perform clinical review of signs and symptoms X X X
Check for development milestones X X X
Interpret the CD4 cell count in young children X X X
Determine clinical staging X X X
Assess and manage nervous system and developmental
manifestations of HIV infection among children
Assess and manage HIV-associated malignancies in children
X
X
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