This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.

Decentralizing Antiretroviral Treatment Services at Primary Health Care Facilities

By K. Rivet Amico, PhD | 14 Jan, 2011 Last edited by Sophie Beauvais on 18 Apr 2011

This is a wonderful resource!

To add to this, I would encourage consideration of patient-centered kinds of approaches in the counseling or patient-provider discourse around ART adherence. I believe it is quite important to actively avoid developing a main focus around adherence support that is predominantly characterized by the dissemination of information about positive consequences of adherence and negative consequences of non-adherence. Clear, accurate understanding of the role of adherence is critical, but I think it would be prudent to be wary of creating environments where adherence is so emphasized that the possibility for candid discourse about non-adherence or potential difficulties gets overshadowed by the delivery of instructions to adhere and reiteration of negative consequences of non-adherence. I think everyone agrees that these factors are important to convey. I also think that person-centered or motivation-focused approaches are valuable here and these kinds of approaches would emphasize remaining strongly aware of there being perceived benefits of non-adherence and negative consequences of adherence in one's daily life from a patient perspective, and perhaps asking about those creates a more fertile opportunity to provide adherence support.

Thank you for sharing this resource. I look forward to hearing other people's opinions about the potential role of patient-centered discourse around ART adherence in settings preparing to or currently providing antiretroviral treatment.

Warm regards,
Rivet

K Rivet Amico, PhD
Research Scientist
Center for Health, Intervention and Prevention
University of Connecticut
810 360 8716
800 518 0243 (fax)

Attached resource:
  • Decentralizing Antiretroviral Treatment Services at Primary Health Care Facilities (external URL)

    Link leads to: http://j.mp/hjI5e4

    Summary: Many countries have begun to decentralize HIV treatment to primary health care (PHC) centers to decrease the burden of providing HIV services at existing facilities while increasing access to treatment. The purpose of this technical brief is to assist national program planners, stakeholders, and implementers in designing, planning, and implementing the decentralization process and in providing ART services at PHC facilities, with the ultimate goal of achieving universal access to treatment and care in generalized HIV epidemic settings.

    Source: John Snow, Inc. - JSI

    Publication Date: September 1, 2010

    Language: English

    Keywords: Adherence, ARV, decentralization, HIV treatment, Monitoring & Measurement, primary health care, Publications & Research, universal access

Replies

 

Seth Kalichman Replied at 9:52 AM, 14 Jan 2011

Dear Adherence Colleagues
We just published a study showing no reactivity from monthly unannounced
pill counts conducted on the phone. These data support what David Bangsberg
showed with home-based pill counts. Without reactivity, the procedure seems
particularly useful as an intervention outcome measure.
I welcome your feedback.
Seth Kalichman

--
Seth C. Kalichman
http://denyingaids.blogspot.com
Check out my new book Denying AIDS: Conspiracy Theories, Pseudoscience, and
Human Tragedy. All royalties are donated to buy HIV meds in Africa
Follow me on Twitter http://twitter.com/sethckal

K. Rivet Amico, PhD Replied at 10:33 AM, 14 Jan 2011

Seth,
This is really useful information- where can I/we find this manuscript?
Rivet


K Rivet Amico, PhD
Research Scientist
Center for Health, Intervention and Prevention
University of Connecticut
810 360 8716
800 518 0243 (fax)

Seth Kalichman Replied at 11:05 AM, 14 Jan 2011

Hi Rivet
I tried to attach the pdf...but did not work.
It is in HIV Clinical Trials
HIV Clin Trials 2010;11(6):325–331
doi: 10.1310/hct1106-325
I can send a pdf-reprint to anyone interested... write me @
Thanks

--
Seth C. Kalichman
http://denyingaids.blogspot.com
Check out my new book Denying AIDS: Conspiracy Theories, Pseudoscience, and
Human Tragedy. All royalties are donated to buy HIV meds in Africa
Follow me on Twitter http://twitter.com/sethckal

This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.