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Essential Prevention and Care Interventions for Adults and Adolescents living with HIV in resource-limited settings

By Sophie Beauvais | 02 Feb, 2009

This document is the result of an effort to review the evidence and develop recommendations for interventions to reduce illness associated with HIV infection and prevent HIV transmission.

The objective of these recommendations is to provide global, technical, evidence-based recommendations for prevention and care interventions, other than ART, for people living with HIV in resource-limited settings. They are primarily intended for managers of national and sub-national AIDS programmes and nongovernmental organizations that deliver HIV care services and for policy-makers involved in scaling up HIV prevention, care and treatment in settings with limited resources.

Table of Content

1. Background and rationale
> Involving people living with HIV

2. Objectives
> Target audience

3. Methods
> Strength and quality of the evidence

4. Recommendations

Psychosocial counselling and support :
> Comprehensive interventions
> Counselling and condoms
> Sero-discordant couples
> Sero-concordant couples
> Adherence interventions
> Mental health

Disclosure, partner notification and testing and counseling:
> Partner notification and disclosure
> Testing and counselling of partners and family members

Co-trimoxazole prophylaxis:
> Pregnant women and co-trimoxazole

Tuberculosis (TB):
> Counselling
> Screening for TB-disease
> TB-preventive therapy

Preventing fungal infections

Sexually transmitted and other reproductive tract infections:
> Screening, diagnosis and management of STIs and RTIs
> Genital herpes
> Screening for ongoing risk behaviours and STIs
> Screening for cervical cancer

Preventing malaria:
> Co-trimoxazole for malaria
> Insecticide-treated mosquito nets
> Prevention of malaria infection in pregnant women with HIV

Selected vaccine preventable diseases:
> Hepatitis-B vaccine
> Pneumococcal vaccine
> Infl uenza vaccine
> Yellow fever vaccine

Nutrition:
> Nutrition assessment
> Nutrition support and micronutrient supplements
> Nutrition support for pregnant women

Family planning:
> Family planning counselling and services
> Condoms and counselling
> Safe reproductive services

Preventing mother-to-child transmission of HIV:
> Pregnant women with indications for ART
> ARV prophylaxis for preventing HIV infection in infants
> Recommended ARV regimen for preventing MTCT among women in labour who have not received antenatal antiretroviral prophylaxis
> Infants born to HIV-infected women who did not receive antiretroviral drugs during pregnancy or labour

Needle-syringe programmes and opioid substitution therapy:
> Needle-syringe programmes
> Opioid substitution therapy

Water, sanitation and hygiene:
> Safe Water
> Sanitation
> Hygiene

5. References

6. Tables
Table 1. Interventions to prevent illness
Table 2. Interventions to prevent HIV transmission
Table 3. Medication indications, dosages, and contraindications
Table 4. Interventions for integrated HIV prevention, care, and treatment, by type of intervention and strength of recommendation

7. Appendices
A. Systematic review of evidence
B. Expert consultation, list of attendees
C. Clinical staging of HIV disease in adults and adolescents
D. Criteria for HIV-related clinical events in adults and adolescents
E. Guidelines and links

Attached resource:
  • Essential Prevention and Care Interventions for Adults and Adolescents living with HIV in resource-limited settings (external URL)

    Link leads to: http://www.who.int/hiv/pub/prev_care/OMS_EPP_AFF_en.pdf

    Summary: This document is the result of an effort to review the evidence and develop recommendations for interventions to reduce illness associated with HIV infection and prevent HIV transmission.

    The objective of these recommendations is to provide global, technical, evidence-based recommendations for prevention and care interventions, other than ART, for people living with HIV in resource-limited settings. They are primarily intended for managers of national and sub-national AIDS programmes and nongovernmental organizations that deliver HIV care services and for policy-makers involved in scaling up HIV prevention, care and treatment in settings with limited resources.

    Table of Content

    1. Background and rationale
    > Involving people living with HIV

    2. Objectives
    > Target audience

    3. Methods
    > Strength and quality of the evidence

    4. Recommendations

    Psychosocial counselling and support :
    > Comprehensive interventions
    > Counselling and condoms
    > Sero-discordant couples
    > Sero-concordant couples
    > Adherence interventions
    > Mental health

    Disclosure, partner notification and testing and counseling:
    > Partner notification and disclosure
    > Testing and counselling of partners and family members

    Co-trimoxazole prophylaxis:
    > Pregnant women and co-trimoxazole

    Tuberculosis (TB):
    > Counselling
    > Screening for TB-disease
    > TB-preventive therapy

    Preventing fungal infections

    Sexually transmitted and other reproductive tract infections:
    > Screening, diagnosis and management of STIs and RTIs
    > Genital herpes
    > Screening for ongoing risk behaviours and STIs
    > Screening for cervical cancer

    Preventing malaria:
    > Co-trimoxazole for malaria
    > Insecticide-treated mosquito nets
    > Prevention of malaria infection in pregnant women with HIV

    Selected vaccine preventable diseases:
    > Hepatitis-B vaccine
    > Pneumococcal vaccine
    > Infl uenza vaccine
    > Yellow fever vaccine

    Nutrition:
    > Nutrition assessment
    > Nutrition support and micronutrient supplements
    > Nutrition support for pregnant women

    Family planning:
    > Family planning counselling and services
    > Condoms and counselling
    > Safe reproductive services

    Preventing mother-to-child transmission of HIV:
    > Pregnant women with indications for ART
    > ARV prophylaxis for preventing HIV infection in infants
    > Recommended ARV regimen for preventing MTCT among women in labour who have not received antenatal antiretroviral prophylaxis
    > Infants born to HIV-infected women who did not receive antiretroviral drugs during pregnancy or labour

    Needle-syringe programmes and opioid substitution therapy:
    > Needle-syringe programmes
    > Opioid substitution therapy

    Water, sanitation and hygiene:
    > Safe Water
    > Sanitation
    > Hygiene

    5. References

    6. Tables
    Table 1. Interventions to prevent illness
    Table 2. Interventions to prevent HIV transmission
    Table 3. Medication indications, dosages, and contraindications
    Table 4. Interventions for integrated HIV prevention, care, and treatment, by type of intervention and strength of recommendation

    7. Appendices
    A. Systematic review of evidence
    B. Expert consultation, list of attendees
    C. Clinical staging of HIV disease in adults and adolescents
    D. Criteria for HIV-related clinical events in adults and adolescents
    E. Guidelines and links

    Source: World Health Organization - WHO

    Publication Date: November 1, 2008

    Language: English

    Keywords: Angular cheilitis, comprehensive care, Herpes zoster, HIV wasting syndrome, Kaposi sarcoma, leukoplakia, non-ART care, oral candidiasis, oral ulcerations, Program Management, Publications & Research

 

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.