Delivering Antiretroviral Therapy in Resource-Constrained Settings

By International Development Agency

Book Id: WPLBN0000663102
Format Type: PDF eBook:
File Size: 1.78 MB
Reproduction Date: 2005

Title:	Delivering Antiretroviral Therapy in Resource-Constrained Settings
Author:	International Development Agency
Volume:
Language:	English
Subject:	United Nations., United Nations. Centre for Economic and Social Information, AID project impact evaluation report
Collections:	Government Library Collection, United Nations Library International Aid and Funding Collection
Historic Publication Date:
Publisher:	United Nations Library International Aid and Funding


Citation APA MLA Chicago Development Agency, B. I. (n.d.). Delivering Antiretroviral Therapy in Resource-Constrained Settings. Retrieved from http://gutenberg.cc/

Description
Excerpt: At the United Nations General Assembly Special Session on HIV/AIDS, held in June 201 , the global community cited ART as a key component of effective HIV/AIDS programs. In their Declaration of Commitment, heads of state from 189 countries affirmed that ?p ...

Table of Contents
Contents Acronyms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Chapter 1. Country Preparedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Commitment and Participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 National ART Guidelines and Drug Selection. . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Roles and Mechanisms for Participation and Feedback. . . . . . . . . . . . . . . . . . . . . . . . 25 Lessons Learned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Chapter 2. Community Preparedness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Formative Research in the Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Stakeholder Involvement, Including PLHA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Community Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Lessons Learned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Chapter 3. Site Preparedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Site Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Site Assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Site Preparedness: Clinical Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Lessons Learned: Clinical Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Site Preparedness: Laboratory Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Lessons Learned: Laboratory Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Site Preparedness: Pharmacy Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Lessons Learned: Pharmacy Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Chapter 4. Referral Systems and Linkages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Essential Services for PLHA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Referrals and Linkages within Communities and Health Facilities. . . . . . . . . . . . . . . . . . . 68 Lesson Learned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Chapter 5. Patient Preparation and Adherence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Eligibility Criteria and Patient Selection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Pre-treatment Counseling, Ongoing Adherence Counseling and Adherence Monitoring. . . . . . . . 75 Lessons Learned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78