Overview of Care Support and Treatment HIV Care
- Slides: 16
Overview of Care, Support, and Treatment HIV Care, Support, and Treatment Office of Overseas Programming & Training Support (OPATS)
Definition of Care and Support A comprehensive, wide range of services for PLHIV and caregivers (other than anti-retroviral therapy) that meet holistic needs PEPFAR. December 2009. The U. S. President’s Emergency Plan for AIDS Relief: Five-Year Strategy. Annex: PEPFAR and Prevention, Care and Treatment. Washington, DC: PEPFAR and UNAIDS. 2010. UNAIDS 20112015 Strategy: Getting to Zero. Geneva: UNAIDS
Definition of Treatment § Anti-retroviral therapy (ART) is the treatment of people infected with HIV using a combination of at least three anti-retroviral (ARV) drugs to maximally suppress the HIV virus and stop the progression of HIV disease http: //www. who. int/hiv/topics/treatment/art/en/index. html
Purpose of Care, Support, and Treatment § Improves the survival, well-being, and quality of life of PLHIV over all stages of the disease and their caregivers § Helps PLHIV to stay healthy and productive for as long as possible PEPFAR. Dec 2009. The U. S. President's Emergency Plan for AIDSRelief: Five-Year Strategy. Annex: PEPFAR and Prevention, Care and Treatment. Washington, DC: PEPFAR
Care, Support, Treatment, and Prevention: 3 Pillars Figure from UK Consortium on AIDS and International Development/HIV Care & Support Working Group. 2008. What do we really mean by "HIV Care and Support"? Progress towards a comprehensive definition. London: UK Consortium on AIDS and International Development
Care, Support, and Treatment: The ART Era § Rapid, dramatic expansion of HIV care and treatment in the developing world is one of the largest public health successes in history § ART transformed HIV from survival (measured in weeks or months) to a chronic, lifelong disease
Care, Support, and Treatment: The ART Era § Keep in mind, care and support is vital with or without ART – Psychosocial support to PLHIV taking ART is directly associated with improved ART adherence and better health outcomes – Clinical care prolongs and improves the quality of life • Cotrimoxazole (to prevent opportunistic infections) has great impact on health and survival of PLHIV
Know Your Epidemic, Know Your Response § Some CST services are needed across all epidemics: generalized, concentrated, low-level – Peer support – Management of TB § Some CST services are specific to a type of epidemic, key population, and local context. For example, – People Who Inject Drugs (PWID) – drug dependence treatment, promotion of viral hepatitis vaccination – In sub-Saharan Africa – food security, malaria prevention
Know Your Epidemic, Know Your Response in (Country) Post Adaptation § Insert post-specific information on type of epidemic and a few examples of major care and support services. Give only a few, key examples. Do not include too many details. As appropriate, link to the Global Health Sector Training Package session Introduction to Epidemiology.
Challenges in CST § § § § Knowing your status and accessing care Retention in care and support Access and adherence to ART Stigma and discrimination TB Gender Integration, coordination, and linkages Quality of services
CST Basics: Group Task § All groups: Read the Handout “Care, Support, and Treatment Basics” § Groups 1 -3: Discuss, then select two points (based on your observations in country so far) that you consider most important about Care and Support in (insert post name) and explain why. § Groups 4 -6: Discuss, then select two points (based on your observations in country so far) that you consider most important about Treatment in (insert post name)and explain why.
Wrap Up § Compare this discussion to our experiences “What Helped Us Get Better” –What strikes you as similar? Why? –What strikes you as different? Why?
The Continuum of Care
Continuum of Care: Definition § A network that links, coordinates, and consolidates care, support, and treatment services (provided in homes, communities, and health facilities) and is also the group of services themselves
Continuum of Care: Explanation § Counseling and Testing: Knowing one’s status is a gateway for care, support and treatment (as well as prevention) – Services/levels in the Continuum of Care represented by the “circles” – Linkages in the Continuum of Care represented by the “arrows”
Continuum of Care: Practice § Watch this short film clip http: //www. viewchange. org/videos/kiberatv-lifebeyond-hiv § As you watch – Listen for the services that Agneta and Benta describe. Write these on (color) sticky notes, one idea per note. – Listen for the linkages that Agneta and Benta describe. Write these on (color) sticky notes, one idea per note.
- Fungsi dexcom
- Supporting details major and minor
- Programme approach
- Example of nursing process
- A bacterial std that usually affects mucous membranes
- Chapter 24 sexually transmitted diseases and hiv/aids
- Tertiary level of care
- Dr martha williams
- Providing improper or unprofessional treatment or care
- Unit 5 meeting individual care and support needs assignment
- Chapter 24 nutritional care and support
- Camera handling care and support
- Unit 5 coursework example
- Care and support specialised housing fund
- Unit 5 meeting individual needs
- Quang trung
- Hiv reverse transcription