Overview of Care Support and Treatment HIV Care

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Overview of Care, Support, and Treatment HIV Care, Support, and Treatment Office of Overseas

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

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

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

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

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

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

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

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

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

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

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”

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

The Continuum of Care

Continuum of Care: Definition § A network that links, coordinates, and consolidates care, support,

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

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

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.