Chronic HIV Care with ARV Therapy

This module includes patient education, psychosocial support, prevention for positives, clinical staging, prophylaxis (INH, cotrimoxazole, fluconazole), preparation for ARV therapy, initiation of a fixed-dose first-line ARV regimen in patients without complications (under the supervision of an doctor or medical officer), clinical monitoring, response to side effects, adherence preparation and support, management of chronic problems, and data collection based on a simple treatment card. Chronic HIV Care with ARV Therapy effectively integrates HIV care and prevention, increasing the potential for preventive interventions.

IMAI supports the introduction of an effective approach to chronic care (including a team approach, patient partnership, inclusion of “expert patients”/peer support staff on the clinical team, and effective adherence support). This approach could permit rapid expansion of human resources for HIV care while providing the skills and clinic capacity for effective management of other chronic illnesses. A short module describes the General Principles of Good Chronic Care. These principles are used in the Chronic HIV Care guidelines.


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