National, regional and district management
These are materials designed to be used by national, regional and district planners and management.
Handbook of supply management at first-level health care facilities
The WHO HIV/AIDS Department's AMDS team and its partner organizations have been working to develop the Handbook of Supply Management at First-Level Health Care Facilities and have released a first version in both English and French. This Handbook describes major supply management tasks for medicines, known as the standard procedures of supply management at first-level health care facilities.
Each chapter of the handbook covers one major task, explains how the task fits into the process of maintaining a consistent supply of medicines, and recommends which standard procedures to use. In addition, two HIV/AIDS-specific chapters, 'How to start ART' and 'How to scale up ART' have been developed for this Handbook. Annexes at the end contain various checklists and examples of forms which can be introduced as needed at your health care facility.
Three interlinked patient monitoring systems for HIV care/ART, MCH/PMTCT and TB/HIV
Three interlinked patient monitoring systems for HIV care/ART, MCH/PMTCT and TB/HIV: standardized minimum data set and illustrative tools is based on the original HIV care/ART system that was initially drafted in 2004 and published in 2006.
The three interlinked patient monitoring systems build and improve on the original 2006 patient monitoring tools by supporting integrated service provision, follow up of mother-infant pair and monitoring of key TB-related and paediatric variables. The MCH minimum data set includes all routine core maternal and infant variables plus key HIV-related variables. The generic ART cohort report has been simplified and the cross-sectional quarterly report is now integrated to collect not only HIV indicators, but also key PMTCT, MCH and TB/HIV indicators. The generic tools are illustrative, for country adaptation.
Patient monitoring guidelines for HIV care and antiretroviral therapy
The Patient monitoring guidelines for HIV care and ART provide an agreed list of essential minimum standard HIV care and ART patient monitoring data elements and their definitions. A patient monitoring system is the backbone of clinical care, treatment and prevention by the clinical team caring for groups of patients. In many health facilities, most HIV care is currently episodic acute care with the exception of TB treatment. Establishing good chronic HIV care including ART requires forming and preparing a clinical team to provide continuity of HIV care. A key element of continuity of care is keeping a record which summarizes each patient's care and allows each health worker or counsellor to understand what has happened before.
Operations manual for delivery of HIV prevention, care and treatment at primary health centres in high-prevalence, resource-constrained settings
The Operations manual provides guidance on planning and delivering HIV prevention, care, and treatment services at health centres in countries with high HIV prevalence. It provides an operational framework to ensure that HIV services can be provided in an integrated, efficient and quality-assured manner.
The booklet covers the issues of infrastructure, labratories, human resources, supply management, quality management and leadership.
These guidelines have been released for country adaptation and to help with the emergency scale-up of antiretroviral therapy (ART) in resource-limited settings. Interim guidelines are regularly revised based on early implementation experience. Please send comments, suggestions and requests for adaptation assistance to: imaimail@who.int.
For country adaptation, most IMAI publications, modules and recording forms are also available in Word and/or InDesign formats. To request these formats please send an email to imaimail@who.int.