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Palliative care: Symptom management and end-of-life care

The guideline module covers management of symptoms during acute or chronic illness, education of the patient, family and community caregiver to provide care at home, using the Caregiver booklet; and end-of-life care. Symptom management is very important for patients on ARV treatment. In order to expand access to palliative care, this approach assumes that most of the care will be given by the patient’s family with back-up by multi-purpose health workers at first- level facilities. This module covers palliative care in both children and adults.

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:

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