Eastern and Southern Africa

Our world is also waking up to the reality now that for us to win the fight towards an AIDS free generation, we must fiercely combat TB. What is making the need to double our efforts even more pressing is the growing threat of strains of the disease that do not respond to most antibiotics (multi-drug resistant TB or MDR-TB). The overlap of TB and HIV is a deadly combination with tragic consequences. TB is the leading killer of people with HIV, accounting for one in four HIV-related deaths. Globally, one-third of people living with HIV are also infected with TB, and if left unchecked and untreated, TB can kill a person with HIV/AIDS in a matter of weeks.

This third edition of the Malawi Guidelines for Clinical Management of HIV in Children and Adults will be implemented starting May 2016. It replaces all previous editions of the Malawi Antiretroviral therapy (ART) and Prevention of Mother to Child Transmission (PMTCT) guidelines. This document is written for medical doctors, clinical officers, medical assistants, nurses, midwives, health surveillance assistants (HSAs) and medical records clerks who are working in public and private sector health facilities in Malawi. It is designed to be a practical guide for implementation of integrated HIV Services.

This 2016 version of the Zambia Consolidated Guidelines for Treatment and Prevention of HIV Infection provides simplified guidance on a continued approach that positively affects the continuum of HIV care, while adding to innovative methods that will reduce transmission rates and increase life span for those on treatment. This is all to further accelerate efforts to meet the ambitious Fast-Track target for 2020, including achieving major reductions in the number of people dying from HIV-related causes and the 90–90–90 treatment target.

The implementation of the National HIV and AIDS Strategic Plan 2010/11–2014/15 enabled the country to continue its progress towards universal access to HIV and AIDS services. The National HIV and AIDS Strategic Plan 2015/2016 –2019/2020 (NSP) will build on the previous efforts, pursuing the same objective, with inspiration from the global targets of “Zero new HIV infections, Zero HIV-related deaths and Zero stigma and discrimination due to HIV”.

As Tanzania strives to reach middle income status, the health sector has resolved to give more attention to the quality of health services in tandem with the pursuit of universal access. At the same time, better health for the entire population will be promoted through the adoption of health in all policies. The overall objective of HSSP IV is to reach all households with essential health and social welfare services, meeting, as much as possible, the expectations of the population, adhering to objective quality standards, and applying evidence-informed interventions through efficient channels of service delivery.

These integrated HIV Management Guidelines provide the standards and recommendations to move Swaziland forward in achieving the Government of the Kingdom of Swaziland’s vision of zero new infections and ending AIDS. To achieve this vision we need a concerted effort from all stakeholders and at all levels of service delivery to translate these guidelines into action while ensuring delivery of quality services and efficient use of limited resources.

The new consolidated guidelines provide standardized, simplified and less toxic drug combinations harmonized for the management of Prevention of Mother to Child Transmission (PMTCT), children, adolescents and adults with HIV/AIDS, TB and other common opportunistic infections. It will provide guidance for clinicians, managers and trainers on the use of available regimens within the context of continuum of HIV comprehensive care for prevention, treatment and support for all age groups in private and public sector to realize our vision of a long and healthy life for all citizens. This approach will also ensure that people living with HIV are started on the right regimen at the right time.

Em Moçambique, a pandemia do HIV/SIDA é assumida como um dos desafios de âmbito multissectorial. No que concerne ao Serviço Nacional de Saúde, múltiplas acções integradas têm sido implementadas nos últimos anos pelo Ministério da Saúde (MISAU) com vista a alargar as medidas de prevenção, diagnóstico e o início atempado dos cuidados e tratamento, sendo que em 2013 foi implementado o Plano de Aceleração de Resposta ao HIV e SIDA, que contempla nos seus objectivos a expansão dos Serviços TARV e a melhoria da qualidade assistencial.

The fifth edition of these guidelines represents a determined commitment of the government to achieve and contribute to the ambitious global target of reaching 90-90-90 by 2020, which aims to diagnose 90% of people living with HIV, place 90% of those diagnosed on ART, and suppress HIV viral replication in 90% of those on ART by 2020. Reaching these goals will help reverse and end the AIDS epidemic by 2030. Lesotho has one of the highest HIV prevalences in the world at 23% and an estimated 319,000 people living with HIV.

The Guidelines on use of Antiretroviral Drugs for Treating and Preventing HIV Infection in Kenya 2016 edition contain relevant information required by health care providers in the use of ARVs as of the date of issue. All reasonable precautions have been taken by NASCOP to verify the information contained in this guideline document. This guideline document is a publication of the National AIDS & STI Control Program, Ministry of Health Kenya.