ART and Treatment

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.

Dans la région de l'Afrique de l'Ouest et du Centre, le Cameroun est le deuxième pays, après le Nigeria, où le poids de l'épidémie de VIH est considérable. Malgré l'importance de l'épidémie, le pays adhère à la vision stratégique de l'ONUSIDA pour atteindre l'objectif 90/90/90 pour le traitement du VIH d'ici à 2020, L'importance des problèmes de santé publique auxquels le Cameroun doit faire face dans les prochaines années.

The National Plan for Accelerating HIV Care and Treatment in Kenya 2015-2017 defines the key strategies and actions that need to be undertaken by the national and county governments to contribute to meeting the 90-90-90 targets articulated in the Kenya AIDS Strategic framework by 2019. All reasonable precautions have been taken by NASCOP to verify the information contained in this plan.

The information contained within this handbook is a condensed version of the full 2016 HIV Integrated Clinical Care Guidelines and reflects the latest scientific updates on HIV care from around the world. As we launch the ‘Treat All’ Strategy, let us appreciate how far we have come in the struggle against HIV in Botswana. When we first started the ART Programme in 2002, no one dreamt that today we would be poised to become one of the few countries in the world to achieve the UNAIDS 90-90-90 targets. No one could have ever imagined that by 2016 Botswana would ben near to virtually eliminating Mother-to-Child transmission and have rolled-out ART services to all hospitals and over 600 clinics – but we did it. Now with the New HIV “Treat All” Strategy, we have the opportunity to finally gain epidemiologic control of HIV after over 16 years of relentless efforts. What better way to pay our respects to the thousands of Batswana who have lost their lives to HIV.

This handbook has been written for practitioners working directly with children and adolescents living with HIV and for policy makers and management to help develop services and protocols. To that end, it includes policy and practice guidance for the development of services, practice models and practical examples. The global experience of HIV offers many shared elements and this handbook reflects these, setting out practical guidance and tools that can be used in different settings.

This case study is intended for programme managers and health professionals interested in learning about male involvement in the context of PMTCT programmes. It reviews a multi-faceted intervention launched by the Optimizing HIV Treatment Access for Pregnant and Breastfeeding Women (OHTA) to increase male involvement in three regions in Uganda (East Central, North East, and South West). By implementing both community and facility-based activities focused on strengthening male involvement as part of a comprehensive PMTCT strategy, the programme aims to strengthen support for male participation in antenatal care (ANC), HIV testing, and HIV treatment. 

This report discusses how community-facility linkages can be used to support the scale up of lifelong treatment for pregnant and breastfeeding women living with HIV. It offers a conceptual framework and describes eleven promising practices associated with increased service uptake, adherence or retention along the continuum of care.