Guideline Detail

Clinical Guidelines for Antiretroviral Therapy Management for Displaced Populations: Southern Africa

Source: Southern African HIV Clinicians Society, United Nations High Commissioner for Refugees
Publication Date: June 1, 2007

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2007 recommendations for health care workers managing antiretroviral therapy (ART) for HIV-infected displaced persons, a unique group of individuals with special needs that sometimes require complex strategic decision making. Topics covered in these guidelines include: the responsibility of the healthcare worker; ART, including initiation criteria for patients with no ART history, patients presenting on ART or with a history of previous ART, contingency planning, ART-specific challenges, management of children, postexposure prophylaxis, and prevention of mother-to-child HIV transmission; non-ART considerations, including tuberculosis treatment, primary and secondary prophylaxis for opportunistic infections, other illnesses, language, and referral letters; advocacy; and other important issues including cultural issues, alternative treatments, psychosocial and mental health issues, prevention, reproductive health, sex-based exploitation and violence, orphans, end-of-life care, and death and body disposal.

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Keywords: HIV - First-line Therapy, HIV - Paediatric/Adolescent Patients, HIV - Prevention, HIV - Psychosocial Issues, HIV - Psychiatric Disorders, HIV - Resource-Limited Settings, HIV - Special Populations, HIV - Treatment Complications, HIV - Treatment-Experienced Patients, HIV - Tuberculosis, HIV - Women, HIV - Pregnancy, Tuberculosis - First-line Therapy