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Implementation of the universal test and treat strategy for HIV positive patients and differentiated care for stable patients

Source: South African National Department of Health
Publication Date: September 1, 2017

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September 2016 circular advising of new Universal Test and Treat (UTT) policy: to test all persons in clinical care for HIV and to recommend immediate life-long treatment for all people who test positive, regardless of CD4+ cell count or clinical stage. The circular also outlines a strategy of differentiated streamlined ART delivery for those stable on antiretroviral therapy. Topics include: eligibility criteria for UTT, timing of ART initiation (including immediate priority, “fast track” initiation, and timing in the case of TB coinfection. Differentiated care for stable adult patients is also described as well as research implications for this new expanded policy.

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