Guideline Detail

Essential Prevention and Care Interventions for Adults and Adolescents Living With HIV in Resource-Limited Settings

Source: World Health Organisation
Publication Date: January 1, 2008

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2008 guidelines established to provide global, technical, evidence-based recommendations for prevention and care interventions, other than antiretroviral therapy, that should be provided to people living with HIV in resource-limited settings as part of their healthcare services and to promote the expansion of provider-initiated interventions for HIV prevention and nonantiretroviral care and treatment for adults and adolescents living with HIV. These recommendations focus on prevention of transmission, initial illness, and opportunistic infections. Topics addressed include: psychosocial counselling and support, including comprehensive interventions, counselling and condoms, serodiscordant couples, seroconcordant couples, adherence interventions, and mental health; disclosure, partner notification, and testing and counselling of partners and family members; cotrimoxazole prophylaxis, including a discussion of pregnant women; tuberculosis counselling, screening, and preventive therapy; preventing fungal infections; sexually transmitted and other reproductive tract infections, including screening, diagnosis, and management; preventing malaria, selected vaccine-preventable diseases, including hepatitis B virus vaccine, pneumococcal vaccine, influenza vaccine, and yellow fever vaccine; nutrition assessment and support; family planning counselling and services including condoms and safe reproductive services; preventing mother-to-child HIV transmission; needle-syringe programmes and opioid substitution therapy; and water, sanitation, and hygiene.

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Keywords: HIV - Adherence, HIV - Herpes Simplex Virus, HIV - IV Drug Use, HIV - Malignancies, HIV - Paediatric/Adolescent Patients, HIV - Pregnancy, HIV - Prevention, HIV - Psychiatric Disorders, HIV - Psychosocial Issues, HIV - Resource-Limited Settings, HIV - Sexually Transmitted Diseases, HIV - Special Populations, HIV - Tuberculosis, HIV - Viral Hepatitis Coinfection, HIV - Women, Tuberculosis - Biomedical Prevention, HIV - Cryptococcus