Guideline Detail

Operations Manual for Delivery of HIV Prevention, Care and Treatment at Primary Health Centres in High-Prevalence, Resource-Constrained Settings

Source: World Health Organisation
Publication Date: December 2, 2008

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2008 operational guidance from the World Health Organisation intended for use in countries with high HIV prevalence. The manual is designed to assist health centres in planning and delivering HIV services in an integrated, efficient, and quality-assured manner. Topics addressed include: planning integrated services at the health centre, including essential and desirable interventions and estimating HIV service needs; service integration, linkages, and triage, including for nonpregnant adults and children, pregnancy and labor and delivery, the postpartum period, newborns, HIV-exposed infants, tuberculosis care, family planning and sexual and reproductive healthcare provision, sexually transmitted infection management, and adolescents; the role of the community in prevention, care, and treatment, including HIV and tuberculosis case finding and community health workers; infrastructure, including space needed for HIV services, privacy and confidentiality, tuberculosis infection control, HIV infection control, water supply and wastewater, hand washing and other hygiene practices, latrines/toilets, cleaning, health centre waste management, power, communication infrastructure, fire safety, waiting area, triage, registration, patient monitoring, group education and support, clinical consultation rooms, counselling, pharmacy/dispensary, outdoor space, labour and delivery rooms, and creating an enabling physical work environment; monitoring services, patients, and programmes; supply management; laboratory services, including specimen labelling and logging, quality instruction for all tests, instructions for blood sample collection, rapid tests for HIV, syphilis, and malaria, infant HIV diagnosis, estimating haemoglobin, urine dipstick for sugar and protein, pregnancy test, CD4+ cell count, full blood count, specimen transport, lab set up, human resources, equipment maintenance, and training materials; human resources, including ensuring an adequate number of staff, making task shifting effective, making sure staff have appropriate training, mentoring and supportive supervision, ensuring a safe work environment, and improving employee motivation and retention; leadership and management; and quality improvement.

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Keywords: HIV - Diagnosis, HIV - Monitoring, HIV - Paediatric/Adolescent Patients, HIV - Pregnancy, HIV - Prevention, HIV - Resource-Limited Settings, HIV - Sexually Transmitted Diseases, HIV - Syphilis, HIV - Tuberculosis, HIV - Women