I ACT moving into places......
Key challenges:
–High burden of HIV and TB
–Lack of health care personnel
(e.g. 1 doctor: 4219 people)
Overburdened Health system
Requires interventions to RETAIN newly diagnosed HIV+ patients
Patients
with CD4 above 350, not yet eligible for ART¹
•Transfer to a wellness programme for
regular follow-up and repeat CD4 testing 6-monthly.
•Advise on how to avoid HIV
transmission to sexual partners and children
•Initiate INH prophylaxis if
asymptomatic for TB
•Provide counselling on nutrition and
contraception and do annual pap smear
¹ SA Antiretroviral Treatment Guidelines 2013