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