The HIV/AIDS epidemic continues to pose a threat to public health, economy,
and indeed to national security in countries. The Government of Ghana has made a
commitment to responding to this threat.
Comprehensive management of persons infected with HIV and AIDS patients has
been shown to reduce mortality in addition to improving their quality of life of
the infected. The continuum of care includes general specific medication for
prevention and treatment of opportunistic infections and the use of
Anti-retroviral Therapy. Clinical science and medical treatment has developed
rapidly in this domain.
The Health Sector has the primary mandate of providing healthcare among
‘People living with HIV/AIDS’ (PLWHA). These guidelines are not intended towards
providing ‘state of the art’ medical care, but rather a practical approach for
management of HIV related illness. This includes criteria for initialisation of
therapy, drug combinations on monitoring among others. It provides technical
detail on drug interactions. It takes cognisance of the inadequate laboratory
support that will ensure optimum monitoring. It also takes recognises the cost
implications and therefore recommends drugs that are efficacious, with safe
profiles and that are cost effective.
Even though primary and secondary prevention are not addressed in this
document, it should be emphasised that these should form an integral part of
patient management. Separate guidelines are available for the detailed
management of Sexually Transmitted Infections and Management of Opportunistic
Infections These are to complement each other in the comprehensive care of
It is the hope of the Ghana Health Service that this and other guidelines
will together provide adequate guidance to all providers in the clinical
management of PLWHA’s, both in the public and private sectors and contribute to
the improvement in the quality of life of infected individuals...