National Guidelines for the Management of HIV and AIDS. Third Edition, Revised February 2009 - Tanzania
(2008; 328 pages)

Abstract

During the past 24 years of the HIV epidemic in Tanzania, the country has responded in several ways, including putting in place a series of strategic plans and preventive interventions. Since November 2004, a nation wide care and treatment programme aimed at providing care and treatment to People Living with HIV and AIDS (PLHAs) is being implemented. The main focus of the program is to improve access to ARVs and Home Based Care (HBC) for as many PLHAs as possible.

By December 2007 (three years after the program was launched) and in collaboration with a number of development partners, a total of 165,000 eligible patients have been started on ARVs and those who are not eligible yet are being closely monitored through Care and Treatment Centres (CTCs) spread all over the country. In spite of this impressive success in a relatively short time, there is still a need to expand the services to more PLHAs. This requires an increased effort to ensure the availability of not only ARVs, but also well trained staff, adequate space and supporting facilities such as laboratories and counselling facilities — in short, a quality and functional health system.

HIV and AIDS is a rapidly evolving field. This is particularly true in the field of care and treatment of individuals infected with HIV. Newer and more potent drugs are continuously being developed and used; and knowledge of the existing drugs in terms of their efficacy, as well as short and long term side effects is becoming clearer as we gain more experience. The second edition of this document, “The National Guidelines for Clinical Management of HIV and AIDS,” was produced only a few years ago. However, recent developments and experience in the field of HIV and AIDS care and treatment has made it necessary for the country to come up with another edition of these guidelines to reflect the changes that have taken place. This will help to improve the quality of care and treatment of our patients.

In this edition, all chapters have been reviewed to include new information. Due to observed changes and developments the number of regimens to be used for care and treatment of HIV and AIDS has been expanded to give clinicians more flexibility in providing quality care.

The current edition is also presented in a style that will hopefully be easy to read, while at the same time serve as a basic reference for information on HIV and AIDS management. Like the previous one, it covers Adult and Paediatric HIV and AIDS management; Nutrition; Management of Opportunistic Infections; Home Based Care and the Continuum of Care; and Counselling for HIV Testing as well as ART adherence. Other areas covered include: health facility certification, standard precautions in care settings and laboratory services, post exposure prophylaxis, as well as ARV logistics and dosages...

 
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