Guidelines for HIV Care and Treatment in Papua New Guinea, June 2009
(2009; 85 pages)

Abstract

Over two decades have passed since the HIV epidemic was first recognized in Papua New Guinea. During this period, the country has responded in several ways, including formulating and implementing a series of strategic plans. Many of the initial interventions were geared towards preventing further spread of HIV.

Despite the earlier efforts, the epidemic has grown and established itself into a generalized epidemic in both rural and urban communities. The epidemic has been more severe in certain vulnerable groups including sex workers, women, children, youth and migrant populations. As a result of this, more than 46,000 people are currently estimated to be living with HIV in the country. This calls for a broadening of our approach to the epidemic through the strengthening and expansion of the care and treatment component of our response.

The National scale up plan, which includes prevention, care and treatment, is a culmination of different initiatives including the Global Fund for AIDS, Tuberculosis and Malaria (GFATM). The GFATM is providing a framework for the establishment of a five-year program that will enroll about 7,000 patients on anti retroviral treatment. This program will result in the need to train more healthcare workers as well as the need to develop tools to guide the safe and effective implementation of care and treatment.

The National Guidelines for HIV Care and Treatment in PNG are one of the many tools that have been developed to provide healthcare workers guidance on various aspects of care and treatment. In this the third edition of the Guidelines, there is much wider coverage of such areas as; Adult and Paediatric HIV management including adherence issues and nutrition; treatment of opportunistic infections; PPTCT, and infant feeding options. The guidelines can also serve as reading and reference material for a wide range of healthcare professionals...

 
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