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(2013; 104 pages)
This set of guidelines is based on the WHO Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection: Recommendations for a Public Health Approach released in June 2013. It was designed to provide a technical basis for the sustainability of the HIV Care/ART Program in Fiji – appropriateness of drug regimens being recommended, clinical and program monitoring, and training of health care professionals. The guidelines should be considered as a basic manual for HIV care and ART in Fiji and not as a comprehensive reference for the complex management of HIV infection. It maintains the WHO “four S’s” approach – when to: start drug treatment; substitute for toxicity; switch after treatment failure; and stop.
The focus of the guidelines is primarily directed to health care professionals in Fiji who do not have much experience on ART at the primary and secondary health care levels. As such, it takes into consideration the limited resources available at these levels which is in consonance with the public health approach of WHO in curbing the global HIV epidemic.