Handbook on Access to HIV/AIDS-Related Treatment : a Collection of Information, Tools and Resources for NGOs, CBOs and PLWHA Groups: Chapter 3: Putting treatment into practice: 3.4 Providing drugs to people living with HIV/AIDS: 3.4.D Managing transport for HIV/AIDS-related treatment

Handbook on Access to HIV/AIDS-Related Treatment : a Collection of Information, Tools and Resources for NGOs, CBOs and PLWHA Groups
(2003; 130 pages) [French]

Table des matières

Preface
Acknowledgements
Acronyms
Introduction: Read this first!
	1. What is this handbook?
	2. Why was this handbook developed?
	3. How was this handbook developed?
	4. Who is this handbook for?
	5. How can this handbook be used?
	6. What is in the chapters of this handbook?
	7. What materials are needed to use this handbook?
	8. Who developed this handbook?
	9. Further sources of information
	Example of workshop schedule
Chapter 1: First questions to ask
	1.1 Care, support and treatment
		1.1.A Care and support
		1.1.B Treatment
	1.2 Linking treatment and prevention
	1.3 Access to treatment
		1.3.A Availability of treatment
		1.3.B Accessibility of treatment
	Information Sheet 1: Barriers to access to treatment
	Information Sheet 2: Factors affecting access to treatment
	1.4 Further sources of information
Chapter 2: Foundations of treatment
	2.1 The basic elements of treatment work
		2.1.A Supportive relationships for treatment work
		2.1.B Knowledge, skills and attitudes for treatment work
		2.1.C An ethical approach to treatment work
		2.1.D Information for treatment work
	2.2 How different treatments vary
	2.3 Working with others to improve access to treatment
		2.3.A Partnerships to improve access to treatment
		2.3.B Advocacy to improve access to treatment
	Treatment Information Sheet
	Treatment Assessment Sheet
	2.4 Further sources of information
Chapter 3: Putting treatment into practice
	3.1 Resources for HIV/AIDS-related treatment work
	3.2 Drugs for HIV/AIDS-related treatment
		3.2.A Managing HIV/AIDS-related drugs
		3.2.B The essential medicines concept
		3.2.C Guidelines for treatment
		3.2.D Choosing the right drugs
		3.2.E Drug names
		3.2.F Using drugs effectively
		3.2.G Fact sheet - antiretrovirals
	3.3 Sourcing and looking after good-quality drugs
		3.3.A Drug quality
		3.3.B Sources of drugs
		3.3.C Storing drugs
		3.3.D Keeping records and ordering drugs
	3.4 Providing drugs to people living with HIV/AIDS
		3.4.A Paying for HIV/AIDS-related treatment
		3.4.B Drug information
		3.4.C Dispensing drugs
		3.4.D Managing transport for HIV/AIDS-related treatment
	3.5 Training and management for treatment work
	3.6 Further sources of information
Chapter 4: Assessing needs and resources, and deciding what to do
	4.1 The assessment process
	4.2 Assessment frameworks
		4.2.A Assessing needs and resources - people living with HIV/AIDS and the community
		4.2.B Assessing needs and resources - the local environment
		4.2.C Assessing needs and resources - your NGO/CBO/PLWHA group
	4.3 Deciding what to do
		4.3.A Analysing your findings
		4.3.B Reaching a decision
		4.3.C Communicating your decision
	Information Sheet 3: Thinking creatively about what your group can do - treatment in context
	4.4 Further sources of information
Chapter 5: Learning from and improving HIV/AIDS-related treatment work
	5.1 Monitoring and evaluating HIV/AIDS-related treatment work
		5.1.A Keeping records of your work
		5.1.B Monitoring your work
		5.1.C Evaluating your work
	5.2 Changing and improving HIV/AIDS-related treatment work
		5.2.A Making the most of new resources and linkages
		5.2.B Coping with changes
		5.2.C Sharing your experiences with others
		5.2.D Scaling up, scaling down or staying the same
	5.3 Further sources of information
	Organizations that contributed to the development of this handbook
Back cover

3.4.D Managing transport for HIV/AIDS-related treatment

Transport is vital for effective HIV/AIDS-related treatment work. It is necessary both to enable clients to access treatment and to move supplies and skilled help to where they are needed. Transport is also necessary to move supplies and people to the places where treatment is provided. And it is required for bringing drugs and other materials from sources of supply, whether from a local town or far away. One factor in deciding which suppliers to use will be whether they provide reliable transport for their goods.

The costs and difficulties of transport affect people's access to HIV/AIDS-related health care. For example, if people living with HIV/AIDS need trained medical help, they must go to a clinic, hospital or other place where it is provided. Alternatively, the help must come to them -for example, through a home visit. Either way, transport is required. Using transport takes time and it requires money to purchase, maintain and repair vehicles, and to provide fuel. Even walking, which seems cost-free, requires fuel in the form of food and water.

An NGO/CBO might decide that it is important to have its own transport. The budget, costs, availability of spare parts and maintenance of a vehicle will have to be considered. A method of managing the transport will have to be planned - for example, making timetables and keeping records of use and repairs. It will also be important to plan what will happen when a vehicle is worn out, damaged or needs to be replaced.

An NGO/CBO and its clients should aim to find the most cost- and time-effective transport to suit their needs and resources. Factors to consider when deciding whether to take treatment to a client, or bring the client to the treatment, may include:

• How far are the clients from the treatment services?
• Are there several clients in one area?
• Does the NGO/CBO have reliable transport?
• Is there good public transport for the clients to use?
• Is there a suitable building for a clinic where clients could come?
• If it is expensive to rent a building for a clinic, would it be better to spend the money on transport?