Friday, December 27, 2019

Hiv Public Health - 1082 Words

WHO Strategy for HIV DR Prevention and Implications for Public Health The scaling up of ART follows the public health approach of using the standardized and simplified treatment regimens that are consistent with international standards (Bennett et al., 2012). However the treatment with ARV drugs can be accompanied by emergence and transmission of HIV DR. The emergence of HIV DR can limit the treatment options that will need switching to the second-line regimens that is costly and can produce long term toxicities (Bennett et al., 2012). In order to counter the effects of HIV DR, WHO developed a global strategy for the prevention and minimizing the emergence of HIV DR (Bennett et al., 2008, 2012). The WHO strategy involves three elements:†¦show more content†¦ARV prescribing practices refers the percentage of patients initiating an appropriate first-line ART regimen which is listed in national guideline. The target should be 100%. Lost to follow up refers to percentage of patients who were lost to follow at 12 months upon initiation, while patie nts retention on first-line ART at 12 months refers to percentage of patients who initiated at ART site that are still on first-line ART regimen after 12 months and the target should be less than or equal to 20% and more than or equal to 70% respectively. On-time ARV drug pick up refers to percentage of patients picking up all prescribed ARV drugs on time during first 12 months and the target should be more than or equal to 90%. ARV drug –supply continuity refers to percentage of months in a year in which there was no ARV drug stock outs at the sites and the target should be 100%; while viral load suppression refers to percentage of patients with viral load less than 1000 copies/ml at 12 months and the target should be more than or equal to 70%. 2.12.2 HIV DR Surveillance There are two surveys that are recommended by WHO: surveillance of acquired HIV DR in population on ART and surveillance of transmitted HIV DR in recently infected population (Bennett et al., 2008; Jordan et al., 2012). Acquired HIV DR is conducted at specific health facilities to assess the performance in achieving the prevention of HIV DR for instance maintaining the suppressedShow MoreRelated HIV/AIDS Public Health Policies: A Comparison Between South Africa and Cuba 1340 Words   |  6 PagesHIV/AIDS is still a current public health concern for all countries of the world. 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The disease AIDS is defined according the world health Organization (WHO) ‘’ Acquired immunodeficiency syndrome (AIDS) is a term which applies to the most advanced stages of HIV infection†. An outbreak virus that struck women, men, and children from every single part of world. A known disease of gay men that causedRead MoreThe Hot Zone By Richard Preston Essay1498 Words   |  6 PagesPrinceton Model Congress in high school where I first learned about public health. Participants made mock congressional bills to be passed in a congress comprised of high school and college students in order to implement a national change. My mock bill advocated for the incorporation of HIV tests within annual physicals. The purpose of this bill was to ensure that more people became knowledgeable about their status and with this knowledge, HIV positi ve individuals can receive care faster and take proactive

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